Health Results-Based Financing Impact Evaluation 2013, Household Baseline Survey

Burkina Faso, 2013 - 2014

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Reference ID

BFA_2013_HRBFIE-HBL_v01_M

DOI

https://doi.org/10.48529/3s0s-8n23

Producer(s)

Paul Jacob Robyn, Aurelia Souares, Herve Hien

Collection(s)

Impact Evaluation Surveys Fragility, Conflict and Violence

Metadata

Documentation in PDF DDI/XML JSON

Created on

Jan 17, 2017

Last modified

May 27, 2019

Page views

117181

Downloads

21914

Identification

Survey ID number

BFA_2013_HRBFIE-HBL_v01_M

Title

Health Results-Based Financing Impact Evaluation 2013

Subtitle

Household Baseline Survey

Country/Economy

Name	Country code
Burkina Faso	BFA

Study type

Other Household Health Survey

Series Information

Results-based financing (RBF) in the health sector has been defined as a financing mechanism where cash or non-monetary transfers are made to a national or sub-national government, manager, provider, payer or consumer of health services after predefined service delivery or health outcomes results have been attained and verified.

An increasing number of countries are implementing RBF approaches as an alternative to input-based financing, and many of these countries have been employing a performance-based financing approach, a particular type of RBF in which health facilities are rewarded monetarily for producing predefined results in terms of quantity and quality of agreed services, subject to verification of those outputs by an independent party.

The Health Results Innovation Trust Fund (HRITF) was created in 2007 to support results-based financing approaches in the health sector. Through RBF, the HRITF aims to improve maternal and child health around the world. HRITF is supported by the Governments of Norway through Norad and the United Kingdom through the Department for International Development (DFID). It is administered by the World Bank.

HRITF has committed $396 million for 36 RBF programs in 30 countries, linked to $2.2 billion in financing from IDA - the World Bank's fund for the poorest.

Abstract

The baseline survey on impact evaluation for Health Performance-Based Financing (PBF) in Burkina Faso was conducted in six regions of Burkina Faso from October 2013 to March 2014. The main objective of the impact evaluation is to assess the impact of the PBF intervention on quality of care and health care utilization for Maternal, Newborn and Child Health services, while the baseline survey provides the empirical foundation for the assessment of impacts on a large variety of indicators. The endline wave of the impact evaluation is planned from March - June 2017.

Data collection for the baseline survey included a household survey and a facility-based survey. The baseline household survey is documented here. The household survey included information on 6,224 households in five regions (non-randomized region Centre-Ouest was excluded from the analysis). Data on household socioeconomic status, health behavior and health outcomes was collected using CAPI household questionnaires.

Kind of Data

Sample survey data [ssd]

Unit of Analysis

Households and individuals (members of sample households)

Version

Version Description

v01, edited, anonymous datasets

The household survey includes information on 6,224 households in five regions. The entirely non-randomized region Centre-Ouest, as well as non-randomized facilities and their catchment areas in the region Boucle du Mouhoun, were excluded from data analysis of the baseline study.

Scope

Notes

The scope of the household survey includes:

Household socio-economic status (consumption, expenditure, revenues and household assets)
Health seeking behaviors, barriers to use and health service use
Household health expenditures
General perceptions of health service quality health services
Rapid Diagnostic Tests (RDT) for malaria, anemia
Anthropometric measures for children younger than 5 years old

Coverage

Geographic Coverage

Centre-Nord, Nord, Sud-Ouest, Centre-Est, Boucle du Mouhoun, Centre-Ouest

Universe

Selected districts in Centre-Nord, Nord, Sud-Ouest, Centre-Est and Boucle du Mouhoun

Producers and sponsors

Primary investigators

Name	Affiliation
Paul Jacob Robyn	The World Bank
Aurelia Souares	University of Heidelberg
Herve Hien	Centre Muraz

Producers

Name	Affiliation	Role
Saidou Hamadou	World Bank	Survey Expert
Herve Hien	Centre Muraz	Survey Coordinator

Funding Agency/Sponsor

Name
World Bank, Health Results Innovation Trust Fund

Other Identifications/Acknowledgments

Name	Affiliation
Centre Muraz
Ministry of Health	Government of Burkina Faso

Sampling

Sampling Procedure

Surveyed households were selected using a cluster sampling technique.

First, clusters were defined in relation to the catchment area of each of the 415 primary health care facilities included in the study.

Second, one village was randomly selected within each cluster.

Third, 15 households were randomly selected for interview among all households meeting the inclusion criteria in each village. A preliminary numbering procedure enabled the identification of all the selected households in the village and the verification of their inclusion criteria; in other words, the procedure allowed identification of households with at least one pregnant woman or a woman who gave birth within the last two years.

Response Rate

100%

Survey instrument

Questionnaires

Questionnaires were based on HRITF Impact Evaluation Toolkit templates. The following questionnaires were used:

Household Questionnaire - Questionnaire C1
Depending on a section, the questionnaire was administered to the head of household or the best informed household member, and the mother or the main guardian of children younger than 15 years old.
Household Female Questionnaire - Questionnaire C2
Depending on a section, the questionnaire was administered to all female members of the household 15-49 years old, women who had delivered a baby within the two years preceding the survey, and a mother or main guardian of children younger than 5 years old.

In addition to collecting data through household questionnaires, the survey teams performed the following tests/measurements:

Rapid Diagnostic Tests (RDT) for malaria for all children less than 5 years old and pregnant women present in the household during the visit,
RDTs for anemia for all children younger than 5 years old and pregnant and nonpregnant women who had delivered a baby in the preceding 2 years present in the household during the visit,
Weight and height of all children less than 5 years old present in the household during the survey team's visit.

Data collection

Dates of Data Collection

Start	End	Cycle
2013-10-15	2014-03-30	Baseline

Data Collectors

Name
Centre Muraz

Data Collection Notes

The direct supervisors accompanied the investigators; there were teams of 10 investigators for the households and teams of 5 investigators for the health facilities. A household team and a health facility team were deployed in each region. A second level supervision was provided by 3 controllers: each controller was supervising 2 regions and, thus, each was responsible for 4 teams. Together, a 42 team of supervisors from Centre MURAZ and University of Heidelberg provided a third level of control of the investigators.

The health facility surveys were paper-based while the household surveys were conducted with PDAs. The data collected on-site was sent on weekly basis to the server in MURAZ Centre (the encoded data was sent electronically) and paper surveys were sent on a daily basis in sealed boxes to MURAZ center for data entry.

Access policy

Citation requirements

Use of the dataset must be acknowledged using a citation which would include:

the Identification of the Primary Investigator
the title of the survey (including country, acronym and year of implementation)
the survey reference number
the source and date of download

Example,

Paul Jacob Robyn, The World Bank; Aurelia Souares, University of Heidelberg; Herve Hien, Centre Muraz. Burkina Faso Health Results-Based Financing Impact Evaluation 2013, Household Baseline Survey (HRBFIE-HBL). Ref. BFA_2013_HRBFIE-HBL_v01_M. Dataset downloaded from [URL] on [date].

Access authority

Name	Affiliation	Email
Paul Jacob Robyn	World Bank	probyn@worldbank.org

Depositor information

Depositor

Name	Affiliation
Paul Jacob Robyn	The World Bank

Disclaimer and copyrights

Disclaimer

The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.

Contacts

Name	Affiliation	Email
Paul Jacob Robyn	The World Bank	probyn@worldbank.org

Metadata production

DDI Document ID

DDI_BFA_2013_HRBFIE-HBL_v01_M

Producers

Name	Affiliation	Role
Development Data Group	The World Bank	Study documentation

Date of Metadata Production

2017-01-13

Metadata version

DDI Document version

v01 (January 2017)

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