Subsidy Reinvestment and Empowerment Programme Maternal and Child Health Initiative Impact Evaluation (SURE-P MCH) 2014 - 2015, Midline Survey

Nigeria, 2014 - 2015

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Reference ID

NGA_2014_SUREPIE-ML_v01_M

DOI

https://doi.org/10.48529/73jb-mm12

Producer(s)

Pedro Rosa Dias, Marcos Vera-Hernández, Marcus Holmlund, Pamela Jervis Ortiz, Qiao Wang

Collection(s)

Development Impact Evaluation (DIME) Impact Evaluation Surveys The Strategic Impact Evaluation Fund (SIEF) Fragility, Conflict and Violence

Metadata

Documentation in PDF DDI/XML JSON

Created on

Dec 06, 2017

Last modified

Dec 06, 2017

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Identification

Survey ID number

NGA_2014_SUREPIE-ML_v01_M

Title

Subsidy Reinvestment and Empowerment Programme Maternal and Child Health Initiative Impact Evaluation (SURE-P MCH) 2014 - 2015

Subtitle

Midline Survey

Country/Economy

Name	Country code
Nigeria	NGA

Series Information

The Maternal and Child Health (MCH) project of the Subsidy Reinvestment and Empowerment Programme (SURE-P) was set up by the Federal Government of Nigeria to reduce maternal and newborn morbidity and mortality inthe country. MCH initiative is a follow-up program to Midwives Service Scheme, implemented by the Nigeria National Primary Health Care Development Agency, that provides demand and supply side incentives, community monitoring, and increased human resources to improve the rates and quality of antenatal care and skilled birth attendance in Nigeria.

On the supply-side, SURE-P aims to recruit, train and deploy 5,400 midwives and 14,100 community health extension workers, as well as to upgrade essential infrastructures and guarantee the adequate provision of supplies and equipment to primary health centres between the end of 2012 and 2015. In addition SURE-P will hire and train a total of 38,700 village health workers, who are expected to establish the connection between the primary healthcare centres (PHC) and pregnant women in each village.

On the demand-side, SURE-P introduces a CCT, whereby all pregnant women will be given a total cash payout of 5,000 Naira (about USD 32), conditional on attending antenatal care, skilled birth attendance and postnatal care. Also, an information campaign aims to target all women of reproductive age to encourage them to register with their nearest PHC.

The rigorous impact evaluation was implemented to determine the causal impact of this programme. The IE comprised a quasi-experimental impact evaluation which aim was to evaluate the SURE-P package, and four experimental evaluations which evaluated the impact that distinct components had within the SURE-P package, such as:
- the effect of alternative incentives regimes to midwives on their retention rates
- the effect of conditional cash transfers on utilization of MCH services
- the effect of community monitoring of essential commodities on incidence of stock-out of supplies at the PHC

The baseline data collection was carried out in September - November 2013. The midline survey was implemented in December 2014 - February 2015, after SURE-P Phase I implementation. The final data collection took place from March 2016 to June 2016, after SURE-P Phase II implementation.

All three waves are available in the Microdata Library.

Abstract

The SURE-P MCH midline (second round) data collection was administered in 500 primary healthcare facilities participating in the first phase of the program and in their surrounding catchment areas, and 500 more primary healthcare facilities participating in the second phase of the program and in their surrounding catchment areas.

The midline survey had four modules:
- midwife;
- primary healthcare facility;
- ward development committee;
- household/individual.

Kind of Data

Sample survey data [ssd]

Unit of Analysis

- Midwife
- Primary healthcare facility
- Ward Development Committee
- Women that have given birth in the three months preceding the survey

Version

Version Description

v01, edited, anonymized datasets

Scope

Notes

The scope of the study includes:

Midwife: (i) general information; (ii) post-secondary education; (iii) exposure to rural settings; (iv) job attributes preferences; (v) Maslach Burnout Inventory (MBI); (vi) work conditions; (vii) family; (viii) altruism game; (ix) other revenues; (x) household assets, land, and animals; (xi) non-experimental measure of intrinsic motivation; (xii) time preferences game; (xiii) community relations and support; (xiv) prosocial scales; (xv) charitable donations; (xvi) midwifery courses preferences; (xvii) antenatal care (ANC); (xviii) opinions about work and family; (xix) incentives, locus of control and trust; (xx)contact information; (xxi) incentives videos; (xxii) post-contract*; (xxiii) social norm excise; (xxiv) risk preferences game.

Primary Health Care Facility: (i) general information; (ii) facility characteristics; (iii) administration and management; (iv) human resources; (v) organizational citizenship and behaviors; (vi) Maslach Burnout Inventory (MBI); (vii) patient records; (viii) community outreach; (ix) health services; (x) user fees; (xi) national protocols; (xii) equipment; (xiii) drug storage and availability.

Ward Development Committee: (i) general information; (ii) access to basic services and community characteristics; (iii) social capital and community empowerment; (iv) external shocks; (v) direct observation.

Household/individual: (i) contact information; (ii) household roster; (iii) education; (iv) transfers and other income; (v) adverse events; (vi) household health services utilization and payment; (vii) antenatal care service utilization; (viii) labor and delivery; (ix) postpartum care and breastfeeding; (x) female adult expectations section a; (xi) maternal knowledge; (xii) Edinburg Postnatal Depression Scale; (xiii) female adult expectations section b; (xiv) delivery problems; (xv) exposure to media and mobile phone; (xvi) village leader and WDC; (xvii) dwelling characteristics and household amenities; (xviii) household assets; (xix) food and non-food consumption.

Coverage

Geographic Coverage

All 36 states and the Federal Capital Territory

Universe

Five hundred primary healthcare facilities participating in the first phase of the program, and 500 more primary healthcare facilities participating in the second phase of the program; 1,285 midwives enrolled the first phase (during 2013/14) in an experiment to test the effectiveness of different forms of incentives (monetary; non-monetary; combined) on midwife attrition and 2,180 midwives enrolled in the second phase; ward development committees in the catchment areas of all primary healthcare facilities included in the study; women that had given birth in the three months preceding the survey in the catchment areas of all primary healthcare facilities included in the study.

Producers and sponsors

Primary investigators

Name	Affiliation
Pedro Rosa Dias	Imperial College London
Marcos Vera-Hernández	University College London
Marcus Holmlund	World Bank
Pamela Jervis Ortiz	University College London
Qiao Wang	World Bank

Producers

Name	Affiliation	Role
Emily Crawford	World Bank	Field Coordinator
Felipe Dunsch	World Bank	Coordinator

Funding Agency/Sponsor

Name
Bill and Melinda Gates
World Bank Strategic Impact Evaluation Fund

Other Identifications/Acknowledgments

Name	Affiliation	Role
Ugo Okoli	SURE-P MCH	Project Director
Mohammed Sidi Ali	SURE-P MCH	Deputy Project Director
Adetokunbo Oshin	SURE-P MCH	Deputy Project Director
Jamila Bello-Malabu	SURE-P MCH	Team member
Chukwuebuka Ejeckam	SURE-P MCH	Team member
Oluwafemi Adedipe	SURE-P MCH	Team member
Chidimma Aigbe	SURE-P MCH	Team member
Amina Muhtar	SURE-P MCH	Team member
Laura Morris	SURE-P MCH	Team member
Chioma Oduenyi	SURE-P MCH	Team member
Nonso Onwudinjo	SURE-P MCH	Team member
Segun Oguntoyinbo	Hanovia Limited	Managing Director
Gbenga Adedayo	Hanovia Limited	Field Coordinator
Nnamdi Ezike	Hanovia Limited	Lead Data Officer

Sampling

Sampling Procedure

Primary health care facility: the survey targeted 500 primary healthcare facilities participating in the first phase of the SURE-P MCH program and additional 500 primary healthcare facilities in Phase 2.

Midwife: 1,285 midwives from the 500 primary healthcare facilities enrolled the first phase (during 2013/14) and additional 2180 midwives from the 500 primary healthcare facilities enrolled in the second phase from the additional 500 SURE-P MH.

Ward development committee: the survey targeted all 500 ward development committees operating in areas with a SURE-P MCH primary healthcare facility in Phase 1 and additional 500 ward development committees operating in areas with a SURE-P MCH primary healthcare facility in Phase 2.

Household/individual: within the catchment area of each SURE-P MCH Phase 1 and Phase 2 primary healthcare facility, the survey was administered to five randomly selected households containing a woman that had given birth in the past three months for a total of 5000 households/women.

Response Rate

Midwife: phase 1 response rate: 100%; Phase 2 response rate: not defined
Primary health care facility target: 1,000; achievement: 912; response rate: 91%
Ward development committee target: 1,000; achievement: 928; response rate: 93%
Household target: 5,000; achievement: 4,950; response rate: 99%

Data collection

Dates of Data Collection

Start	End
2014-12-08	2015-02-10

Data Collectors

Name
Hanovia Limited

Access policy

Access conditions

Licensed access with confirmation by Primary Investigators (represented by Marcus Holmlund, mholmlud@worldbank.org)

Citation requirements

The use of the datasets must be acknowledged using a citation which would include:

the identification of the Primary Investigator (including country name);
the full title of the survey and its acronym (when available), and the year(s) of implementation;
the survey reference number;
the source and date of download (for datasets disseminated online).

Example:

Holmlund, Jervis Ortiz, Rosa Dias, Vera-Hernandez, Wang (2015). Nigeria Subsidy Reinvestment and Empowerment Programme Maternal and Child Health (SURE-P MCH) Impact Evaluation 2014, Midline Survey. Ref. NGA_2014_SUREPIE-ML_v01_M. Dataset downloaded from [URL] on [date].

Depositor information

Depositor

Name	Affiliation
Qiao Wang	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.

Holmlund, Jervis Ortiz, Rosa Dias, Vera-Hernandez, Wang (2015)

Contacts

Name	Affiliation	Email
Marcus Holmlund	World Bank	mholmlund@worldbank.org
Qiao Wang	World Bank	qwang3@worldbank.org
Felipe Dunsch	World Bank	fdunsch@worldbank.org

Metadata production

DDI Document ID

DDI_NGA_2014_SUREPIE-ML_v01_M_WB

Producers

Name	Affiliation	Role
Development Data Group	World Bank	Study documentation
Development Impact Evaluation	World Bank	Study documentation

Date of Metadata Production

2017-12-06

Metadata version

DDI Document version

v01 (December 2017)

Citation

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