Health Results-Based Financing Impact Evaluation 2012, Baseline Household Survey

Central African Republic, 2012

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Reference ID

CAF_2012_RBFIE-HBL_v01_M

DOI

https://doi.org/10.48529/bw1j-zz34

Producer(s)

Damien de Walque

Collection(s)

Impact Evaluation Surveys Fragility, Conflict and Violence

Metadata

Documentation in PDF DDI/XML JSON

Created on

Oct 09, 2014

Last modified

Oct 09, 2014

Page views

73946

Downloads

21289

Identification

Survey ID number

CAF_2012_RBFIE-HBL_v01_M

Title

Health Results-Based Financing Impact Evaluation 2012

Subtitle

Baseline Household Survey

Country/Economy

Name	Country code
Central African Republic	CAR

Study type

Other Household Survey

Abstract

Scaling-up of performance-based financing (PBF) has never been systematically evaluated in Central African Republic (CAR) on any meaningful scale. As such, this Impact Evalution's larger policy objectives are to:
(a) identify the impact of PBF on maternal and child health (MCH) service coverage and quality,
(b) identify key factors responsible for this impact, and
(c) assess cost-effectiveness of PBF as a strategy to improve coverage and quality.

In doing so, the results from the impact evaluation will be useful to designing national PBF policy in CAR and will also contribute to the larger body of knowledge on PBF. The evaluation will rely on two main sources of data:
1. Household surveys: A household survey will be implemented at baseline (i.e., before implementation of PBF begins), and at endline (i.e., after PBF has been implemented for two years).
2. Facility-based surveys: A facility-based survey will be implemented at baseline and at endline.

The main targeted outcomes fall into two main groups:
(a) Maternal and Child Health Service coverage indicators and
(b) Quality of care indicators.

The study is a blocked-by-region cluster-randomized trial (CRT), having a pre-post with comparison design. The team relied primarily on experimental control to answer the main research questions for this study. The study will also include a qualitative component at endline to probe deeper for explanations or explore specific issues that are relevant to PBF.

Note: The Health Facility Baseline Survey is available online under Impact Evaluation Surveys Collection. The study is titled "Central African Republic Health Results-Based Financing Impact Evaluation 2012, Health Facility Baseline Survey."

Kind of Data

Sample survey data [ssd]

Unit of Analysis

The target population for the household baseline survey is households with at least one pregnant woman or a woman with a child who was born during the two years preceding the survey.

Scope

Notes

The main themes covered in the household survey include:

Health behaviors for maternal and child health (MCH) services
Health seeking behaviors, barriers to use and health service use
Household health expenditures
General perceptions of health service quality

Coverage

Geographic Coverage

Seven prefectures in the 2nd, 3rd, 4th and 6th regions of CAR covering a total population of approximately 2.5 million.

Producers and sponsors

Primary investigators

Name	Affiliation
Damien de Walque	World Bank

Producers

Name	Affiliation
Gaston Sorgho	World Bank
Paul Jacob Robyn	World Bank

Funding Agency/Sponsor

Name
Health Results Innovation Trust Fund

Sampling

Sampling Procedure

To select the households, a catchment area was established for each of the 97 Health Centers and 145 Health Posts. No more than 20 households were randomly selected for survey in the catchment area of each selected health facility.

Since the study was a cluster-randomized trial, the sample size estimation had to take into account design effects. In total, there were approximately 242 clusters defined by Health Centers and Health Posts (i.e., each facility constitutes a cluster) and at least 80 health facilities in each of the three study groups. This tally does not include the 9 prefecture hospitals which were not to be randomly assigned.

The survey was administered to women in sampled households who have delivered a baby within the two years preceding the survey. In addition, the survey teams weighed and measured the height of all children aged under 5 years, mothers of children less than 2 years, and pregnant women who were present in the household during the survey team's visit.

Survey instrument

Questionnaires

The household questionnaire is composed of two parts: the first is a household survey for all members of the household, while the second part is specifically for women between 15-49.

In addition to the questionnaires, the survey teams did the following:

Weigh and measure the height of all children aged under 5 years, mothers of children less than 2 years, and pregnant women who were present in the household during the survey team's visit.

Data collection

Dates of Data Collection

Start	End
2012-02	2012-12

Data Collection Notes

Households surveyed at baseline will also be visited at endline, and will be included in the endline sample if they continue to meet eligibility criteria. Additional households may be sampled at endline if necessary to meet sample size requirements.

Data Access

Access authority

Name	Affiliation	Email
Damien de Walque	World Bank	ddewalque@worldbank.org

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:
Damien de Walque, The World Bank. Central African Republic Health Results-Based Financing Impact Evaluation 2012, Household Baseline Survey (RBFIE-HBL) 2012. Ref. CAF_2012_RBFIE-HBL_v01_M. Dataset downloaded from [URL] on [date].

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
Damien de Walque	World Bank	ddewalque@worldbank.org

Metadata production

DDI Document ID

DDI_CAF_2012_RBFIE-HBL_v01_M_WB

Producers

Name	Affiliation	Role
Development Economics Data Group	The World Bank	Documentation of the DDI

Date of Metadata Production

2014-10-02

Metadata version

DDI Document version

Version 01 (October 2014)

Citation

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