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Service Delivery Indicators Health Survey 2013 - Harmonized Public Use Data

Uganda, 2013
Central
Service Delivery Indicators
Waly Wane
Created on January 04, 2017 Last modified January 04, 2017 Page views 19453 Download 7244 Documentation in PDF Study website Metadata DDI/XML JSON

Identification

Survey ID Number
UGA_2013_SDI-H_v01_M_v01_A_PUF
Title
Service Delivery Indicators Health Survey 2013 - Harmonized Public Use Data
Country
Name Country code
Uganda UGA
Study type
Enterprise Survey [en/oth]
Series Information
This survey is part of the Service Delivery Indicators (SDI) project, an initiative of the World Bank, the African Economic Research Consortium, and the African Development Bank. Started in 2012, SDI tracks performance and quality of service delivery in primary schools and frontline health facilities across Africa. Kenya was the first SDI country, following the pilot surveys in Tanzania and Senegal. In 2012-2013, surveys were conducted in Mozambique, Nigeria, Togo and Uganda; in 2014-2016, in Madagascar, Tanzania and Niger. The surveys are repeated every two years.

SDI initiative is a unique 10-year program and the World Bank is the implementing partner for the first five years.

The data distributed here has been harmonized to a common standard to facilitate comparisons across countries and time. The data also has been anonymized to preserve confidentiality of respondents. The harmonization and anonymization work is done by the World Bank's SDI team.

SDI surveys are documented in the Microdata Library as Service Delivery Indicators Health Surveys and Service Delivery Indicators Education Surveys.
Abstract
The SDI provides a set of metrics to benchmark the performance of schools and health facilities in Africa. The Indicators can be used to track progress within and across countries over time, and aim to enhance active monitoring of service delivery to increase public accountability and good governance. Ultimately, the goal of this effort is to help policymakers, citizens, service providers, donors, and other stakeholders enhance the quality of services and improve development outcomes. The perspective adopted by the Indicators is that of citizens accessing a service. The Indicators assemble objective and quantitative information from a survey of frontline service delivery units, using modules from the Public Expenditure Tracking Survey (PETS), Quantitative Service Delivery Survey (QSDS), and Staff Absence Survey (SAS). The SDI initiative is a partnership of the World Bank, the African Economic Research Consortium (AERC), and the African Development Bank. More information on the SDI survey instruments and data, and more generally on the SDI initiative can be found at: www.SDIndicators.org and www.worldbank.org/SDI, or by contacting SDI@worldbank.org.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
There are two different units of analysis: facilities and individuals. Individuals are assessed both for absence and for knowledge.

Version

Version Description
Version 01: Harmonized, anonymous dataset for public distribution.

Scope

Notes
The 2013 Uganda Service Delivery Indicators, Health Survey covered the following topics/ indicators:

Health facility information
- Infrastructure availability
- Medical equipment availability
- Drug availability

Health provider information
- Absence rate
- Caseload per provider

Assessment of health provider knowledge and ability
- Diagnostic accuracy
- Adherence to clinical guidelines
- Management of maternal and neonatal complications

Coverage

Geographic Coverage
National coverage, representative of Uganda, public/private and rural/urban.
Geographic Unit
Central Region Eastern Region Kampala Northern Region Western Region
Universe
All primary health care facilities up to district hospitals.

Producers and sponsors

Primary investigators
Name Affiliation
Waly Wane World Bank Group
Producers
Name Role
Economic Policy Research Center Data collection and processing
Funding Agency/Sponsor
Name Abbreviation Role
William and Flora Hewlett Foundation Hewlett Foundation Funder

Sampling

Sampling Procedure
A multi-stage clustered sampling strategy was adopted in the Uganda SDI. The first stage cluster selection was carried out independently within each explicit stratum. The primary cluster considered was at the county level, which was, therefore, the primary sampling unit (PSU). At the second stage, schools were selected and, at the third stage, health facility's staff for absence and clinicians for knowledge assessment. It was decided than within each stratum, except Kampala, 10 counties would be chosen with probability proportional to size (number of households

Sampling Frame for the 2013 Uganda SDI:
The sampling frame for the 2013 Uganda SDI was based on the Health Facility Inventory of 2012 provided by the Ministry of Health. The original sample frame contained 4,999 health facilities (HC2, HC3, HC4, and hospitals) with identifier variables from the region to the parish in which each facility was located. The inventory also included the ownership of each facility as well as whether it was functional. The final sample frame was purged of all non-functional facilities as well as large hospitals which are not part of the SDI study.

Stratification of the Sampling Frame for the 2013 Uganda SDI:
Although the SDI was usually representative of the national and urban and rural areas, in Uganda it was requested that the survey be also representative at the regional level. Because of its special status, Kampala was extracted from the Central region and considered a stratum in and of itself.

Unfortunately, the sample frame did not contain an urban/rural variable necessary for proper (implicit) stratification of the health facilities. With the help of the Uganda Bureau of Statistics (UBoS), further work was done to create an urban/rural variable and match each health facility according to its location.

Sample Size and Sample Allocation for the 2013 Uganda SDI:
To approximate the precision of the estimate, a previous similar survey or a survey measuring the same indicator could be very useful. Uganda National Panel Survey (UNPS) 2010/11 visited health facilities to measure absence rate - a key variable for the SDI. The UNPS absence variable was used for simulation of the appropriate sample size

Sampling Health Facilities and Health Workers:
After the total sample size and its allocation across regions were decided, the next step was to sample the actual health facilities that would be included in the final sample and the health workers and clinicians that would be selected for absence and competence assessment within each health facility. This was done using a two-stage sampling method. First, in each stratum, health facilities were chosen within the selected counties, and then, staff were selected in a second stage within each selected health facility during the visit.

The health facilities were chosen using probability proportional to size (PPS), where size was the number of households as provided by the UBoS community database. As for the selection of the cluster, the use of PPS implied that each household within a stratum had an equal probability for its health facility to be selected.

Finally, within each health facility, up to 10 staff were selected for estimating absence and for the administration of the vignettes. There were two different sampling procedures for measuring absence rate and assessing knowledge. For absence rate, 10 staff were randomly selected in the facility roster and the whereabouts of those staff was ascertained in a return surprise visit. For the knowledge assessment, however, up to 10 clinicians among those who regularly see patients and provide prescriptions were included in the sample. These procedures implied that health workers across strata and within health facility (for assessment), did not all have the same probability of selection. It was, therefore, warranted to compute weights for reporting the survey results.
Response Rate
Not calculated.
Weighting
To be representative of the population of interest, sample estimates from the 2013 Uganda SDI had to be properly weighted using a sampling weight, or expansion factor. Note that different weights needed to be applied depending on the relevant level for the variable (the health facility, staff or clinician). The basic weight for each entity was equal to the inverse of its probability of selection, which was computed by multiplying the probabilities of selection at each sampling stage. All the weights were computed and included in the dataset.

Data Collection

Dates of Data Collection
Start End
2013-05 2013-07
Data Collection Mode
Face-to-face [f2f]

Questionnaires

Questionnaires
Four modules were used, with multiple sections. All but module 4 (ressources) are in the archive.

Module 1 covers: (Section A) metadata; (B) general information; (C) Infrastructure; (D) Equipment, materials, and supplies; and (E) Drugs and consumables.

Module 2 covers: (Section A) basic demographic information on the facility; and (B) additional demographic information on a subset of staff.

Module 3 covers knowledge, as measured through seven patient case simulations.

Module 4 (not in the archive) covers resources and governance.

Data Processing

Data Editing
Data entry and editing was done using CSPro.
Other Processing
Data quality control were done in Stata and the data were harmonized to a reference questionnaire, which is the Tanzania 2014 survey.

Access policy

Access authority
Name Affiliation Email URL
Service Delivery Indicators World Bank sdi@worldbank.org www.worldbank.org/sdi
Contacts
Name Affiliation Email URL
Service Delivery Indicators World Bank Group sdi@worldbank.org www.worldbank.org/sdi
Confidentiality
Data has been anonymized, but users commit to not seeking to re-identify statistical units in the data set.
Access conditions
The harmonized, anonymized datasets are available as public use files.

Researchers who feel that they need non-anonymized data should contact sdi@worldbank.org with a statement of research objectives and a rationale for why they require such data. That will start the Research Use File discussion.
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

Metadata production

DDI Document ID
DDI_UGA_2013_SDI-H_v01_M_v01_A_PUF_WB
Producers
Name Abbreviation Affiliation Role
Development Data Group DECDG The World Bank Documentation of the DDI
DDI Document version
Version 01 (December 2016)

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