Health Results-Based Financing Impact Evaluation 2013
Burkina Faso, 2013 - 2014
Paul Jacob Robyn, Aurelia Souares, Herve Hien
Identification
IDNO
BFA_2013_HRBFIE-FBL_v01_M
Title
Health Results-Based Financing Impact Evaluation 2013
Subtitle
Health Facility Baseline Survey
Countries
| Name | Code |
|---|---|
| Burkina Faso | BFA |
Study notes
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.
The impact evaluation innovates by assessing the combination of PBF, community-based targeting of poor and subsidization of health services provided to the poor/vulnerable peoples and community-based health insurance. PBF is implemented at the district level (combining primary and secondary health) - with control districts in the same regions and the demand-side interventions are randomized at the health facility level.
The study adopts a blended experimental and quasi-experimental design, including both randomization of additional interventions at the facility-level with PBF districts (experimental) to test the effects of these interventions on outcomes of interest, conditional on PBF, and matching of facilities in neighboring pure control districts (quasi-experimental), to test the effects of these interventions, including PBF, in the absence of any intervention (counterfactual).
Data collection for the baseline survey included a household survey and a facility-based survey. The health facilties survey is documented here.
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.
The impact evaluation innovates by assessing the combination of PBF, community-based targeting of poor and subsidization of health services provided to the poor/vulnerable peoples and community-based health insurance. PBF is implemented at the district level (combining primary and secondary health) - with control districts in the same regions and the demand-side interventions are randomized at the health facility level.
The study adopts a blended experimental and quasi-experimental design, including both randomization of additional interventions at the facility-level with PBF districts (experimental) to test the effects of these interventions on outcomes of interest, conditional on PBF, and matching of facilities in neighboring pure control districts (quasi-experimental), to test the effects of these interventions, including PBF, in the absence of any intervention (counterfactual).
Data collection for the baseline survey included a household survey and a facility-based survey. The health facilties survey is documented here.
Kind of data
Sample survey data [ssd]
Version
Version
v01, edited anonymous datasets
Coverage
Geographic coverage
Centre-Nord, Nord, Sud-Ouest, Centre-Est, Boucle du Mouhoun, Centre-Ouest
Unit of analysis
Health facility
Universe
All health facilities in targeted districts
Producers and sponsors
Authoring entity
| Name | Affiliation |
|---|---|
| Paul Jacob Robyn | The World Bank |
| Aurelia Souares | University of Heidelberg |
| Herve Hien | Centre Muraz |
Producer(s)
| Name | Affiliation | Role |
|---|---|---|
| Haidara Ousmane Diadie | The World Bank | Task Team Leader (TTL) |
| Julia Lohmann | University of Heidelberg | Researcher |
| Saidou Hamadou | The World Bank | Survey Expert |
Funding agencies
| Name | Abbreviation |
|---|---|
| Health Results Innovation Trust Fund | HRITF |
Other acknowledgement(s)
| Name | Affiliation |
|---|---|
| Ministry of Health | Government of Burkina Faso |
Sampling
Sampling procedure
All health facilities in the targeted districts were included in the study.
For 4 of the 6 regions, the primary health facilities were divided into 3 intervention arms within the intervention districts. For the following health districts: Batié, Diébougou, Ouargaye, Tenkodogo, Kaya, Kongoussi, Gourcy et Ouahigouya, the different health facilities were equally divided into the 3 intervention groups: T1, T2 and T3.
In the Boucle du Mouhoun region (Nouna and Solenzo districts), health facilities were divided into 2 groups: T1 and T4. For the 6th region, all health facilities were in T1, the targeting was not implemented. In this region, no randomization occurred.
The randomization happened during public ceremonies in each region. All health personal from the regional level (Direction Régionale de la Santé (DRS), District level (Equipe Cadre de District, (ECD)) and local level (health facilities and district hospital) were invited to participate.
Description of the intervention groups:
T1: PBF
T2: PBF + systematic targeting and subsidization for the poor
T3: PBF + systematic targeting and subsidization for the poor + providers motivation for poor consultations
T4: PBF + CBHI + systematic targeting and subsidization for the poor
Detailed information about randomization is available in the attached report.
For 4 of the 6 regions, the primary health facilities were divided into 3 intervention arms within the intervention districts. For the following health districts: Batié, Diébougou, Ouargaye, Tenkodogo, Kaya, Kongoussi, Gourcy et Ouahigouya, the different health facilities were equally divided into the 3 intervention groups: T1, T2 and T3.
In the Boucle du Mouhoun region (Nouna and Solenzo districts), health facilities were divided into 2 groups: T1 and T4. For the 6th region, all health facilities were in T1, the targeting was not implemented. In this region, no randomization occurred.
The randomization happened during public ceremonies in each region. All health personal from the regional level (Direction Régionale de la Santé (DRS), District level (Equipe Cadre de District, (ECD)) and local level (health facilities and district hospital) were invited to participate.
Description of the intervention groups:
T1: PBF
T2: PBF + systematic targeting and subsidization for the poor
T3: PBF + systematic targeting and subsidization for the poor + providers motivation for poor consultations
T4: PBF + CBHI + systematic targeting and subsidization for the poor
Detailed information about randomization is available in the attached report.
Response rate
100%
Data Collection
Dates of collection
| Start | End | Cycle |
|---|---|---|
| 2013-10-15 | 2014-03-30 | Baseline |
Mode of data collection
Face-to-face [f2f]
Questionnaires
The survey instruments are based on HRITF Impact Evaluation Toolkit templates. The facility-based survey comprised different tools for data collection with different data sources and respondents.
The following questionnaires/forms were implemented:
- Facility assessment module (Questionnaire F1)
- Health worker interview module (Questionnaire F2)
- Community health worker interview module (Questionnaire F8)
- Observations of patient-provider interaction module (Questionnaires F3 and F5)
- Patient exit interviews (Questionnaires F4, F6 and F7)
The following questionnaires/forms were implemented:
- Facility assessment module (Questionnaire F1)
- Health worker interview module (Questionnaire F2)
- Community health worker interview module (Questionnaire F8)
- Observations of patient-provider interaction module (Questionnaires F3 and F5)
- Patient exit interviews (Questionnaires F4, F6 and F7)
Data collector(s)
| Name |
|---|
| Centre Muraz |
Data access
Access authorities
| Name | Affiliation | |
|---|---|---|
| Paul Jacob Robyn | The World Bank | probyn@worldbank.org |
metadata.study_desc.data_access.dataset_use.conf_dec
All data are anonymous.
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, Health Facility Baseline Survey (HRBFIE-FBL). Ref. BFA_2013_HRBFIE-FBL_v01_M. Dataset downloaded from [URL] on [date].
- 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, Health Facility Baseline Survey (HRBFIE-FBL). Ref. BFA_2013_HRBFIE-FBL_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
Contact(s)
| Name | Affiliation | |
|---|---|---|
| Paul Jacob Robyn | The World Bank | probyn@worldbank.org |
Metadata production
IDNo
DDI_BFA_2013_HRBFIE-FBL_v01_M_WB
Producers
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Development Data Group | DECDG | The World Bank | Study documentation |
Production date
2016-12-16
Version
v01 (December 2016)