Health Results-Based Financing Impact Evaluation 2013, Household Baseline Survey
Household Baseline Survey
Other Household Health Survey
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.
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)
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.
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
Centre-Nord, Nord, Sud-Ouest, Centre-Est, Boucle du Mouhoun, Centre-Ouest
Selected districts in Centre-Nord, Nord, Sud-Ouest, Centre-Est and Boucle du Mouhoun
Producers and sponsors
Paul Jacob Robyn
The World Bank
University of Heidelberg
World Bank, Health Results Innovation Trust Fund
Ministry of Health
Government of Burkina Faso
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.
Dates of Data Collection
Data Collection Mode
Computer Assisted Personal Interview [capi]
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.
Questionnaires were based on HRITF Impact Evaluation Toolkit templates. The following questionnaires were used:
1) 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.
2) 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:
1) Rapid Diagnostic Tests (RDT) for malaria for all children less than 5 years old and pregnant women present in the household during the visit,
2) 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,
3) Weight and height of all children less than 5 years old present in the household during the survey team's visit.
Paul Jacob Robyn
The World Bank
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
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].
Paul Jacob Robyn
Disclaimer and copyrights
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.