Health Results Based Financing Impact Evaluation 2012, Baseline Survey
1-2-3 Survey, phase 1
The Kyrgyz Health Results Based Financing project was approved by the World Bank in April 2013 and took effect in July 2014. The project's objectives are to pilot performance-based payments and/or enhanced supervision for quality of maternal and neonatal care in randomly selected rayon hospitals, and to strengthen the government’s and providers’ capacity in performance-based contracting and monitoring and evaluating for results.
Researchers from the World Bank designed blocked triplet-matched randomized impact evaluation to study the impact of this project. The study aims to generate information that can be used to guide quality of care improvement activities for maternal and newborn care in hospitals at the district, regional and central referral levels. The ultimate goal is to contribute to the reduction of preventable maternal and newborn deaths through increased use and quality of known life-saving interventions.
The baseline data, documented here, was collected from February 2012 to April 2013. The primary outcome measures for the baseline survey were overall facility readiness, particularly with regards to complicated labor and delivery, quality of antenatal care, quality of labor and delivery, infection control, management of complications of labor and delivery, essential newborn care, newborn resuscitation, harmful health practices, and health worker knowledge.
The baseline survey was conducted in all 63 secondary hospitals in Kyrgyz Republic, most of which had corresponding primary health care clinics. The 63 hospitals were the main focus of the quality of care survey for maternal and neonatal health while on-site primary care clinics were included in the sample to assess the availability and quality of antenatal care.
The midline data collection for the impact evaluation is planned for fall 2016.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
- health worker,
v01, edited, anonymous datasets for public distribution
The scope of the study includes:
- complicated labor and delivery,
- quality of antenatal care,
- quality of labor and delivery,
- infection control,
- management of complications of labor and delivery,
- essential newborn care,
- newborn resuscitation,
- harmful health practices,
- health worker knowledge.
Kyrgyz secondary hospitals
Producers and sponsors
Health Results Innovations Trust Fund
Technical assistance with developing the instruments
Detailed information about sampling is available in "Sampling and Target Sample Size" document, provided in external resources.
Dates of Data Collection
Data Collection Mode
Data Collection Notes
Six tools were used to gather data and observations during health facility visits: a health facility assessment, health worker interviews/ knowledge tests, observations of labor and delivery and antenatal care visits, patient interviews, simulations of neonatal asphyxia and PPH using NeoNatalie and MamaNatalie anatomical models, and criterion based clinical audits (i.e., review of patient records against WHO-established clinical standards of care).
The survey firm, GORBI, entered and double-checked the data.
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
Jed Friedman, World Bank, Aneesa Arur, World Bank and Eeshani Kandpal, World Bank. Kyrgyz Republic Health Results Based Financing Impact Evaluation 2012, Baseline Survey. Ref. KGZ_2012_HRBFIE-BL_v01_M. Dataset downloaded from [URL] on [date].
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.