Results-Based Financing Impact Evaluation Household Survey 2017, Endline Survey
Burkina Faso, 2017
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Reference ID
BFA_2017_HRBFIE-HEL_v01_M
Producer(s)
Manuela de Allegri, Paul Jacob Robyn, Herve Hien
Collection(s)
Metadata
Created on
Aug 27, 2019
Last modified
Oct 01, 2019
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Identification
Survey ID Number
BFA_2017_HRBFIE-HEL_v01_M
Title
Results-Based Financing Impact Evaluation Household Survey 2017, Endline Survey
Subtitle
Endline Survey
Country/Economy
| Name | Country code |
|---|---|
| Burkina Faso | BFA |
Study type
Other Household Survey [hh/oth]
Series Information
Results-Based Financing Impact Evaluation Household Endline Survey, the baseline survey was conducted in six regions of Burkina Faso from October 2013 to March 2014.
Abstract
The endline survey of the impact evaluation for Health Performance-Based Financing (PBF) in Burkina Faso was conducted in six regions of Burkina Faso from April to June 2017.
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 baseline data collection for the impact evaluation took place between October 2013 and March 2014.
The impact evaluation innovates by assessing the combination of PBF with two sets of additional measures to enhance equity, community-based targeting of the ultra-poor and subsidization of health services provided to them; and community-based health insurance. PBF was implemented at the district level in both primary- and secondary-level health facilities - with control districts in the same regions. The study used a blended experimental and quasi-experimental design, including both randomization of the standard PBF and PBF plus the additional equity measures at the facility-level within PBF districts to test the effects of these equity measures on outcomes of interest (experimental part), and a comparison of PBF districts to matched control districts to test the effects of PBF (pooled across all intervention arms with and without equity measures) compared to status quo (quasi-experimental part).
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 baseline data collection for the impact evaluation took place between October 2013 and March 2014.
The impact evaluation innovates by assessing the combination of PBF with two sets of additional measures to enhance equity, community-based targeting of the ultra-poor and subsidization of health services provided to them; and community-based health insurance. PBF was implemented at the district level in both primary- and secondary-level health facilities - with control districts in the same regions. The study used a blended experimental and quasi-experimental design, including both randomization of the standard PBF and PBF plus the additional equity measures at the facility-level within PBF districts to test the effects of these equity measures on outcomes of interest (experimental part), and a comparison of PBF districts to matched control districts to test the effects of PBF (pooled across all intervention arms with and without equity measures) compared to status quo (quasi-experimental part).
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Households and individuals (members of sample households)
Version
Version Description
Version 01: Edited anonymous datasets
Scope
Notes
The survey covered the following topics:
HOUSEHOLD
- Household demographic and socio-economic profile
- Deaths over the prior 10 years
- Individual-level illness reporting for both children and adults of chronic and acute illness and relative curative service use
INDIVIDUAL WOMAN
- Pregnancy and birth history, family planning use
- Utilization of maternal health care services
- Immunization status and use of growth monitoring services for children under 5 years
- Weight and height measures, anemia test, rapid diagnostic test for malaria
HOUSEHOLD
- Household demographic and socio-economic profile
- Deaths over the prior 10 years
- Individual-level illness reporting for both children and adults of chronic and acute illness and relative curative service use
INDIVIDUAL WOMAN
- Pregnancy and birth history, family planning use
- Utilization of maternal health care services
- Immunization status and use of growth monitoring services for children under 5 years
- Weight and height measures, anemia test, rapid diagnostic test for malaria
Coverage
Geographic Coverage
Centre-Nord, Nord, Sud-Ouest, Centre-Est, Boucle du Mouhoun, Centre-Ouest
Universe
Selected districts in the 6 regions.
Random sample of 15 households in a randomly selected village from the catchment area of each health facility in intervention districts, as well as from the catchment area of a random sample of health facilities in the control districts for an intervention-control facility ratio of approximately 3:1. Household eligibility criterion: At least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
Random sample of 15 households in a randomly selected village from the catchment area of each health facility in intervention districts, as well as from the catchment area of a random sample of health facilities in the control districts for an intervention-control facility ratio of approximately 3:1. Household eligibility criterion: At least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
Producers and sponsors
Primary investigators
| Name | Affiliation |
|---|---|
| Manuela de Allegri | University of Heidelberg |
| Paul Jacob Robyn | World Bank |
| Herve Hien | Centre Muraz |
Producers
| Name | Affiliation | Role |
|---|---|---|
| Saidou Hamadou | World Bank | Survey Expert |
| Julia Lohmann | University of Heidelberg | Researcher |
Funding Agency/Sponsor
| Name | Abbreviation |
|---|---|
| World Bank, Health Results Innovation Trust Fund | HRITF |
Other Identifications/Acknowledgments
| Name | Affiliation | Role |
|---|---|---|
| Ministry of Health | Government of Burkina Faso | Implementer |
Sampling
Sampling Procedure
The survey covered a total of 24 districts across 6 regions, 12 intervention districts and 12 control districts. All health facilities in intervention districts were included in the study. In control districts, a random sample of health facilities was drawn for an intervention-control facility ratio of approximately 3:1.
In 8 intervention districts across 4 regions (Batié, Diébougou, Ouargaye, Tenkodogo, Kaya, Kongoussi, Gourcy, and Ouahigouya), health facilities were randomized to receive either the standard PBF (T1), PBF with systematic targeting and subsidization for the ultra-poor (T2), or PBF with systematic targeting, subsidization for the ultra-poor, and additional provider incentives to provide services to the ultra-poor (T3). In intervention districts in the Boucle du Mouhoun region (Nouna and Solenzo), health facilities randomized into 2 groups: standard PBF (T1) or PBF plus community-based health insurance and systematic targeting and subsidization for the poor and (T4). In the intervention districts in region 6 (Kuodougou, Sapouy), all health facilities received the standard PBF model (T1). As referral hospitals to all facilities in their respective districts, all hospitals (CM, CMA, CHR) in districts where randomization happened received T2. 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. Detailed information about randomization is available in the attached report.
Surveyed households were selected using a cluster sampling technique. Within the catchment area of each primary-level health facility, one village was randomly sampled. Within each sampled village, 15 households were randomly sampled from all households fulfilling the following criterion: The household contains at least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
In 8 intervention districts across 4 regions (Batié, Diébougou, Ouargaye, Tenkodogo, Kaya, Kongoussi, Gourcy, and Ouahigouya), health facilities were randomized to receive either the standard PBF (T1), PBF with systematic targeting and subsidization for the ultra-poor (T2), or PBF with systematic targeting, subsidization for the ultra-poor, and additional provider incentives to provide services to the ultra-poor (T3). In intervention districts in the Boucle du Mouhoun region (Nouna and Solenzo), health facilities randomized into 2 groups: standard PBF (T1) or PBF plus community-based health insurance and systematic targeting and subsidization for the poor and (T4). In the intervention districts in region 6 (Kuodougou, Sapouy), all health facilities received the standard PBF model (T1). As referral hospitals to all facilities in their respective districts, all hospitals (CM, CMA, CHR) in districts where randomization happened received T2. 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. Detailed information about randomization is available in the attached report.
Surveyed households were selected using a cluster sampling technique. Within the catchment area of each primary-level health facility, one village was randomly sampled. Within each sampled village, 15 households were randomly sampled from all households fulfilling the following criterion: The household contains at least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
Response Rate
100%
Data Collection
Dates of Data Collection
| Start | End | Cycle |
|---|---|---|
| 2017-04-01 | 2017-06-30 | Endline |
Data Collection Mode
Computer Assisted Personal Interview [capi]
Supervision
University of Heidelberg and World Bank
Data Collectors
| Name | Abbreviation | Affiliation |
|---|---|---|
| Centre Muraz | CM | Ministry of Health |
Questionnaires
Questionnaires
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.
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.
Access policy
Contacts
| Name | Affiliation | |
|---|---|---|
| Paul Jacob Robyn | World Bank | probyn@worldbank.org |
| Manuela de Allegri | University of Heidelberg | manuela.deallegri@uni-heidelberg.de |
Confidentiality
All data anonymized
Access conditions
Licensed access
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
Paul Jacob Robyn, The World Bank; Manuela De Allegri, University of Heidelberg; Herve Hien, Centre Muraz. Burkina Faso Health Results-Based Financing Impact Evaluation 2017, Household Endline Survey (HRBFIE-HEL). Ref. BFA_2017_HRBFIE-HEL_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
Paul Jacob Robyn, The World Bank; Manuela De Allegri, University of Heidelberg; Herve Hien, Centre Muraz. Burkina Faso Health Results-Based Financing Impact Evaluation 2017, Household Endline Survey (HRBFIE-HEL). Ref. BFA_2017_HRBFIE-HEL_v01_M. Dataset downloaded from [URL] on [date].
Access authority
| Name | Affiliation | |
|---|---|---|
| Paul Jacob Robyn | The World Bank | probyn@worldbank.org |
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.
Metadata production
DDI Document ID
DDI_BFA_2017_HRBFIE-HEL_v01_M
Producers
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Development Economics Data Group | DECDG | The World Bank | Documentation of the DDI |
DDI Document version
Version 01 (August 2019)