Results-Based Financing Impact Evaluation Health Facility 2017, Endline Survey
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).
Kind of data
Sample survey data [ssd]
Version 01: Edited anonymous datasets
12 intervention and 12 comparison districts across six regions: Centre-Nord, Nord, Sud-Ouest, Centre-Est, Boucle du Mouhoun, Centre-Ouest
Unit of analysis
All health facilities
Producers and sponsors
Manuela de Allegri
University of Heidelberg
Paul Jacob Robyn
University of Heidelberg
World Bank, Health Results Innovation Trust Fund
Ministry of Health
Government of Burkina Faso
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.
Deviations from sample design
100%, the health facility sample was a fully balanced panel
Dates of collection
Mode of data collection
Computer Assisted Personal Interview [capi]
Data collection supervision
University of Heidelberg, Institute of Public Health and World Bank
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)
- Observations of patient-provider interaction module (Questionnaires F3 and F5)
- Patient exit interviews (Questionnaires F4, F6 and F7)
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, Health Facility Endline Survey (HRBFIE-FEL). Ref. BFA_2017_HRBFIE-FBL_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.