Health Results Based Financing Impact Evaluation 2018, Household Follow-up (Endline) Survey
Tajikistan, 2018
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TJK_2018_HRBFIE-HEL_v01_M
Health Results Based Financing Impact Evaluation 2018
Household Follow-up (Endline) Survey
| Name | Country code |
|---|---|
| Tajikistan | TJK |
Other Household Health Survey
This follow-up survey (endline) takes place after three years of project implementation. The survey is largely based on the HRITF instruments that were modified to the Tajik and project context.
The baseline survey was implemented in 2015, prior to the implementation of PBF in the 7 study treatment districts.
The Collaborative Quality Improvement intervention responds to policy concerns that performance incentives may not produce the desired improvements if providers lack the necessary competencies, data to inform decisions and knowledge. The Citizen Report Card attempts to improve the effectiveness of PBF by strengthening the 'short route of accountability', i.e., by increasing accountability of health facilities to their local constituents. Since PBF, collaborative quality improvement (CQI), and citizen report cards (CRC) have never been implemented in large scale in Tajikistan, it is to be expected that the results from the IE will be useful for designing national PHC policy in Tajikistan, and that they will also contribute to the larger body of knowledge on these interventions.
The IE employs both difference-in-difference and experimental approaches to identify the impact of the different combinations of interventions. Assignment to PBF was not random. Three districts in the Sughd region and 4 districts in the Khatlon region were selected to implement the program. All Rural Health Centers (RHCs) in these seven districts are covered by the program. Nine additional district (two in Sughd and seven in Khatlon) were selected as control districts. The selection of the control districts was guided by geographical proximity to treatment districts and similarity in terms of number of health facilities and doctors per capita. The districts were also selected such that the number of RHCs in treatment and control groups in each region would be similar.
Within the chosen 16 districts (treatment and control districts), clusters consisting of a RHC and its subsidiary Health Houses were randomly assigned to implement Collaborative Quality Improvement, Citizen Score Cards, or neither of these two interventions. The randomization was blocked by district. In sum, RHCs were assigned into six study arms.
The goal of the Facility-based survey is to measure multiple dimensions of quality of care and collect detailed information on key aspects of facility functioning.Household surveys are primarily used to measure health service coverage at the population level as well as select health outcome indicators measured through anthropometry or tests. The surveys also collect broader data on the health of the households, health seeking behaviors and barriers to use of health services. In addition, PBF and other administrative data would be used to track outcomes over time in the treatment groups 1-3 (the ones receiving performance-based payments).
Sample survey data [ssd]
Household
Coverage
Selected districts in Sughd and Khatlon regions (provinces) in Tajikistan
At baseline, three districts in the Sughd region and 4 districts in the Khatlon region were selected to implement the program. All Rural Health Centers in these seven districts are covered by the program. Nine additional district (two in Sughd and seven in Khatlon) were selected as control districts. The selection of the control districts was guided by geographical proximity to treatment districts and similarity in terms of number of health facilities and doctors per capita. The districts were also selected such that the number of RHCs in treatment and control groups in each region would be similar.
District
Producers and sponsors
| Name | Affiliation |
|---|---|
| Gil Shapira | DECHD |
| Damien de Walque | DECHD |
| Name |
|---|
| Health Results Innovation Trust Fund |
| Name | Role |
|---|---|
| Tashrik Ahmed | Field coordinator/ research assistant |
Sampling
Households in catchment areas of selected Rural Health Centers and affiliated Health Houses were randomly selected to be included in the sample if (1) a household member was pregnant in the two years prior to the survey; (2) a household member is above 40 years old.
Data collection
| Start | End | Cycle |
|---|---|---|
| 2018-03-01 | 2018-07-31 | Follow-up (Endline) |
Data Access
| Is signing of a confidentiality declaration required? | Confidentiality declaration text |
|---|---|
| yes |
Confidentiality of respondents is guaranteed by Articles N to NN of the National Statistics Act of [date]. Before being granted access to the dataset, all users have to formally agree: 1. To make no copies of any files or portions of files to which s/he is granted access except those authorized by the data depositor. 2. Not to use any technique in an attempt to learn the identity of any person, establishment, or sampling unit not identified on public use data files. 3. To hold in strictest confidence the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately brought to the attention of the data depositor. |
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:
Shapira, Gil., Damien de Walque. 2018. Tajikistan Health Results Based Financing Impact Evaluation 2018, Household Baseline Survey (HRBFIE-HEL 2018). Ref. TJK_2018_HRBFIE-HEL_v01_M.The World Bank. 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.
Metadata production
DDI_TJK_2018_HRBFIE-HEL_v01_M_WB
| Name | Affiliation | Role |
|---|---|---|
| Development Economics Data Group | The World Bank | Documentation of the DDI |
2019-08-12
Metadata version
Version 01 (August 2019)