Health Results-Based Financing Impact Evaluation 2015, Health Facility Endline Survey

The survey covered the following themes:

• Health Facility Survey
  Two rounds of facility surveys were undertaken for the same set of rural health centres and health posts, i.e. baseline (October-November,2011) and endline (November 2014-January 2015).The facility survey consisted of a facility checklist; a health worker instrument; exit interview of sick children and antenatal women. The training for the data collection of the enumerators included a classroom didactic part and a field visit. The instruments were pre-tested and modified appropriately before the actual survey:

• Facility survey checklist
  Health facilities were selected by a simple random sampling technique. In the baseline, 176 health facilities were surveyed whereas 210 were surveyed in the endline. The facility checklist was used to collect information on infrastructure, administration, availability of basic drugs and equipment, governance and autonomy.

• Health Worker Interviews
  Up to two health workers were selected for the interview at each health facility. The criterion for selection was provision of maternal and child health care on the day of the interview. Sample sizes were 326 and 355 for the baseline and endline surveys, respectively. The instrument included questions on remuneration, knowledge, job satisfaction and motivation.

• Exit Interviews
  A patient exit interview assessed patient satisfaction and quality of care received for patients exiting ante-natal care and child health consultations. For child consultation, the child’s parent or caretaker was interviewed. Up to six clients were selected per service through a systematic random sampling strategy (based on caseload for the same day of previous week for the facility). Sample sizes were as follows: Child health (baseline 1,059 and endline 1,266), and antenatal care (baseline 893 and endline 1254).