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impact_evaluation

Results-Based Financing Impact Evaluation 2015
Household Endline Survey

Cameroon, 2015
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Reference ID
CMR_2015_RBFIE-HEL_v01_M
DOI
https://doi.org/10.48529/1k7m-pg75
Producer(s)
Damien de Walque
Collection(s)
Impact Evaluation Surveys
Metadata
DDI/XML JSON
Created on
Jan 30, 2025
Last modified
Jan 30, 2025
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  • Identification
  • Version
  • Scope
  • Coverage
  • Producers and sponsors
  • Sampling
  • Survey instrument
  • Data collection
  • Data Access
  • Metadata production
  • Citation

    • Identification

    Survey ID number

    CMR_2015_RBFIE-HEL_v01_M
    Title

    Results-Based Financing Impact Evaluation 2015
    Subtitle

    Household Endline Survey
    Abbreviation or Acronym

    RBFIE-HEL 2015
    Country/Economy
    Name Country code
    Cameroon CMR
    Study type

    Other Household Health Survey [hh/hea]
    Series Information

    Results-Based Financing Impact Evaluation Household Endline Survey
    Abstract
    Scaling-up of performance-based financing (PBF) schemes across sub-saharan Africa has developed rapidly over the past few years. Many studies have shown a positive association between PBF and health service coverage, and some with improvements in quality. However, a lack of controls and confounders in most studies that have been published on PBF initiatives means that the impact of PBF initiatives on service coverage, quality and health outcomes remains open to question. Moreover, few studies have examined the factors that influence the impact of PBF- an area of considerable operational significance since PBF often involves a package of constituent interventions: linking payment and results, independent verification of results, managerial autonomy to facilities and enhanced systematic supervision of facilities. As a result, the policy objectives of the following Impact Evaluation are to: (a) identify the impact of PBF on Maternal and Child Health (MCH) service coverage and quality; (b) identify key factors responsible for this impact; and (c) assess cost-effectiveness of PBF as a strategy to improve coverage and quality. The results from the impact evaluation will be useful to designing national PBF policy in Cameroon and will also contribute to the larger body of knowledge on Performance-based Financing (PBF).

    The impact evaluation is a blocked-by-region cluster-randomized trial (CRT), having a pre-post with comparison design. The evaluation relies primarily on experimental control to answer the main research questions for this study. Individual health facilities in each region have been randomized to one of the 4 study groups. Individual public and private primary care health facilities in 14 districts from the 3 pilot regions have been randomly assigned to each study group to create a factorial study design.

    The evaluation relied on two main sources of data:
    - Household surveys: A household survey was implemented at baseline (i.e., before implementation of PBF begins), and at endline (i.e., after PBF has been implemented for two years).
    - Facility-based surveys: A facility-based survey was implemented at baseline and at endline.
    Kind of Data

    Sample survey data [ssd]
    Unit of Analysis

    Household, individual, pregnant woman, and woman with children

    Version

    Version Description

    Data collection for the Cameroon PBF IE health facility and household endline surveys were conducted in 2015 by IFORD (Institute of Demographic Training and Research) in Yaounde, Cameroon with administrative and technical support from the Ministry of Health and World Bank.
    Version Date

    2015-12-31

    Scope

    Notes

    The main themes covered in the household survey include:

    • Health behaviors for Maternal and Child Health services
    • Health seeking behaviors, barriers to use and health service use
    • Household health expenditures
    • General perceptions of health service quality
    • Household demographic characteristics
    • Education
    • Economic activity
    • Household living conditions
    • Mortality
    • Consumption

    Coverage

    Geographic Coverage

    14 health districts across North-West (4), South-West (4) and East (6) regions.
    Universe

    The target population for the household baseline survey is households with at least one pregnant woman or a woman with a child who was born during the two years preceding the survey.

    Producers and sponsors

    Primary investigators
    Name Affiliation
    Damien de Walque World Bank
    Producers
    Name Affiliation Role
    Paul Jacob Robyn World Bank IE coordinator at baseline, TTL at endline
    Saidou Hamadou World Bank IE survey coordinator
    Funding Agency/Sponsor
    Name
    Health Results Innovation Trust Fund (HRITF)
    Other Identifications/Acknowledgments
    Name Role
    IFORD Survey Firm

    Sampling

    Sampling Procedure

    To select the households to be surveyed, a catchment area was established for each of the 245 primary care facilities. No more than 16 households were randomly selected for survey in the catchment area of each selected health facility. Only households with at least one pregnancy or birth in the 2 years preceding the survey were eligible for inclusion.

    The household survey sample covered 4842 households, 94% of the target 5,160 households.

    Survey instrument

    Questionnaires

    The household questionnaire is composed to two parts: the first is a household survey for all members of the household, while the second part is specifically for women between 15-49.

    In addition to the questionnaires, the survey teams did the following:
    (1) Conduct rapid diagnostic tests for malaria for all children aged under 5 and currently pregnant women present in the household during the visit,
    (2) Conduct rapid diagnostic tests for anemia for all children aged under 5 and non-pregnant women who have delivered a baby in the preceding 2 years present in the household during the visit, and
    (3) Weigh and measure the height of all children aged under 5 years present in the household during the survey team's visit.

    Data collection

    Dates of Data Collection
    Start End
    2015-04-12 2015-07-22
    Mode of data collection
    • Computer Assisted Telephone Interview [cati]
    Data Collectors
    Name Affiliation
    Pr. BENINGUISSE Gervais IFORD

    Data Access

    Access authority
    Citation requirements

    Damien de Walque, The World Bank. Results-Based Financing Impact Evaluation, Household Endline Survey (RBFIE-FEL) 2015. Ref. CMR_2015_RBFIE-HEL_v01_M. Dataset downloaded from [URL] on [date].

    Metadata production

    DDI Document ID

    DDI_CMR_2015_RBFIE-HEL_v01_M_WB
    Producers
    Name Abbreviation Affiliation Role
    Development Data Group DECDG World Bank Documentation of the study
    Date of Metadata Production

    2025-01-27

    Metadata version

    DDI Document version

    Version 01 (January 2025)

    Citation

    Citation
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