{"doc_desc":{"title":"Republic of Congo Results Based Financing Impact Evaluation","idno":"DDI_COG_2014_HRBFIE-BL_v01_M_WB","producers":[{"name":"Development Data Group","abbreviation":"DECDG","affiliation":"The World Bank ","role":"Documentation of the DDI"}],"prod_date":"2015-09-08","version_statement":{"version":"v01 (September 2015) - literal questions for datasets' variables filled\n\nv02 (May 2017) - metadata documented, documents added"}},"study_desc":{"title_statement":{"idno":"COG_2014_HRBFIE-BL_v01_M","title":"Health Results-Based Financing Impact Evaluation 2014","sub_title":"Baseline Survey","alt_title":"HRBFIE-BL 2014"},"authoring_entity":[{"name":"Paul Jacob Robyn","affiliation":"World Bank"}],"production_statement":{"producers":[{"name":"Guenther Fink","affiliation":"Harvard School of Public Health","role":"Principal Investigator"},{"name":"Hadia Samaha","affiliation":"World Bank","role":"Task team leader (TTL)"},{"name":"Gyuri Fritsche","affiliation":"World Bank","role":"Co-TTL"}],"funding_agencies":[{"name":"Health Results Innovation Trust Fund","abbreviation":"","role":""}]},"distribution_statement":{"contact":[{"name":"Paul Jacob Robyn","affiliation":"World Bank","email":"probyn@worldbank.org","uri":""},{"name":"Hadia Samaha","affiliation":"World Bank","email":"hsamaha@worldbank.org","uri":""},{"name":"Gyuri Fritsche","affiliation":"World Bank","email":"gfritsche@worldbank.org","uri":""},{"name":"Guenther Fink","affiliation":"Harvard School of Public Health","email":"gfink@hsph.harvard.edu","uri":""}],"depositor":[{"name":"Paul Jacob Robyn","abbreviation":"GHN13 - HNP AFR Central","affiliation":"World Bank"}]},"series_statement":{"series_name":"Other Household Health Survey","series_info":"Results-based financing (RBF) in the health sector has been defined as a financing mechanism where cash or non-monetary transfers are made to a national or sub-national government, manager, provider, payer or consumer of health services after predefined service delivery or health outcomes results have been attained and verified.\n\nAn increasing number of countries are implementing RBF approaches as an alternative to input-based financing, and many of these countries have been employing a performance-based financing approach, a particular type of RBF in which health facilities are rewarded monetarily for producing predefined results in terms of quantity and quality of agreed services, subject to verification of those outputs by an independent party. \n\nThe Health Results Innovation Trust Fund (HRITF) was created in 2007 to support results-based financing approaches in the health sector. Through RBF, the HRITF aims to improve maternal and child health around the world. HRITF is supported by the Governments of Norway through Norad and the United Kingdom through the Department for International Development (DFID). It is administered by the World Bank.\n\nHRITF has committed $396 million for 36 RBF programs in 30 countries, linked to $2.2 billion in financing from IDA - the World Bank's fund for the poorest."},"version_statement":{"version":"v01, edited, anonymous datasets"},"holdings":[{"text":"","location":"","callno":"Republic of Congo HRBF Impact Evaluation (P146903)","uri":""}],"study_info":{"abstract":"Despite some moderate improvements, reproductive, maternal and child health indicators continue to perform poorly in the Republic of Congo. To increase the quality and utilization of maternal and child health services, a supply-side performance-based financing  (PBF) scheme was introduced. Under this scheme, the Ministry of Health and Population (MOHP) contracts and incentivizes health centers and first level referral hospitals to respectively expand the coverage and improve quality of services. The PBF payment mechanism also includes penalties to discourage fraud.  \n\nIn parallel, the poject is also piloting a demand-side PBF scheme, where PBF health facilities contract and incentivize community relays \u2013 composed of health facility staff and community health workers from the community \u2013 to support households in adopting positive behaviors. \n\nIn collaboration with the Ministry of Health and the Ministry of Social Affairs, the World Bank team has developed a design to assess the impact of PBF interventions.\n\nThe impact evaluation examines the combination of performance-based financing, community-based targeting and subsidization of health services provided to the poor and household visits, according to an established protocol. PBF is implemented at the district level (with control districts in the same departments) and the demand-side interventions are randomized at the health facility level. \n\nThe baseline survey was conducted in 2014 and covered 7,800 households, 285 primary care health facilities and 35 district hospitals. The second round of the impact evaluation is planned for mid-2018; the endline survey is planned for mid-2019.","coll_dates":[{"start":"2014-06","end":"2014-10","cycle":""}],"nation":[{"name":"Congo, Rep.","abbreviation":"COG"}],"geog_coverage":"National","analysis_unit":"Health facilities and households","data_kind":"Sample survey data [ssd]","notes":"Households:\n- Household socio-economic status (consumption, expenditure, revenues and household assets)\n- Health seeking behaviors, barriers to use and health service use\n- Household health expenditures\n- General perceptions of health service quality health services\n- Anthropometric measures for children younger than 5 years old\n\nHealth Facilities:\n-  General characteristics of the facility\n-  Maternal health: utilization indicators\n-  Quality of care: maternal and under-five health services\n-  Child health: utilization indicators\n-  Nutrition\n-  Human Resources and Management of Health Care Facilities\n-  Targeting and health insurance\n-  Community Health Worker"},"method":{"data_collection":{"data_collectors":[{"name":"Medecins d'Afrique","abbreviation":"","affiliation":""}],"sampling_procedure":"Households:\nThe sample for the baseline is representative at the national level and is based on a stratified two-stage sampling method.  \n\nThe sampling frame was the enumeration areas (EA) of 2007 General Population and Housing Census of the Republic of Congo. \n\nAt the first stage, 312 EAs were drawn proportionally to their size. All EAs selected were subject to a comprehensive household count. \n\nAt the second stage, 25 households were drawn in each EA of which:\n- 20 households meeting the eligibility criteria (households with at least one pregnant woman or one non-pregnant woman at the time of the survey with a child born during the two years preceding the survey); \n- 5 households meeting the criteria to be classified as a poor household, in addition to the abovementioned eligibility criteria.\n\nA total of 7,800 households in all departments of the Congo were expected to be surveyed in 312 EAs sampled.\n\nHealth facilities:\nThe health facility survey was carried out in all 285 primary care facilities and all district hospitals in the country. A sample of health workers, patient-caregiver observations and client interviews was selected. All survey visits were unannounced.","coll_mode":"Other [oth]","research_instrument":"The following survey instruments were used in the baseline:\n- Household Survey Questionnaire\n- Health facilities tools: health facility assessment, assessment of health facilities records, providers' questionnaire, direct observations, and patient exit interviews.","act_min":"Gervais Yama, World Bank\nSaidou Hamadou, World Bank"}},"data_access":{"dataset_use":{"cit_req":"Use of the dataset must be acknowledged using a citation which would include:\n- the Identification of the Primary Investigator\n- the title of the survey (including country, acronym and year of implementation)\n- the survey reference number\n- the source and date of download\n\nExample,\n\nPaul Jacob Robyn, The World Bank. Congo, Rep. Health Results-Based Financing Impact Evaluation 2014, Baseline Survey (HRBFIE-BL). Ref. COG_2014_HRBFIE-BL_v01_M. Dataset downloaded from [URL] on [date].","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."}}},"schematype":"survey","tags":[{"tag":"DOI"}]}