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Health Results-Based Financing Impact Evaluation 2012

Central African Republic, 2012
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Reference ID
CAF_2012_RBFIE-HBL_v01_M
Producer(s)
Damien de Walque
Metadata
DDI/XML JSON
Created on
Dec 19, 2014
Last modified
Mar 29, 2019
Page views
25431
Downloads
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  • Study Description
  • Data Dictionary
  • Downloads
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  • Identification
  • Scope
  • Coverage
  • Producers and sponsors
  • Sampling
  • Survey instrument
  • Data collection
  • Data Access
  • Disclaimer and copyrights
  • Contacts
  • Metadata production
  • Identification

    Survey ID number

    CAF_2012_RBFIE-HBL_v01_M

    Title

    Health Results-Based Financing Impact Evaluation 2012

    Subtitle

    Baseline Household Survey

    Country
    Name Country code
    Central African Republic CAR
    Study type

    Other Household Survey

    Abstract

    Scaling-up of performance-based financing (PBF) has never been systematically evaluated in Central African Republic (CAR) on any meaningful scale. As such, this Impact Evalution's larger policy objectives 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.

    In doing so, the results from the impact evaluation will be useful to designing national PBF policy in CAR and will also contribute to the larger body of knowledge on PBF. The evaluation will rely on two main sources of data:

    1. Household surveys: A household survey will be implemented at baseline (i.e., before implementation of PBF begins), and at endline (i.e., after PBF has been implemented for two years).
    2. Facility-based surveys: A facility-based survey will be implemented at baseline and at endline.

    The main targeted outcomes fall into two main groups:
    (a) Maternal and Child Health Service coverage indicators and
    (b) Quality of care indicators.

    The study is a blocked-by-region cluster-randomized trial (CRT), having a pre-post with comparison design. The team relied primarily on experimental control to answer the main research questions for this study. The study will also include a qualitative component at endline to probe deeper for explanations or explore specific issues that are relevant to PBF.

    Note: The Health Facility Baseline Survey is available online under Impact Evaluation Surveys Collection. The study is titled "Central African Republic Health Results-Based Financing Impact Evaluation 2012, Health Facility Baseline Survey."

    Kind of Data

    Sample survey data [ssd]

    Unit of Analysis

    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.

    Scope

    Notes

    The main themes covered in the household survey include:

    • Health behaviors for maternal and child health (MCH) services
    • Health seeking behaviors, barriers to use and health service use
    • Household health expenditures
    • General perceptions of health service quality

    Coverage

    Geographic Coverage

    Seven prefectures in the 2nd, 3rd, 4th and 6th regions of CAR covering a total population of approximately 2.5 million.

    Producers and sponsors

    Primary investigators
    Name Affiliation
    Damien de Walque World Bank
    Producers
    Name Affiliation
    Gaston Sorgho World Bank
    Paul Jacob Robyn World Bank
    Funding Agency/Sponsor
    Name
    Health Results Innovation Trust Fund

    Sampling

    Sampling Procedure

    To select the households, a catchment area was established for each of the 97 Health Centers and 145 Health Posts. No more than 20 households were randomly selected for survey in the catchment area of each selected health facility.

    Since the study was a cluster-randomized trial, the sample size estimation had to take into account design effects. In total, there were approximately 242 clusters defined by Health Centers and Health Posts (i.e., each facility constitutes a cluster) and at least 80 health facilities in each of the three study groups. This tally does not include the 9 prefecture hospitals which were not to be randomly assigned.

    The survey was administered to women in sampled households who have delivered a baby within the two years preceding the survey. In addition, the survey teams weighed and measured the height of all children aged under 5 years, mothers of children less than 2 years, and pregnant women who were present in the household during the survey team's visit.

    Survey instrument

    Questionnaires

    The household questionnaire is composed of 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:

    • Weigh and measure the height of all children aged under 5 years, mothers of children less than 2 years, and pregnant women who were present in the household during the survey team's visit.

    Data collection

    Dates of Data Collection
    Start End
    2012-02 2012-12
    Data Collection Notes

    Households surveyed at baseline will also be visited at endline, and will be included in the endline sample if they continue to meet eligibility criteria. Additional households may be sampled at endline if necessary to meet sample size requirements.

    Data Access

    Access authority
    Name Affiliation Email
    Damien de Walque World Bank ddewalque@worldbank.org
    Citation requirements

    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:
    Damien de Walque, The World Bank. Central African Republic Health Results-Based Financing Impact Evaluation 2012, Household Baseline Survey (RBFIE-HBL) 2012. Ref. CAF_2012_RBFIE-HBL_v01_M. Dataset downloaded from [URL] on [date].

    Disclaimer and copyrights

    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.

    Contacts

    Contacts
    Name Affiliation Email
    Damien de Walque World Bank ddewalque@worldbank.org

    Metadata production

    DDI Document ID

    DDI_CAF_2012_RBFIE-HBL_v01_M_WB

    Producers
    Name Affiliation Role
    Development Economics Data Group The World Bank Documentation of the DDI
    Date of Metadata Production

    2014-10-02

    Metadata version

    DDI Document version

    Version 01 (October 2014)

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