Burkina Faso - Results-Based Financing Impact Evaluation Household Survey 2017, Endline Survey

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The endline survey of the impact evaluation for Health Performance-Based Financing (PBF) in Burkina Faso was conducted in six regions of Burkina Faso from April to June 2017. The main objective of the impact evaluation is to assess the impact of the PBF intervention on quality of care and health care utilization for Maternal, Newborn and Child Health services, while the baseline survey provides the empirical foundation for the assessment of impacts on a large variety of indicators. The baseline data collection for the impact evaluation took place between October 2013 and March 2014. The impact evaluation innovates by assessing the combination of PBF with two sets of additional measures to enhance equity, community-based targeting of the ultra-poor and subsidization of health services provided to them; and community-based health insurance. PBF was implemented at the district level in both primary- and secondary-level health facilities - with control districts in the same regions. The study used a blended experimental and quasi-experimental design, including both randomization of the standard PBF and PBF plus the additional equity measures at the facility-level within PBF districts to test the effects of these equity measures on outcomes of interest (experimental part), and a comparison of PBF districts to matched control districts to test the effects of PBF (pooled across all intervention arms with and without equity measures) compared to status quo (quasi-experimental part).

Type: 
Microdata
Acronym: 
Burkina Faso Results-Based Financing Impact Evaluation Household Endline Survey
Languages Supported: 
English
Topics: 
Topic not specified
Geographical Coverage: 
Burkina Faso
Economy Coverage: 
Economy Coverage not specified
Release Date: 
August 27, 2019

Last Updated

Last Updated: 
October 1, 2019

Harvest System ID

Harvest System ID: 
Microdata

Harvest Source ID

Harvest Source ID: 
10567
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.
Version Description: 
Version 01 (August 2019)
Publisher Name: 

Development Economics Data Group; The World Bank

Funding Name, Abbreviation, Role: 
World Bank, Health Results Innovation Trust Fund
Other Acknowledgments: 
Ministry of Health; Government of Burkina Faso
Study Type: 
Other Household Survey [hh/oth]
Series Information: 
Results-Based Financing Impact Evaluation Household Endline Survey, the baseline survey was conducted in six regions of Burkina Faso from October 2013 to March 2014.
Universe: 
Selected districts in the 6 regions. Random sample of 15 households in a randomly selected village from the catchment area of each health facility in intervention districts, as well as from the catchment area of a random sample of health facilities in the control districts for an intervention-control facility ratio of approximately 3:1. Household eligibility criterion: At least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
Primary Investigator Name, Affiliation: 
Manuela de Allegri; University of Heidelberg, Paul Jacob Robyn; World Bank, Herve Hien; Centre Muraz
Sampling Procedure: 
The survey covered a total of 24 districts across 6 regions, 12 intervention districts and 12 control districts. All health facilities in intervention districts were included in the study. In control districts, a random sample of health facilities was drawn for an intervention-control facility ratio of approximately 3:1. In 8 intervention districts across 4 regions (Batié, Diébougou, Ouargaye, Tenkodogo, Kaya, Kongoussi, Gourcy, and Ouahigouya), health facilities were randomized to receive either the standard PBF (T1), PBF with systematic targeting and subsidization for the ultra-poor (T2), or PBF with systematic targeting, subsidization for the ultra-poor, and additional provider incentives to provide services to the ultra-poor (T3). In intervention districts in the Boucle du Mouhoun region (Nouna and Solenzo), health facilities randomized into 2 groups: standard PBF (T1) or PBF plus community-based health insurance and systematic targeting and subsidization for the poor and (T4). In the intervention districts in region 6 (Kuodougou, Sapouy), all health facilities received the standard PBF model (T1). As referral hospitals to all facilities in their respective districts, all hospitals (CM, CMA, CHR) in districts where randomization happened received T2. The randomization happened during public ceremonies in each region. All health personal from the regional level (Direction Régionale de la Santé (DRS), District level (Equipe Cadre de District, (ECD)) and local level (health facilities and district hospital) were invited to participate. Detailed information about randomization is available in the attached report. Surveyed households were selected using a cluster sampling technique. Within the catchment area of each primary-level health facility, one village was randomly sampled. Within each sampled village, 15 households were randomly sampled from all households fulfilling the following criterion: The household contains at least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
Response Rates: 
100%
Questionnaires: 
Questionnaires were based on HRITF Impact Evaluation Toolkit templates. The following questionnaires were used: 1) Household Questionnaire - Questionnaire - C1 Depending on a section, the questionnaire was administered to the head of household or the best informed household member, and the mother or the main guardian of children younger than 15 years old. 2) Household Female Questionnaire - Questionnaire - C2 Depending on a section, the questionnaire was administered to all female members of the household 15-49 years old, women who had delivered a baby within the two years preceding the survey, and a mother or main guardian of children younger than 5 years old. In addition to collecting data through household questionnaires, the survey teams performed the following tests/measurements: 1) Rapid Diagnostic Tests (RDT) for malaria for all children less than 5 years old and pregnant women present in the household during the visit, 2) RDTs for anemia for all children younger than 5 years old and pregnant and nonpregnant women who had delivered a baby in the preceding 2 years present in the household during the visit, 3) Weight and height of all children less than 5 years old present in the household during the survey team's visit.
Data Collector(s) Name: 
Centre Muraz
Supervision: 
University of Heidelberg and World Bank
Other Processing: 
The survey covered the following topics: HOUSEHOLD - Household demographic and socio-economic profile - Deaths over the prior 10 years - Individual-level illness reporting for both children and adults of chronic and acute illness and relative curative service use INDIVIDUAL WOMAN - Pregnancy and birth history, family planning use - Utilization of maternal health care services - Immunization status and use of growth monitoring services for children under 5 years - Weight and height measures, anemia test, rapid diagnostic test for malaria
Access Authority Name, Affiliation, Email: 

The World Bank

No Visualizations Available.

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 Paul Jacob Robyn, The World Bank; Manuela De Allegri, University of Heidelberg; Herve Hien, Centre Muraz. Burkina Faso Health Results-Based Financing Impact Evaluation 2017, Household Endline Survey (HRBFIE-HEL). Ref. BFA_2017_HRBFIE-HEL_v01_M. Dataset downloaded from [URL] on [date].

The endline survey of the impact evaluation for Health Performance-Based Financing (PBF) in Burkina Faso was conducted in six regions of Burkina Faso from April to June 2017. The main objective of the impact evaluation is to assess the impact of the PBF intervention on quality of care and health care utilization for Maternal, Newborn and Child Health services, while the baseline survey provides the empirical foundation for the assessment of impacts on a large variety of indicators. The baseline data collection for the impact evaluation took place between October 2013 and March 2014. The impact evaluation innovates by assessing the combination of PBF with two sets of additional measures to enhance equity, community-based targeting of the ultra-poor and subsidization of health services provided to them; and community-based health insurance. PBF was implemented at the district level in both primary- and secondary-level health facilities - with control districts in the same regions. The study used a blended experimental and quasi-experimental design, including both randomization of the standard PBF and PBF plus the additional equity measures at the facility-level within PBF districts to test the effects of these equity measures on outcomes of interest (experimental part), and a comparison of PBF districts to matched control districts to test the effects of PBF (pooled across all intervention arms with and without equity measures) compared to status quo (quasi-experimental part).

FieldValue
Modified Date
2019-10-01
Release Date
Identifier
863956e5-5fa2-4e40-9eee-80c4c28253ca
License
License Not Specified
Contact Email
Public Access Level
Public
Rating: 
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No votes yet
Acronym: 
Burkina Faso Results-Based Financing Impact Evaluation Household Endline Survey
Type: 
Languages Supported: 
Access Authority Name, Affiliation, Email: 
The World Bank
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.
Response Rates: 
100%
Data Collector(s) Name: 
Centre Muraz
Supervision: 
University of Heidelberg and World Bank
Economy Coverage: 
Other Acknowledgments: 
Ministry of Health; Government of Burkina Faso
Primary Investigator Name, Affiliation: 
Manuela de Allegri; University of Heidelberg, Paul Jacob Robyn; World Bank, Herve Hien; Centre Muraz
Funding Name, Abbreviation, Role: 
World Bank, Health Results Innovation Trust Fund
Publisher Name: 
Development Economics Data Group; The World Bank
Version Description: 
Version 01 (August 2019)
Subtitle: 
Endline Survey
Universe: 
Selected districts in the 6 regions. Random sample of 15 households in a randomly selected village from the catchment area of each health facility in intervention districts, as well as from the catchment area of a random sample of health facilities in the control districts for an intervention-control facility ratio of approximately 3:1. Household eligibility criterion: At least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
Geographical Coverage: 
Data Classification of a Dataset: 
Series Information: 
Results-Based Financing Impact Evaluation Household Endline Survey, the baseline survey was conducted in six regions of Burkina Faso from October 2013 to March 2014.
Sampling Procedure: 
The survey covered a total of 24 districts across 6 regions, 12 intervention districts and 12 control districts. All health facilities in intervention districts were included in the study. In control districts, a random sample of health facilities was drawn for an intervention-control facility ratio of approximately 3:1. In 8 intervention districts across 4 regions (Batié, Diébougou, Ouargaye, Tenkodogo, Kaya, Kongoussi, Gourcy, and Ouahigouya), health facilities were randomized to receive either the standard PBF (T1), PBF with systematic targeting and subsidization for the ultra-poor (T2), or PBF with systematic targeting, subsidization for the ultra-poor, and additional provider incentives to provide services to the ultra-poor (T3). In intervention districts in the Boucle du Mouhoun region (Nouna and Solenzo), health facilities randomized into 2 groups: standard PBF (T1) or PBF plus community-based health insurance and systematic targeting and subsidization for the poor and (T4). In the intervention districts in region 6 (Kuodougou, Sapouy), all health facilities received the standard PBF model (T1). As referral hospitals to all facilities in their respective districts, all hospitals (CM, CMA, CHR) in districts where randomization happened received T2. The randomization happened during public ceremonies in each region. All health personal from the regional level (Direction Régionale de la Santé (DRS), District level (Equipe Cadre de District, (ECD)) and local level (health facilities and district hospital) were invited to participate. Detailed information about randomization is available in the attached report. Surveyed households were selected using a cluster sampling technique. Within the catchment area of each primary-level health facility, one village was randomly sampled. Within each sampled village, 15 households were randomly sampled from all households fulfilling the following criterion: The household contains at least one currently pregnant women and/or at least one woman who has ended a pregnancy in the two years preceding the survey.
Release Date: 
Tuesday, August 27, 2019
Last Updated Date: 
Tuesday, October 1, 2019
Questionnaires: 
Questionnaires were based on HRITF Impact Evaluation Toolkit templates. The following questionnaires were used: 1) Household Questionnaire - Questionnaire - C1 Depending on a section, the questionnaire was administered to the head of household or the best informed household member, and the mother or the main guardian of children younger than 15 years old. 2) Household Female Questionnaire - Questionnaire - C2 Depending on a section, the questionnaire was administered to all female members of the household 15-49 years old, women who had delivered a baby within the two years preceding the survey, and a mother or main guardian of children younger than 5 years old. In addition to collecting data through household questionnaires, the survey teams performed the following tests/measurements: 1) Rapid Diagnostic Tests (RDT) for malaria for all children less than 5 years old and pregnant women present in the household during the visit, 2) RDTs for anemia for all children younger than 5 years old and pregnant and nonpregnant women who had delivered a baby in the preceding 2 years present in the household during the visit, 3) Weight and height of all children less than 5 years old present in the household during the survey team's visit.
Other Processing: 
The survey covered the following topics: HOUSEHOLD - Household demographic and socio-economic profile - Deaths over the prior 10 years - Individual-level illness reporting for both children and adults of chronic and acute illness and relative curative service use INDIVIDUAL WOMAN - Pregnancy and birth history, family planning use - Utilization of maternal health care services - Immunization status and use of growth monitoring services for children under 5 years - Weight and height measures, anemia test, rapid diagnostic test for malaria
Harvest Source: 
Harvest System ID: 
10567
Citation Text: 
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 Paul Jacob Robyn, The World Bank; Manuela De Allegri, University of Heidelberg; Herve Hien, Centre Muraz. Burkina Faso Health Results-Based Financing Impact Evaluation 2017, Household Endline Survey (HRBFIE-HEL). Ref. BFA_2017_HRBFIE-HEL_v01_M. Dataset downloaded from [URL] on [date].
Modified date: 
18170
Study Type: 
Other Household Survey [hh/oth]
Primary Dataset: 
Yes

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