Congo, Rep. - Health Results-Based Financing Impact Evaluation 2014, Baseline Survey

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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. In parallel, the poject is also piloting a demand-side PBF scheme, where PBF health facilities contract and incentivize community relays – composed of health facility staff and community health workers from the community – to support households in adopting positive behaviors. In 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. The 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. The 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.

Type: 
Microdata
Acronym: 
HRBFIE-BL 2014
Languages Supported: 
English
Topics: 
Topic not specified
Geographical Coverage: 
Congo, Rep.
Release Date: 
May 24, 2017

Last Updated

Last Updated: 
May 24, 2017

Harvest System ID

Harvest System ID: 
Microdata

Harvest Source ID

Harvest Source ID: 
9403
Version Description: 
v01, edited, anonymous datasets
Funding Name, Abbreviation, Role: 
Health Results Innovation Trust Fund
Study Type: 
Other Household Health Survey [hh/hea]
Unit of Analysis: 
Health facilities and households
Primary Investigator Name, Affiliation: 
Paul Jacob Robyn - World Bank
Sampling Procedure: 
Households: The sample for the baseline is representative at the national level and is based on a stratified two-stage sampling method. The sampling frame was the enumeration areas (EA) of 2007 General Population and Housing Census of the Republic of Congo. At the first stage, 312 EAs were drawn proportionally to their size. All EAs selected were subject to a comprehensive household count. At the second stage, 25 households were drawn in each EA of which: - 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); - 5 households meeting the criteria to be classified as a poor household, in addition to the abovementioned eligibility criteria. A total of 7,800 households in all departments of the Congo were expected to be surveyed in 312 EAs sampled. Health facilities: The 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.
Questionnaires: 
The following survey instruments were used in the baseline: - Household Survey Questionnaire - Health facilities tools: health facility assessment, assessment of health facilities records, providers' questionnaire, direct observations, and patient exit interviews.
Time Periods: 
August, 2017

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 Example, Paul 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].

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. In parallel, the poject is also piloting a demand-side PBF scheme, where PBF health facilities contract and incentivize community relays – composed of health facility staff and community health workers from the community – to support households in adopting positive behaviors. In 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. The 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. The 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.

FieldValue
Modified Date
2020-04-15
Release Date
Identifier
1c680c29-a4ac-4803-9290-d3bd138fc0f7
License
License Not Specified
Contact Email
Rating: 
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Acronym: 
HRBFIE-BL 2014
Type: 
Languages Supported: 
Time Periods: 
August, 2017
Primary Investigator Name, Affiliation: 
Paul Jacob Robyn - World Bank
Terms of Use: 
Version Description: 
v01, edited, anonymous datasets
Subtitle: 
Baseline Survey
Unit of Analysis: 
Health facilities and households
Geographical Coverage: 
Data Classification of a Dataset: 
Sampling Procedure: 
Households: The sample for the baseline is representative at the national level and is based on a stratified two-stage sampling method. The sampling frame was the enumeration areas (EA) of 2007 General Population and Housing Census of the Republic of Congo. At the first stage, 312 EAs were drawn proportionally to their size. All EAs selected were subject to a comprehensive household count. At the second stage, 25 households were drawn in each EA of which: - 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); - 5 households meeting the criteria to be classified as a poor household, in addition to the abovementioned eligibility criteria. A total of 7,800 households in all departments of the Congo were expected to be surveyed in 312 EAs sampled. Health facilities: The 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.
Release Date: 
Wednesday, May 24, 2017
Last Updated Date: 
Wednesday, May 24, 2017
Questionnaires: 
The following survey instruments were used in the baseline: - Household Survey Questionnaire - Health facilities tools: health facility assessment, assessment of health facilities records, providers' questionnaire, direct observations, and patient exit interviews.
Harvest Source: 
Harvest System ID: 
9403
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 Example, Paul 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].
Modified date: 
17310
Study Type: 
Other Household Health Survey [hh/hea]
Primary Dataset: 
Yes
Mode of Data Collection: 

Other

Funding Name, Abbreviation, Role: 

Health Results Innovation Trust Fund

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