Lesotho - Health Results Based Financing Impact Evaluation 2015, Health Facility Baseline Survey

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The Lesotho Health Results Based Financing Impact Evaluation Baseline Survey was conducted in four districts: Mafeteng, Mohale’s Hoek, Mokhotlong and Thaba-Tseka of Lesotho, between March and June 2015. The pilot survey collected data from two districts (Leribe and Quthing) before scaling up to the four aforementioned districts. The objective of the survey was to measure outcomes prior to the implementation of the Health Performance-Based Financing (PBF) intervention. Data was collected in the four districts through household surveys and facility assessments of health centers. The survey is largely based on the Health Results Innovation Trust Fund (HRITF) instruments that were modified to the Lesotho and project context. The baseline survey consists of two main sources of data: 1) a household survey and 2) a health facility-based survey. - The primary goal of the household survey is to measure health service coverage at the population level as well as select health outcome indicators measured through anthropometry or tests. The survey also collects broader data on the health of the households, health seeking behaviors and barriers to use of health services. - The goal of the facility-based survey is to measure multiple dimensions of quality of care and collect detailed information on key aspects of facility functioning. It includes multiple components; a facility assessment, health provider interviews, and patient exit interviews, and it is documented here.

Type: 
Microdata
Acronym: 
HRBFIE-FBL 2015
Languages Supported: 
English
Topics: 
Topic not specified
Geographical Coverage: 
Lesotho
Release Date: 
March 16, 2017

Last Updated

Last Updated: 
March 16, 2017

Harvest System ID

Harvest System ID: 
Microdata

Harvest Source ID

Harvest Source ID: 
9280
Funding Name, Abbreviation, Role: 
Health Results Innovation Trust Fund, World Bank
Study Type: 
Impact evaluation
Primary Investigator Name, Affiliation: 
Gil Shapira - DECHD, World Bank; Damien de Walque - DECHD, World Bank
Sampling Procedure: 
The facility survey was conducted in all Ministry of Health (MOH) and Christian Health Association of Lesotho (CHAL) health centers in the four districts, except for three randomly excluded health centers and one health center that was not accessible for the survey team. The facility-based survey includes multiple components; a facility assessment, health provider interviews, and patient exit interviews. - Facility assessment module: The respondent for this module was the individual in charge of the health facility at the time when the survey team visited the health center. - Health worker interview module: A sample of up to three health providers with maternal and newborn health service delivery responsibilities at health facilities were interviewed as part of this module. Eligible health workers include doctors, nurses, midwifes, and any other health worker providing maternal and newborn care. However, no doctors were available for interview in the health centers. In facilities with less than three health workers on the staff roster, all eligible health workers were interviewed. - Patient exit interviews : A sample of two caregivers of children less than five visiting the facility for curative care with (preferably) a new complaint were interviewed to record the patient’s experience and assess the patient’s perception of quality of care and satisfaction at all health centers. In addition to this, exit interviews were conducted with two (preferably) first time ANC clients. The final sample includes 53 health centers, 107 health provider interviews, 106 exit interviews with women who visited the health center for ANC, and 105 exit interviews with caregivers of children less than five who visited the health center at the day of the survey.
Questionnaires: 
- The facility assessment module: This module collects data on key aspects of facility functioning and structural aspects of quality of care. The respondent for this module was the individual in charge of the health facility at the time when the survey team visited the health center. - The health worker interview module: A sample of up to three health providers with maternal and newborn health service delivery responsibilities at health facilities were interviewed as part of this module. - Patient exit interviews: A sample of two caregivers of children less than five visiting the facility for curative care with (preferably) a new complaint were interviewed to record the patient’s experience and assess the patient’s perception of quality of care and satisfaction at all health centers. In addition to this, exit interviews were conducted with two (preferably) first time ANC clients.
Access Authority Name, Affiliation, Email: 

Gil Shapira, The World Bank, [email protected]

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: Shapira, Gil., Damien de Walque. 2015. Lesotho Health Results Based Financing Impact Evaluation 2014 (HRBFIE-FBL), Health Facility Baseline Survey. Ref. LSO_2015_HRBFIE-FBL_v01_M.The World Bank. Dataset downloaded from [URL] on [date].

The Lesotho Health Results Based Financing Impact Evaluation Baseline Survey was conducted in four districts: Mafeteng, Mohale’s Hoek, Mokhotlong and Thaba-Tseka of Lesotho, between March and June 2015. The pilot survey collected data from two districts (Leribe and Quthing) before scaling up to the four aforementioned districts. The objective of the survey was to measure outcomes prior to the implementation of the Health Performance-Based Financing (PBF) intervention. Data was collected in the four districts through household surveys and facility assessments of health centers. The survey is largely based on the Health Results Innovation Trust Fund (HRITF) instruments that were modified to the Lesotho and project context. The baseline survey consists of two main sources of data: 1) a household survey and 2) a health facility-based survey. - The primary goal of the household survey is to measure health service coverage at the population level as well as select health outcome indicators measured through anthropometry or tests. The survey also collects broader data on the health of the households, health seeking behaviors and barriers to use of health services. - The goal of the facility-based survey is to measure multiple dimensions of quality of care and collect detailed information on key aspects of facility functioning. It includes multiple components; a facility assessment, health provider interviews, and patient exit interviews, and it is documented here.

FieldValue
Modified Date
2020-04-15
Release Date
Identifier
db5436eb-fde0-4be4-ab34-28e4435fbf92
License
License Not Specified
Contact Email
Rating: 
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No votes yet
Acronym: 
HRBFIE-FBL 2015
Type: 
Languages Supported: 
Access Authority Name, Affiliation, Email: 
Gil Shapira, The World Bank, [email protected]
Time Periods: 
August, 2017
Primary Investigator Name, Affiliation: 
Gil Shapira - DECHD, World Bank; Damien de Walque - DECHD, World Bank
Terms of Use: 
Subtitle: 
Health Facility Baseline Survey
Geographical Coverage: 
Data Classification of a Dataset: 
Sampling Procedure: 
The facility survey was conducted in all Ministry of Health (MOH) and Christian Health Association of Lesotho (CHAL) health centers in the four districts, except for three randomly excluded health centers and one health center that was not accessible for the survey team. The facility-based survey includes multiple components; a facility assessment, health provider interviews, and patient exit interviews. - Facility assessment module: The respondent for this module was the individual in charge of the health facility at the time when the survey team visited the health center. - Health worker interview module: A sample of up to three health providers with maternal and newborn health service delivery responsibilities at health facilities were interviewed as part of this module. Eligible health workers include doctors, nurses, midwifes, and any other health worker providing maternal and newborn care. However, no doctors were available for interview in the health centers. In facilities with less than three health workers on the staff roster, all eligible health workers were interviewed. - Patient exit interviews : A sample of two caregivers of children less than five visiting the facility for curative care with (preferably) a new complaint were interviewed to record the patient’s experience and assess the patient’s perception of quality of care and satisfaction at all health centers. In addition to this, exit interviews were conducted with two (preferably) first time ANC clients. The final sample includes 53 health centers, 107 health provider interviews, 106 exit interviews with women who visited the health center for ANC, and 105 exit interviews with caregivers of children less than five who visited the health center at the day of the survey.
Release Date: 
Thursday, March 16, 2017
Last Updated Date: 
Thursday, March 16, 2017
Questionnaires: 
- The facility assessment module: This module collects data on key aspects of facility functioning and structural aspects of quality of care. The respondent for this module was the individual in charge of the health facility at the time when the survey team visited the health center. - The health worker interview module: A sample of up to three health providers with maternal and newborn health service delivery responsibilities at health facilities were interviewed as part of this module. - Patient exit interviews: A sample of two caregivers of children less than five visiting the facility for curative care with (preferably) a new complaint were interviewed to record the patient’s experience and assess the patient’s perception of quality of care and satisfaction at all health centers. In addition to this, exit interviews were conducted with two (preferably) first time ANC clients.
Harvest Source: 
Harvest System ID: 
9280
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: Shapira, Gil., Damien de Walque. 2015. Lesotho Health Results Based Financing Impact Evaluation 2014 (HRBFIE-FBL), Health Facility Baseline Survey. Ref. LSO_2015_HRBFIE-FBL_v01_M.The World Bank. Dataset downloaded from [URL] on [date].
Modified date: 
17241
Study Type: 
Impact evaluation
Primary Dataset: 
Yes
Mode of Data Collection: 

Face-to-face

Funding Name, Abbreviation, Role: 

Health Results Innovation Trust Fund, World Bank

Data Access and Licensing

This dataset is classified as Public under the Access to Information Classification Policy. Users inside and outside the Bank can access this dataset.

This dataset is made available under the World Bank Microdata Research License

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