Health Results-Based Financing Impact Evaluation 2014

Gambia, The, 2014 - 2015

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GMB_2014_HRBFIE-BL_v01_M

Producer(s)

Rifat Hasan, Laura Ferguson, Guenther Fink

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Jun 28, 2016

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Jun 28, 2016

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Data file: F2_HEALTH_WORKER_DeID

A health worker dataset, includes all of the health worker interview data, 128 observations in 24 facilities.

Cases:	128
Variables:	665

Variables

f2_13_07j

GIVE ONE DOSE OF ORAL ANTIMALARIAL

f2_13_07k

PRESCRIBE QUININE FOR FIVE DAYS

f2_12_01

[12.01] Is this Kuntaya/Kuntair, Kerr Cherno, or Albreda?

f2_12_02

[12.02] SURVEYOR: IS THIS FACILITY RECEIVING RBF FUNDS?

f2_12_03

[12.03] Do you know the goal of the RBF Project?

f2_12_04_other

Specify:

f2_12_05

[12.05] Has this facility received RBF since the beginning of the project?

f2_12_06

[12.06] Has this facility received RBF payments in the last 3 months?

f2_12_07

[12.07] Has the information that you have received about the RBF program been cl

f2_12_08

[12.08] How well do you understand the criteria for the health facility to recei

f2_12_09

[12.09] How well do you understand the target this health facility needs to reac

f2_12_10

[12.10] How well do you understand the total bonus the facility could get if it

f2_12_11

[12.11] Who decides how the RBF funds that the facility receives should be used?

f2_12_11_other

Other, specify

f2_12_12

[12.12] Were you involved in deciding how the funds should be used?

f2_12_13

[12.13] Do you think this proecess to decide how to spend the money is fair?

f2_12_14

[12.14] Are any of the funds used as incentives for health staff?

f2_12_15

[12.15] Have you received any salary top up as an incentive through the RBF proj

f2_12_16

[12.16] How regularly do you receive incentives?

f2_12_16_other

Specify:

f2_12_17

[12.17] Has your total renumeration (eg, salary + all incentives, including RBF

f2_12_18

[12.18] Is the incentive level fixed, or does it depend on your performance?

f2_12_19

[12.19] Who verifies your performance?

f2_12_19_other

Specify:

f2_12_20

[12.20] Do you think that this is the right person to monitor your perfomance?

f2_12_21

[12.21] How much did you receive as your most recent incentive?

f2_12_22

[12.22] Were you satisfied with the amount that you received?

f2_12_23

[12.23] Is it easier for you to pay for daily expenses since the project started

f2_12_24

[12.24] How do you spend your incentive payments? Do you use them to cover daily

f2_12_24_other

Specify:

f2_12_25_l

How much do you agree with the following statements:

f2_12_25

[12.25] The amount that I received was insignficant.

f2_12_26

[12.26] Receiving the bonus was a nice acknowledgement of my work, but did not i

f2_12_27

[12.27] After receiving the bonus, I worked harder

f2_12_28

[12.28] After seeing others receive the bonus when I did not, I became frustrate

f2_12_29

[12.29] After seeing others receive the bonus when I did not, I became motivated

f2_12_30_l1

How much do you agree with the following statements:

f2_12_30

[12.30] The RBF project is focusing on the important health outcomes and practic

f2_12_31

[12.31] With hard work and effort, I can meet the targets that are set by the pr

f2_12_32

[12.32] There is nothing I can do to meet the targets set by the project, These

f2_12_33

[12.33] The RBF project has made me more likely to leave this health facility.

f2_12_34

[12.34] My work load has grown substantially since the start of the RBF project.

f2_12_35

[12.35] My work is much more stressful now than it was before the start of the R

f2_12_36

[12.36] How well do you understand the criteria to receive a bonus?

f2_12_37

[12.37] How well do you understand who is eligible for part of the bonus?

f2_12_38

[12.38] How well do you understand the health facility target to receive a bonus

f2_12_39

[12.39] How well do you understand what the full amount of money a full bonus is

f2_12_04

f2_11_01_l

[11.01] If it were the case that too few women in the community come in for ante

f2_11_01a

NOTHING. IT IS THE WOMEN'S OWN CHOICE.

f2_11_01b

Nothing, there's no resources (including financial resources)

f2_11_01c

ENGAGE WITH TRADITIONAL BIRTH ATTENDANTS

f2_11_01d

OFFER INCENTIVE TO TRADITIONAL BIRTH ATTENDANTS

f2_11_01e

OFFER AN IN-KIND INCENTIVE TO WOMEN WHO COME IN

f2_11_01f

OFFER A CASH INCENTIVE TO WOMEN WHO COME IN

f2_11_01g

ENGAGE WITH COMMUNITY HEALTH WORKERS

f2_11_01h

OFFER INCENTIVE TO COMMUNITY HEALTH WORKERS

f2_11_01i

TALK TO THE COMMUNITY LEADERS AND HAVE THEM CONVINCE THE WOMEN

f2_11_01j

ORGANIZE SENSITIZATION/OUTREACH ACTIVITIES

f2_11_01k

TALK TO HEALTH FACILTY MANAGER

f2_11_01l

OTHER, SPECIFY

f2_11_01k_other

Specify:

f2_11_02_l1

[11.02] If it were the case that too few women in the community come in for deli

f2_11_02_a

NOTHING. IT IS THE WOMEN'S OWN CHOICE.

f2_11_02_b

Nothing, there's no resources (including financial resources)

f2_11_02_c

ENGAGE WITH TRADITIONAL BIRTH ATTENDANTS

f2_11_02_d

OFFER INCENTIVE TO TRADITIONAL BIRTH ATTENDANTS

f2_11_02_e

OFFER AN IN-KIND INCENTIVE TO WOMEN WHO COME IN

f2_11_02_f

OFFER A CASH INCENTIVE TO WOMEN WHO COME IN

f2_11_02_g

ENGAGE WITH COMMUNITY HEALTH WORKERS

f2_11_02_h

OFFER INCENTIVE TO COMMUNITY HEALTH WORKERS

f2_11_02_i

TALK TO THE COMMUNITY LEADERS AND HAVE THEM CONVINCE THE WOMEN

f2_11_02_j

ORGANIZE SENSITIZATION/OOUTREACH ACTIVITIES

f2_11_02_k

TALK TO HEALTH FACILTY MANAGER

f2_11_02_l

OTHER, SPECIFY

f2_11_02_k_other

Specify:

f2_11_03_l

[11.03] If it were the case that too few women in the community come in for post

f2_11_03a

NOTHING. IT IS THE WOMEN'S OWN CHOICE.

f2_11_03b

Nothing, there's no resources (including financial resources)

f2_11_03c

ENGAGE WITH TRADITIONAL BIRTH ATTENDANTS

f2_11_03d

OFFER INCENTIVE TO TRADITIONAL BIRTH ATTENDANTS

f2_11_03e

OFFER AN IN-KIND INCENTIVE TO WOMEN WHO COME IN

f2_11_03f

OFFER A CASH INCENTIVE TO WOMEN WHO COME IN

f2_11_03g

ENGAGE WITH COMMUNITY HEALTH WORKERS

f2_11_03h

OFFER INCENTIVE TO COMMUNITY HEALTH WORKERS

f2_11_03i

TALK TO THE COMMUNITY LEADERS AND HAVE THEM CONVINCE THE WOMEN

f2_11_03j

ORGANIZE SENSITIZATION/OUTREACH ACTIVITIES

f2_11_03k

TALK TO HEALTH FACILTY MANAGER

f2_11_03l

OTHER, SPECIFY

f2_11_03k_other

Specify:

f2_11_04_l

[11.04] Say that the facility does not have any means of transportation for pati

f2_11_04a

NOTHING. THE PATIENTS AND THEIR FAMILIES HAVE TO SORT IT OUT.

f2_11_04b

CONTRACT A PRIVATE PERSON/FIRM IN THE COMMUNITY WHO HAS A CAR

f2_11_04c

ORGANIZE A COMMUNITY FUND RAISER TO BUY A VEHICLE

f2_11_04d

SEEK FUNDS FROM THE GOVERNMENT TO BUY VEHICLE

f2_11_04e

SEEK FUNDS FROM NGO'S TO BUY VEHICLE

f2_11_04f

BUY A VEHICLE FROM THE FACILITY'S FUNDS

f2_11_04g

ENCOURAGE THEM TO USE COMMUNITY BASED TRANSPORT

f2_11_04h

TALK TO HEALTH FACILTY MANAGER

f2_11_04l

OTHER, SPECIFY

f2_11_04h_other

Specify:

f2_06_01

[6.01] Within the facility, is there anyone who is responsible for supervising y

f2_06_02

[6.02] Within the facility, who is responsible for supervising your work?

f2_06_02_other

Specify:

f2_06_03

[6.03] What is the position of your supervisor as designated by the Ministry of

f2_06_03_other

Specify:

f2_06_04

[6.04] When was the last time you met with this internal supervisor to discuss y

f2_06_05

[6.05] Within the last 12 months, have you discussed any job difficulties with y

f2_06_06

[6.06] After these discussions, did you notice a lot of improvements, some impro

f2_06_07

[6.07] When was the last time that your supervisor shared HMIS data on your unit

f2_06_08

[6.08] Did anything about how you deliver services change because of looking at

f2_06_09

[6.09] Outside of this health facility, is there anyone who is responsible for s

f2_06_10

[6.10] Who outside the facility is responsible for supervising your work?

f2_06_10_other

Specify:

f2_06_11

[6.11] In the last 12 months, how many times have you met with this external su

f2_06_12

[6.12] When was the last time you met with your external supervisor to discuss y

f2_06_13_n

[6.13] The last time that you met this external supervisor, what did [HE/SHE] do

f2_06_13a

BROUGHT SUPPLIES / EQUIPMENT

f2_06_13b

CHECKED RECORDS

f2_06_13c

CHECKED FINANCES

f2_06_13d

OBSERVED CONSULTATION

f2_06_13e

ASSESSED KNOWLEDGE

f2_06_13f

PROVIDED HEALTH-RELATED INSTRUCTION

f2_06_13g

PROVIDED ADMINISTRATIVE INSTRUCTION

f2_06_13h

PROVIDED INSTRUCTION ON FILLING HEALTH MONITORING AND INFORMATION SYSTEMS (HMIS)

f2_06_13i

nothing

f2_06_13j

DISCUSSED MY PERFORMANCE AND/OR CAREER

f2_06_13k

INSPECTED FACILITY

f2_06_13l

TRACKED PAST PERFORMANCE AND PLANS FOR IMPROVEMENT

f2_06_13m

OTHER, SPECIFY:

f2_06_13m_other

Specify:

f2_06_14

[6.14] Within the last 12 months, have you discussed any job difficulties with y

f2_06_15

[6.15] After these discussions, did you notice a lot of improvements, some impro

f2_10_01_l

Select

f2_10_01

[10.01] Staff willingly share their expertise with other members.

f2_10_02

[10.02] When disagreements occur among staff, they try to act like peacemakers t

f2_10_03

[10.03] Staff willingly give their time to help each other out when someone fall

f2_10_04

[10.04] Staff talk to each other before taking an action that might affect them.

f2_10_05

[10.05] My immediate supervisor motivates me to achieve goals

f2_10_06

[10.06] Staff focus on what is wrong rather than the positive side.

f2_10_07

[10.07] Staff spend time complaining about work-related issues.

f2_10_08

[10.08] My job allows me freedom in how I organize my work and the methods and a

f2_10_09_l

Select

f2_10_09

[10.09] I am given enough authority by my supervisors to do my job well.

f2_10_10

[10.10] It is important for me that the community recognizes my work as a profes

f2_10_11

[10.11] It is important for me that my peers recognize my work as a professional

f2_10_12

[10.12] Changes in the facility are easy to adjust to.

f2_10_13

[10.13] Rapid changes are difficult to cope with.

f2_10_14

[10.14] Changes in the facility create new opportunities for us to improve healt

f2_10_15

[10.15] My job makes me feel good about myself.

f2_10_16

[10.16] My patients trust me.

f2_10_17

[10.17] My patients follow my instructions.

f2_10_18

[10.18] I would prefer to work somewhere else than in this facility.

f2_10_19_l

Select

f2_10_19

[10.19] My training is sufficient to give my patients the help they need.

f2_10_20

[10.20] I complete my tasks efficiently and effectively.

f2_10_21

[10.21] I am punctual about coming to work.

f2_10_22

[10.22] These days, I feel motivated to work as hard as I can.

f2_10_23

[10.23] My facility is a very personal place. It is like an extended family and

f2_10_24

[10.24] My facility is very dynamic and an innovative place. People are willing

f2_10_25

[10.25] My facility is very formal and structured. Policies and procedures are i

f2_10_26

[10.26] In my facility, we focus on achieving daily goals getting our work done.

f2_10_27_l

Select

f2_10_27

[10.27] The head of my facility is a mentor and a role model.

f2_10_28

[10.28] The head of my facility is willing to innovate and take risks in order t

f2_10_29

[10.29] The head of my facility relies too much on policies and procedures.

f2_10_30

[10.30] The head of my facility motivates staff to achieve goals.

f2_10_31_l

Select

f2_10_31

[10.31] Following procedures and rules is very important in my facility.

f2_10_32

[10.32] Achieving results and high performance is very important in my facility.

f2_10_33

[10.33] I have enough time to deal with every client appropriately.

f2_10_34

[10.34] I am friendly and polite to all of my clients.

f2_10_35

[10.35] I sometimes looking at monthly statistics from my department to see how

f2_10_36

[10.36] I take advantage of available training opportunities at work

f2_10_37

[10.37] It is important to me that my clients feel comfortable asking me questio

f2_10_38

[10.38] I am proud to be working for this health facility.

f2_03_01

[3.01] How many hours per week are you contracted to work at this facility? RECO

f2_03_02

[3.02] In the last 14 days, how many days were you absent from work?

f2_03_03

[3.03] Was this absence authorized?

f2_03_04_n

[3.04] During this last absence, what type of activity were you doing?

f2_03_04a

PUBLIC HOLIDAY

f2_03_04b

I WAS SICK

f2_03_04c

I WAS CARING FOR SICK RELATIVES

f2_03_04d

I WAS ATTENDING ANOTHER JOB (PAID)

f2_03_04e

I WAS ATTENDING ANOTHER JOB (UNPAID)

f2_03_04f

I WAS CARING FOR CHILDREN

f2_03_04g

I WAS DOING HOUSEHOLD CHORES

f2_03_04h

I WAS TIRED FROM THE PREVIOUS DAY

f2_03_04I

WEDDING/ FUNERAL/ CELEBRATION ETC

f2_03_04j

OTHER, SPECIFY:

f2_03_04k

Don't Know

f2_03_04j_other

Specify:

f2_03_05_n

[3.05] When you are away from the facility without authorized leave, do any of t

f2_03_05a

Facility head / manager contacts you

f2_03_05b

Your salary / allowance / bonus is reduced

f2_03_05c

Manager discusses this with you

f2_03_05d

Absences are reflected in your performance assessment

f2_03_05e

Your coworkers speak to you about it

f2_03_05f

Other, specify:

f2_03_05g

Don't Know

f2_03_05f_other

Specify:

f2_03_06

[3.06] In comparing to 12 months ago, would you say the number of hours you work

f2_03_07

[3.07] How many individual patients did you see on your last full working day? I

f2_04_01

[4.01] What was your monthly net salary one year ago?(Enter NA (98) if worked he

f2_04_02

[4.02] What is your current monthly net salary ? (Enter NA (98) if worked here l

f2_04_03

[4.03] How much was paid as an incentive for achieving targets In your last pay

f2_04_04_1

[4.04] Over the past 2 years, has your salary increased because of the following

f2_04_04_1a

Routine or general increase

f2_04_04_1b

Individual performance

f2_04_04_1c

Promotion

f2_04_04_1d

Other, specify:

f2_04_04_1d_other

Specify:

f2_04_05

[4.05] In the last 12 months, did you receive all your due salary according to t

f2_04_06

[4.06] What day of the month are you supposed to receive your salary?

f2_04_07

[4.07] Last month, how many days was your salary delayed?

f2_04_08

[4.08] Have you received your salary in totality?

f2_04_09_n

[4.09] In the last 12 months, those times that you did not receive your full sal

f2_04_09a

LACK OF FUNDS

f2_04_09b

SYSTEMIC DELAY / ADMINISTRATIVE PROBLEM

f2_04_09c

SALARY WITHHELD TO SERVICE OUTSTANDING DEBTS

f2_04_09d

NON-PAYMENT WAS NOT EXPLAINED

f2_04_09e

RELATED TO PERFORMANCE / ABSENCE

f2_04_09f

OTHER, SPECIFY:

f2_04_09f_other

Specify:

f2_04_10

[4.10] For the last 12 months, have you received all the salary due to you, even

f2_04_11

[4.11] How many months' salary are you currently owed regarding the past 12 mont

f2_04_12

[4.12] If you were to leave your current job,where would you go?

f2_04_12_other

Specify:

f2_04_13

[4.13] What would be the lowest monthly net salary you would accept to work in y

f2_09_01

[9.01] Working relationships with other facility staff

f2_09_02

[9.02] Working relationships with the Regional Health Team

f2_09_03

[9.03] Working relationships with Management staff within the health facility

f2_09_04

[9.04] Quality of the management of the health facility by the management staff

f2_09_05

[9.05] Quantity of medicine available in the health facility

f2_09_06

[9.06] Quality of medicine available in the health facility

f2_09_07

[9.07] Quantity of equipment in the health facility

f2_09_08

[9.08] Quality and physical condition of equipment in the health facility

f2_09_09

[9.09] Availability of other supplies in the health facility (compresses, etc.;

f2_09_10

[9.10] The physical condition of the health facility building

f2_09_11

[9.11] Your ability to provide high quality of care given the current working co

f2_09_12

[9.12] The relationships between the health facility and local traditional leade

f2_09_13

[9.13] The relationships between the health facility and the catchment area/ com

f2_09_14

[9.14] The level of respect you receive in the community

f2_09_15

[9.15] Your opportunities to upgrade your skills and knowledge through training

f2_09_16

[9.16] Your opportunity to discuss work issues with your immediate supervisor

f2_09_17

[9.17] Your immediate supervisor's recognition of your good work

f2_09_18

[9.18] Your opportunity to be rewarded for hard work, financially or otherwise.

f2_09_19

[9.19] The opportunities to use your skills in your job.

f2_09_20

[9.20] Your salary

f2_09_21

[9.21] Your benefits (such as housing, travel allowance, bonus including perform

f2_09_22

[9.22] Your opportunities for promotion

f2_09_23

[9.23] Safety and security in the community

f2_09_24

[9.24] Living accommodations

f2_09_25

[9.25] Available schooling for your children.

f2_09_26

[9.26] Quality of internal supervision.

f2_09_27

[9.27] Quality of external supervision.

f2_09_28

[9.28] Overall, how satisfied are you with your job?

f2_09_29

[9.29] Staff spend their time chatting amongst themselves about things that are

f2_02_01_l

selected

f2_02_01a

Integrated Management of Childhood Illness (IMCI)

f2_02_01b

Malaria

f2_02_01c

Tuberculosis diagnosis and treatment

f2_02_01d

Family planning

f2_02_01e

Antenatal care

f2_02_01f

Labor and delivery

f2_02_01g

Emergency Obstetric and Newborn Care

f2_02_01h

Newborn Care

f2_02_01i

Postnatal / Postpartum care

f2_02_01j

Breastfeeding

f2_02_01k

Mental Health

f2_02_01l

Nutrition and growth monitoring

f2_02_01m

HIV/AIDS testing and counseling

f2_02_01n

HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)

f2_02_01o

Prevention of mother to child transmission of HIV/AIDS (PMTCT)

f2_02_01p

Management of Sexually Transmitted Infections (STI)

f2_02_01q

Immunization / Vaccination

f2_02_01r

Adult curative care

f2_02_01s

Management and administration

f2_02_01t

Community Health / Outreach

f2_02_01u1

Other, specify1:

f2_02_01u2

Other, specify2:

f2_02_01u3

Other, specify3:

f2_02_01u1_other

Other, specify1:

f2_02_01u2_other

Other, specify2:

f2_02_01u3_other

Other, specify3:

f2_02_02

[2.02] Are there other training needs you personally feel you need for your pres

f2_02_03_l

[2.03] What kind of additional training do you feel you need for your present jo

f2_02_03a

INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI)

f2_02_03b

malaria

f2_02_03c

TUBERCULOSIS DIAGNOSIS AND TREATMENT

f2_02_03d

FAMILY PLANNING

f2_02_03e

ANTENATAL CARE

f2_02_03f

LABOR AND DELIVERY

f2_02_03g

EMERGENCY OBSTETRIC AND NEWBORN CARE

f2_02_03h

NEWBORN CARE

f2_02_03i

POSTNATAL / POSTPARTUM CARE

f2_02_03j

breastfeeding

f2_02_03k

MENTAL HEALTH

f2_02_03l

NUTRITION AND GROWTH MONITORING

f2_02_03m

HIV/AIDS TESTING AND COUNSELING

Total: 665

<1 2 3 >

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