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Global Fund Facility Survey: District Facility Census 2008

Cambodia, 2008
Reference ID
KHM_2008_DFC_v01_M
Producer(s)
Psychosocial Services Organization
Metadata
DDI/XML JSON
Created on
Sep 29, 2011
Last modified
Mar 29, 2019
Page views
45841
Downloads
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  • Study Description
  • Data Dictionary
  • Downloads
  • Get Microdata
  • Identification
  • Scope
  • Coverage
  • Producers and sponsors
  • Sampling
  • Survey instrument
  • Data collection
  • Data processing
  • Data appraisal
  • Data Access
  • Disclaimer and copyrights
  • Contacts
  • Metadata production
  • Identification

    Survey ID number

    KHM_2008_DFC_v01_M

    Title

    Global Fund Facility Survey: District Facility Census 2008

    Subtitle

    District Facility Assessment and Other Facility-based Activities

    Country
    Name Country code
    Cambodia KHM
    Study type

    Service Provision Assessments [hh/spa]

    Series Information

    The District Facility Census was conducted as part of the District Comprehensive Assessment for the Five-Year Global Fund Evaluation.

    Abstract

    Objectives and Scope of Survey

    Reliable data is necessary for monitoring and assessing current health information systems or the implementation of new or improved systems, and their impact on health care. It is necessary to gather the relevant priority data from; facility census; the basic characteristics of health infrastructure and workforce; the accessibility of services; and the quality of health care.

    A proper approach and methodology for monitoring and evaluating the impact of health systems is achieved by interviews and a standard questionnaire with hospital directors or deputy, health centers, health posts, pharmacies, health clinics, and community-based organizations providing health-related services in the study areas.
    The general objective of this survey is to (1) characterize health facilities, (2) indicate the readiness of health facilities for improving quality services in HIV/AIDS, Tuberculosis (TB); Malaria and Reproductive Health; and (3) indicate the capacities to provide the availability, accessibility and quality of services of health facilities. The result of this survey is important to provide feedback for improving the national health care system in the program of HIV/AIDS, TB and Malaria in Cambodia.

    The Facility Census was conducted in the scope of the Global Fund Five-Year Evaluation. Within the framework of the Global Fund Five-Year Evaluation, the purpose of the Facility Census is to provide information about outputs of Global Fund funding in terms of availability and quality of services. Specifically, its purpose is to provide cross-sectional data from public and private sector facilities on equipment, supplies, drugs, services, guidelines, and staffing relevant to HIV/AIDS, malaria, and TB, and, to a limited extent, maternal and child health. In addition, information on drug inventories in stand-alone pharmacies is also obtained

    In addition to the Facility Census, attached as External Resource Attachments are the documentation for 1) the other district-based data collection activities of the District Comprehensive Assessment such as: ARV Outcomes Study, TB Follow-up Study, Facility Record Review, Hospital Record Review, and Civil Society Organization Survey, and 2) the national-level activities including secondary data analysis.

    Kind of Data

    Census/enumeration data [cen]

    Unit of Analysis
    • Health facilites (public and private)
    • Pharmacies

    Scope

    Notes

    The survey covers the following topis:

    • Overview of the facility
    • Available services
    • Equipment
    • Infection control
    • Work force
    • Training guidelines
    • Drugs and commodities
    • Laboratory
    • Quality of service delivery
    Topics
    Topic Vocabulary URI
    Facility services CESSDA http://www.nesstar.org/rdf/common
    Child health CESSDA http://www.nesstar.org/rdf/common
    Family Planning CESSDA http://www.nesstar.org/rdf/common
    Maternity CESSDA http://www.nesstar.org/rdf/common
    Sexually Transmitted Infections CESSDA http://www.nesstar.org/rdf/common
    Tuberculosis CESSDA http://www.nesstar.org/rdf/common
    HIV/AIDS CESSDA http://www.nesstar.org/rdf/common
    Laboratory CESSDA http://www.nesstar.org/rdf/common
    Infection control CESSDA http://www.nesstar.org/rdf/common
    Provider characteristics CESSDA http://www.nesstar.org/rdf/common
    Qualifications CESSDA http://www.nesstar.org/rdf/common
    Training CESSDA http://www.nesstar.org/rdf/common
    Keywords
    Facility services Child health Family Planning Maternity Sexually Transmitted Infections Tuberculosis HIV/AIDS Laboratory Infection control Provider characteristics Qualifications Training

    Coverage

    Geographic Coverage

    Districts

    Universe

    All health facilities

    Producers and sponsors

    Primary investigators
    Name
    Psychosocial Services Organization
    Producers
    Name Role
    Bunnak Poch Research Consultant
    Funding Agency/Sponsor
    Name Role
    Macro International Funding
    Other Identifications/Acknowledgments
    Name Role
    Global Fund Sponsor
    APHRC Research Consortium Member
    Harvard University Research Consortium Member
    John Hopkins University Research Consortium Member
    WHO/MHI Research Consortium Member
    Macro International Research Consortium Member

    Sampling

    Sampling Procedure

    Cambodia has 24 provinces and 76 operational districts (OD). The DCA budget sufficed for work to be carried out in 7 ODs. These seven ODs were selected such that one from each of seven different provinces would assure geographical distribution across the country. A purposive selection of these districts was made according to criteria described below.

    Selection criteria:

    1. Geographic
      About 85% of Cambodia population lives in rural areas, so the selection of districts reflects this urban/rural allocation.
    2. High burden
    3. Scale-up

    Scale-up refers to the collective interventions mounted against diseases, including financial resources invested to combat disease, curative or preventive programs, or local organization to mobilize efforts to reduce disease burden. In order to eventually analyse and compare differences in disease outcomes by level of scale-up, half of districts selected are considered 'high scale-up', and the other half are 'lower scale-up'. This was a qualitative distinction made by disease experts at the time of selection. Note that this characteristic ultimately was not used in the analysis as the number of non-pharmacy facilities in each OD (15-37 per OD) proved to be too few to determine patterns, especially since the total number is broken down further by public/private and/or type of facility.

    Overall, 207 health facilities and 230 non-health facilities (e.g., pharmacies and drug stores) were interviewed.

    Deviations from the Sample Design

    -In the data collection, one health center- Anglong Veng- the former hospital of the Khmer Rough, was promoted to Referal Hospital (implementing the CPA 1), these results in Udor Meanchey having 2 referal hospitals.
    -Facilities: health posts were coded as public facilities.
    -In Ratanakiry, a highland province: from one health center to another is very far, and the road is slippery and rough impeding accessibility; some health centers/health posts were visited using boat and motobikes.
    -2 provinces - Udor Meanchey and Ratanakiri has only one OD the provinces, so data collection was from facilities all over the provinces.
    -Supervision/ follow up: from one province to another it takes a long drive, so telephone was used to do follow-up. Normally, supervisor and national co-ordinators move around to these provinces.
    -Some data were missing because facilities' staff had not recorded it or it had 'decayed' (because proper bookshelving was not available to protect registers).

    Response Rate

    Virtually 100% of health facilities had completed interviews. (a convenience technique was used to interview private facilities)

    Survey instrument

    Questionnaires

    Structured questionnaires based on the Service Provision Assessment and Service Availability Mapping instruments with some modifications and additions. Questions are organized into the following categories:

    • Overview of the facility
    • Available services
    • Equipment
    • Infection control
    • Work force
    • Training guidelines
    • Drugs and commodities
    • Laboratory

    Language of the questionnaires is Cambodian

    Data collection

    Dates of Data Collection
    Start End
    2008-03-19 2008-05-19
    Data Collectors
    Name
    Psychosocial Services Organization
    Supervision

    Each team (8-12 interviewers) was supervised by a field supervisor and principal investigator visited all 7 teams, once a week, telephone is used to do follow-up

    Data Collection Notes

    Seven groups of data collectors were created, with one team for each selected district. For the facility census, the teams consisted of one provincial coordinator and 8-12 interviewers depending on the number of health facilities in each district. Interviewers were recruited from a pool of university students and some professors with experience in conducting research by PSO.

    To ensure the quality of field staff and data collection, the provincial coordinator and data collectors received 5-day training at Royal University of Phnom Penh on the study objectives, methodology, questionnaires, and data recording. The training covered all necessary materials and provided by Pilot Test team, who had tested the questionnaires in Siem Reab.

    Prior to collecting data, the provincial coordinator worked with the recruited local health staff to make interview appointment with PHD, OD chiefs, hospital and health center chiefs. Local health staff was recruited to (1) access and transcribe documents for record review; (2) follow-up TB patients & perform TB smear test.

    Data processing

    Data Editing

    The collected data were entered into CSPro software by 5 data entry clerks who had received one-week training in CSPro data entry by experts from SERPRO (Chile) provided by Macro, at CNAT, in April, 2008. The data entry was carried out in an office at the Royal University of Phnom Penh. For data quality assurance, the entry was done twice by different clerks. Then, the data were compared and corrected for all errors and inconsistencies found.

    Data appraisal

    Estimates of Sampling Error

    Not applicable for a facility census

    Data Access

    Access authority
    Name Affiliation Email
    Kamol Van PSO kamol4peace@yahoo.com
    The Global Fund wilson.lo@theglobalfund.org
    Confidentiality
    Is signing of a confidentiality declaration required? Confidentiality declaration text
    yes No personally identifiable information is directly available see questionnaire for informed consent statement.
    Access conditions

    The Global Fund 5-year impact evaluation data is available to outside researchers as licensed data files. These files can be accessed though the public web site and require user registration. There is a two step procedure required to access the files:

    1. The researcher should register as a user.
    2. Once registered the researcher will be required to fill out a detailed license request form that will provide the Global Fund with details on how the data will be used.

    Certain conditions may apply depending on the data requested (facility or household). General terms and conditions are provided in the licensing form. Specific terms that apply depend on the survey requested (Facility or Household)

    Facility:

    The names of the facilities have been suppressed. However, some of the files contain geographic references that could be used to re-identify the facility. If your research project will use the district level data to identify the facility, please be sure to specify the reasons for the re-identification In certain instances, country concurrence may be required. For any information required to validate the name of the facility, please contact the appropriate country authority.

    Household:

    Household data is recoded and no direct identifiers are available. No special conditions apply for access to the recoded data.

    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 acronym and year of implementation)
    • the survey reference number
    • the source and date of download of the data files (for datasets obtained on-line)

    Example:

    Cambodia Psychosocial Services Organization (PSO). Cambodia Global Fund, District Facility Census 2008.

    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 interpretation or inferences based upon such uses.

    Contacts

    Contacts
    Name Email URL
    ICF International info@icfi.com http://www.icfi.com/

    Metadata production

    DDI Document ID

    DDI_WB_KHM_2008_DFC_v01_M

    Producers
    Name Role
    Pychosocial Services Organization Implementation of facility based activities and documentation/archiving of study material
    Global Fund 5-year Impace Evaluation Consortium Funding and organization of the documentation workshop & standardization
    International Household Survey Network Technical Assistance
    Date of Metadata Production

    2011-11-21

    Metadata version

    DDI Document version

    Version 01 (April 2011) - Adopted from "CAM-PSO-GF-DFC-2008-v1.0_ddi" DDI

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