Results-Based Financing Impact Evaluation 2015
Household Endline Survey
Cameroon, 2015
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CMR_2015_RBFIE-HEL_v01_M
Results-Based Financing Impact Evaluation 2015
Household Endline Survey
RBFIE-HEL 2015
| Name | Country code |
|---|---|
| Cameroon | CMR |
Other Household Health Survey [hh/hea]
Results-Based Financing Impact Evaluation Household Endline Survey
Scaling-up of performance-based financing (PBF) schemes across sub-saharan Africa has developed rapidly over the past few years. Many studies have shown a positive association between PBF and health service coverage, and some with improvements in quality. However, a lack of controls and confounders in most studies that have been published on PBF initiatives means that the impact of PBF initiatives on service coverage, quality and health outcomes remains open to question. Moreover, few studies have examined the factors that influence the impact of PBF- an area of considerable operational significance since PBF often involves a package of constituent interventions: linking payment and results, independent verification of results, managerial autonomy to facilities and enhanced systematic supervision of facilities. As a result, the policy objectives of the following Impact Evaluation are to: (a) identify the impact of PBF on Maternal and Child Health (MCH) service coverage and quality; (b) identify key factors responsible for this impact; and (c) assess cost-effectiveness of PBF as a strategy to improve coverage and quality. The results from the impact evaluation will be useful to designing national PBF policy in Cameroon and will also contribute to the larger body of knowledge on Performance-based Financing (PBF).
The impact evaluation is a blocked-by-region cluster-randomized trial (CRT), having a pre-post with comparison design. The evaluation relies primarily on experimental control to answer the main research questions for this study. Individual health facilities in each region have been randomized to one of the 4 study groups. Individual public and private primary care health facilities in 14 districts from the 3 pilot regions have been randomly assigned to each study group to create a factorial study design.
The evaluation relied on two main sources of data:
- Household surveys: A household survey was implemented at baseline (i.e., before implementation of PBF begins), and at endline (i.e., after PBF has been implemented for two years).
- Facility-based surveys: A facility-based survey was implemented at baseline and at endline.
Sample survey data [ssd]
Household, individual, pregnant woman, and woman with children
Version
Data collection for the Cameroon PBF IE health facility and household endline surveys were conducted in 2015 by IFORD (Institute of Demographic Training and Research) in Yaounde, Cameroon with administrative and technical support from the Ministry of Health and World Bank.
2015-12-31
Scope
The main themes covered in the household survey include:
- Health behaviors for Maternal and Child Health services
- Health seeking behaviors, barriers to use and health service use
- Household health expenditures
- General perceptions of health service quality
- Household demographic characteristics
- Education
- Economic activity
- Household living conditions
- Mortality
- Consumption
Coverage
14 health districts across North-West (4), South-West (4) and East (6) regions.
The target population for the household baseline survey is households with at least one pregnant woman or a woman with a child who was born during the two years preceding the survey.
Producers and sponsors
| Name | Affiliation |
|---|---|
| Damien de Walque | World Bank |
| Name | Affiliation | Role |
|---|---|---|
| Paul Jacob Robyn | World Bank | IE coordinator at baseline, TTL at endline |
| Saidou Hamadou | World Bank | IE survey coordinator |
| Name |
|---|
| Health Results Innovation Trust Fund (HRITF) |
| Name | Role |
|---|---|
| IFORD | Survey Firm |
Sampling
To select the households to be surveyed, a catchment area was established for each of the 245 primary care facilities. No more than 16 households were randomly selected for survey in the catchment area of each selected health facility. Only households with at least one pregnancy or birth in the 2 years preceding the survey were eligible for inclusion.
The household survey sample covered 4842 households, 94% of the target 5,160 households.
Survey instrument
The household questionnaire is composed to two parts: the first is a household survey for all members of the household, while the second part is specifically for women between 15-49.
In addition to the questionnaires, the survey teams did the following:
(1) Conduct rapid diagnostic tests for malaria for all children aged under 5 and currently pregnant women present in the household during the visit,
(2) Conduct rapid diagnostic tests for anemia for all children aged under 5 and non-pregnant women who have delivered a baby in the preceding 2 years present in the household during the visit, and
(3) Weigh and measure the height of all children aged under 5 years present in the household during the survey team's visit.
Data collection
| Start | End |
|---|---|
| 2015-04-12 | 2015-07-22 |
- Computer Assisted Telephone Interview [cati]
| Name | Affiliation |
|---|---|
| Pr. BENINGUISSE Gervais | IFORD |
Data Access
| Name |
|---|
| ddewalque@worldbank.org |
| probyn@worldbank.org |
Damien de Walque, The World Bank. Results-Based Financing Impact Evaluation, Household Endline Survey (RBFIE-FEL) 2015. Ref. CMR_2015_RBFIE-HEL_v01_M. Dataset downloaded from [URL] on [date].
Metadata production
DDI_CMR_2015_RBFIE-HEL_v01_M_WB
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Development Data Group | DECDG | World Bank | Documentation of the study |
2025-01-27
Metadata version
Version 01 (January 2025)