Health Results Based Financing Impact Evaluation 2015
Congo, Dem. Rep., 2015 - 2016
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COD_2015_HRBFIE-FBL_v01_M
Health Results Based Financing Impact Evaluation 2015
Health Facility Baseline Survey
| Name | Country code |
|---|---|
| Congo, Dem. Rep. | DRC |
Other Household Health Survey
The Health Results Innovation Trust Fund (HRITF) launched in 2007. It supports results-based financing (RBF) approaches in the health sector to improve maternal and child health around the world. The HRITF is supported by the Governments of Norway through Norad and the United Kingdom through the Department for International Development (DFID). It is administered by The World Bank.
As of September 2016, the total contributions to the trust fund were US$477.6 million equivalent from Norway and the United Kingdom. To date, HRITF has committed US$385.6 million for 35 RBF programs in <a href="http://www.rbfhealth.org//projects">29 countries</a>, linked to US$2.0 billion in financing from IDA-the World Bank's fund for the poorest. In addition to the RBF programs, the trust fund also finances the evaluation of these programs and other supporting activities. Funded by the HRITF, the Democratic Republic of Congo (DRC) Health Results Based Financing Impact Evaluation Survey was conducted in 2015.
To learn more, visit the <a href=" https://www.rbfhealth.org"> RBF Health website</a>, explore <a href="http://www.rbfhealth.org/projects">RBF Projects</a> around the world, or read the most recent <a href="http://www.rbfhealth.org/publication/achieving-results-women%E2%80%99s-and-childrens-health-2015-progress-report">progress report </a>
The baseline health facility survey was conducted prior to implementation of a performance-based financing scheme, in the context of two projects financially supported by the World Bank: the Health Strengthening for Better Maternal and Child Health Results Project (PDSS) and The Great Lakes Emergency Sexual and Gender Based Violence and Women's Health Project (Great Lakes). The survey data were collected between June 2015 and March 2016 in 133 Health Zones in 14 provincial health districts (DPS).
Sample survey data [ssd]
Scope
The main component of the facility survey is to evaluate these facilities with the objective of collecting data on the main aspects of their operation and the quality of care. The primary respondent in this module is the person in charge of the health facility at the time of the investigation team's intervention. The main themes to be covered by the evaluation of health structures are:
- the establishment's workforce, including additional staff, staff in service at the time of the survey team visit and staff present at the time of the investigation team visit
- infrastructure and amenities
- the availability of medicines, supplies and supplies within the institution
- supervision
- maintaining and submitting files to the SNIS
- the management of the establishment
- the amount of fees officially imposed on users in the establishment
- revenues earned by the institution, and how these revenues were used
- advanced strategy activities
The main themes of the survey of health providers were:
- the role and responsibilities of the health worker interviewed
- allowances, including delays in the payment of wages
- staff satisfaction and motivation
- technical knowledge regarding maternal and neonatal health, assessed through the use of vignettes adapted to the epidemiological profile of the DRC.
Coverage
The survey took place in 133 health zones of 14 Provincial Health Districts: Kwango, Kwilu, Mai-Ndombe, Equateur, Mongala, Sud-Ubangi, Tshuapa, Haut-Katanga, Haut-Lomami, Tanganyika, Lualaba, Maniema, Nord Kivu, Sud Kivu
District
Producers and sponsors
| Name | Affiliation |
|---|---|
| Gil Shapira | World Bank, DECHD |
| Gunther Fink | Harvard University |
| Name |
|---|
| Health Results Innovation Trust Fund |
Sampling
Five health zones in each health area were selected at random to be included in the sample. All health areas within the same health zone had the same probability of being selected. In cases where more than one health center served a health area, a center was chosen randomly. The non-selected health areas have been ordered and could be used as a replacement if the field teams are unable to conduct the survey at one of the selected health centers. The selection made no distinction between health centers offering the minimum package of activities (PMAs) and reference health centers offering a more complete package of services (BCPs).The five health centers selected within each health zone were randomly divided into two categories: 2 health centers for in-depth evaluation and 3 health centers for Light and shorter / shorter. The purpose of a shorter assessment is to obtain key elements regarding the availability of health services at the community level in the health area.
In addition to health centers, facility surveys were also conducted in the General Reference Hospitals (HGR). In general, a health zone has only one HGR. However, some health zones do not have a hospital of this type. Eighty health districts among those supported by the PDSS project were selected for the hospital survey. For the other two categories of health zones, a hospital survey had to be carried out once a hospital existed in the health zone.
A stratified random sampling of health, medical and paramedical staff with responsibilities for maternal and child health care delivery in health facilities was to be selected for interview in a health provider survey. Four health workers were to be interviewed in each health facility for an in-depth evaluation of health centers and hospitals. In health centers where the abridged version of the assessment was to be conducted, only one health provider was randomly interviewed. Eligible health workers include physicians, nurses, midwives / auxiliary midwives, and any other health care provider providing care related to targeted services. In institutions with fewer than 4 health workers, all eligible health workers will be interviewed.
Weighting information is provided in section 2 of the survey report.
Survey instrument
The health facility survey questionnaires are provided under the Related Materials tab.
Data collection
| Start | End |
|---|---|
| 2015-06-01 | 2016-03-29 |
Depositor information
| Name |
|---|
| World Bank DECHD |
Data Access
| Name | Affiliation | |
|---|---|---|
| Gil Shapira | The World Bank | gshapira@worldbank.org |
| Is signing of a confidentiality declaration required? | Confidentiality declaration text |
|---|---|
| yes | Before being granted access to the dataset, all users have to formally agree: 1. To make no copies of any files or portions of files to which s/he is granted access except those authorized by the data depositor. 2. Not to use any technique in an attempt to learn the identity of any person, establishment, or sampling unit not identified on public use data files. 3. To hold in strictest confidence the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately brought to the attention of the data depositor. |
- Licensed datasets, accessible under conditions
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.(World Bank, DECHD), Gunther Fink (Harvard University). Democratic Republic of Congo Health Results Based Financing Impact Evaluation 2015 (HRBFIE-FBL), Health Facility Baseline Survey. Ref.COD_2015_HRBFIE-FBL_v01_M.The World Bank. Dataset downloaded from [URL] on [date].
Disclaimer and copyrights
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 interpretations or inferences based upon such uses.
Contacts
| Name | Affiliation | URL | |
|---|---|---|---|
| Gil Shapira | The World Bank | gshapira@worldbank.org | |
| Microdata Library | The World Bank | microdata.worldbank.org |