Global Fund Facility Survey: District Facility Census 2008
Cambodia, 2008
Identification
KHM_2008_DFC_v01_M
Global Fund Facility Survey: District Facility Census 2008
District Facility Assessment and Other Facility-based Activities
| Name | Country code |
|---|---|
| Cambodia | KHM |
Service Provision Assessments [hh/spa]
The District Facility Census was conducted as part of the District Comprehensive Assessment for the Five-Year Global Fund Evaluation.
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.
Census/enumeration data [cen]
- Health facilites (public and private)
- Pharmacies
Scope
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
| 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 |
Coverage
Districts
All health facilities
Producers and sponsors
| Name |
|---|
| Psychosocial Services Organization |
| Name | Role |
|---|---|
| Bunnak Poch | Research Consultant |
| Name | Role |
|---|---|
| Macro International | Funding |
| 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
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:
- Geographic
About 85% of Cambodia population lives in rural areas, so the selection of districts reflects this urban/rural allocation. - High burden
- 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.
-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).
Virtually 100% of health facilities had completed interviews. (a convenience technique was used to interview private facilities)
Survey instrument
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
| Start | End |
|---|---|
| 2008-03-19 | 2008-05-19 |
| Name |
|---|
| Psychosocial Services Organization |
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
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
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
Not applicable for a facility census
Data Access
| Name | Affiliation | |
|---|---|---|
| Kamol Van | PSO | kamol4peace@yahoo.com |
| The Global Fund | wilson.lo@theglobalfund.org |
| Is signing of a confidentiality declaration required? | Confidentiality declaration text |
|---|---|
| yes | No personally identifiable information is directly available see questionnaire for informed consent statement. |
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:
- The researcher should register as a user.
- 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.
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
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
| Name | URL | |
|---|---|---|
| ICF International | info@icfi.com | http://www.icfi.com/ |
Metadata production
DDI_WB_KHM_2008_DFC_v01_M
| 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 |
2011-11-21
Metadata version
Version 01 (April 2011) - Adopted from "CAM-PSO-GF-DFC-2008-v1.0_ddi" DDI