Health Results Based Financing Impact Evaluation 2015, Health Facility Baseline Survey - Congo, Dem. Rep.

Abstract
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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).

Geographic coverage
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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

Kind of data
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Sample survey data [ssd]

Sampling procedure
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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.

Mode of data collection
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Computer Assisted Personal Interview [capi]

Research instrument
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The health facility survey questionnaires are provided under the Related Materials tab.

摘要
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在实施基于绩效的融资方案之前，世界银行资助的两个项目——为改善母婴健康结果而加强卫生项目（PDSS）以及大湖地区紧急基于性别暴力和女性健康项目（大湖地区）——的背景下，开展了基准卫生设施调查。调查数据于2015年6月至2016年3月间在14个省级卫生区（DPS）的133个卫生区（Zone de Santé）内收集。
地理覆盖范围
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调查在14个省级卫生区的133个卫生区内进行，具体包括：卡旺戈（Kwango）、奎卢（Kwilu）、马伊-恩多姆贝（Mai-Ndombe）、夸卢（Equateur）、蒙加拉（Mongala）、苏丹-乌班吉（Sud-Ubangi）、舒帕（Tshuapa）、高卡丹加（Haut-Katanga）、高洛马米（Haut-Lomami）、塔干伊卡（Tanganyika）、卢阿拉巴（Lualaba）、马尼埃马（Maniema）、北基伍（Nord Kivu）、南基伍（Sud Kivu）。
数据类型
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样本调查数据 [ssd]
抽样程序
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在每个卫生区域内随机选取五个卫生区纳入样本。同一卫生区内的所有卫生区域被赋予相同的选取概率。在存在多个卫生中心服务于同一卫生区域的情况下，随机选择一个中心。未被选取的卫生区域已按顺序排列，如现场团队无法在所选卫生中心进行调查，则可将其用作替代。选取过程中未对提供最低活动包（PMAs）的卫生中心和提供更全面服务包（BCPs）的参考卫生中心做出区分。每个卫生区所选的五个卫生中心被随机分为两类：两所为深度评估，三所为轻量级和较短/较短的评估。较短评估的目的是获取有关卫生区域在社区层面卫生服务可用性的关键要素。
此外，在综合参考医院（HGR）中也进行了设施调查。一般来说，每个卫生区只有一个HGR。然而，有些卫生区没有此类医院。在PDSS项目支持的80个卫生区中，有医院调查的卫生区被选取。对于其他两类卫生区，如果卫生区内存在医院，则必须进行医院调查。
在卫生提供者调查中，计划对负责在卫生设施内提供母婴健康护理的卫生、医疗和护理专业人员实施分层随机抽样。为深度评估卫生中心和医院，每个卫生设施中将采访四名卫生工作者。在仅进行简略版评估的卫生中心，仅随机采访一名卫生提供者。符合条件的卫生工作者包括医生、护士、助产士/助理助产士以及任何提供与目标服务相关的护理的其他卫生保健提供者。在卫生工作者人数少于4人的机构中，将采访所有符合条件的卫生工作者。
数据收集方式
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计算机辅助个人访谈 [capi]
研究工具
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卫生设施调查问卷可在“相关材料”标签下找到。