Burkina Faso - Health Results-Based Financing Impact Evaluation 2013

The baseline survey on impact evaluation for Health Performance-Based Financing (PBF) in Burkina Faso was conducted in six regions of Burkina Faso from October 2013 to March 2014. The main objective of the impact evaluation is to assess the impact of the PBF intervention on quality of care and health care utilization for Maternal, Newborn and Child Health services, while the baseline survey provides the empirical foundation for the assessment of impacts on a large variety of indicators. The endline wave of the impact evaluation is planned from March - June 2017. The impact evaluation innovates by assessing the combination of PBF, community-based targeting of poor and subsidization of health services provided to the poor/vulnerable peoples and community-based health insurance. PBF is implemented at the district level (combining primary and secondary health) - with control districts in the same regions and the demand-side interventions are randomized at the health facility level. The study adopts a blended experimental and quasi-experimental design, including both randomization of additional interventions at the facility-level with PBF districts (experimental) to test the effects of these interventions on outcomes of interest, conditional on PBF, and matching of facilities in neighboring pure control districts (quasi-experimental), to test the effects of these interventions, including PBF, in the absence of any intervention (counterfactual).Data collection for the baseline survey included a household survey and a facility-based survey. The health facilties survey is documented here.

布基纳法索卫生绩效薪酬（Performance-Based Financing, PBF）影响评估基线调查于2013年10月至2014年3月在布基纳法索6个地区开展。本次影响评估的核心目标为评估PBF干预对孕产妇、新生儿及儿童健康服务的照护质量与医疗服务利用水平的影响，而基线调查则为多维度指标的影响评估提供实证基础。本次影响评估的终线调查计划于2017年3月至6月实施。本影响评估的创新之处在于，其同时评估了PBF、针对贫困与弱势人群的社区化贫困靶向识别与医疗服务补贴，以及社区健康保险这几项措施的组合效应。PBF在地区层面（涵盖基层与二级医疗体系）实施，同一区域内设置对照地区；需求侧干预则在医疗机构层面开展随机分组。本研究采用实验与准实验混合设计：一方面，在已实施PBF的地区中，对医疗机构追加额外干预措施进行随机分组（实验设计），以检验这些干预在PBF框架下对预设关注结局的影响；另一方面，对邻近纯对照地区的医疗机构进行匹配（准实验设计），以检验在无任何干预的反事实场景下，包括PBF在内的各项干预的效应。基线调查的数据收集涵盖家庭调查与医疗机构调查，医疗机构调查的相关文档已在此公开。