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Register:	ISRCTN
Last refreshed on:	6 July 2020
Main ID:	ISRCTN16392613
Date of registration:	05/12/2014
Prospective Registration:	No
Primary sponsor:	Health Results Innovation Trust Fund, World Bank (USA)
Public title:	Impact evaluation of Zimbabwe?s health results based financing project
Scientific title:	The effects of results based financing on maternal and child health access and utilization in rural Zimbabwe: Impact Evaluation of Zimbabwe?s Health Results Based Financing Project
Date of first enrolment:	01/03/2012
Target sample size:	356
Recruitment status:	Completed
URL:	http://isrctn.com/ISRCTN16392613
Study type:	Interventional
Study design:	Controlled before and after study; quasi-experimental study (Quality of life)
Phase:	Not Applicable

Countries of recruitment
Zimbabwe

Contacts

Name:
Address:
Telephone:
Email:
Affiliation:

Name:	Jed Friedman
Address:	The World Bank 1818 H Street NW 20433 Washington, D.C. United States of America
Telephone:
Email:
Affiliation:

Key inclusion & exclusion criteria

Inclusion criteria:
1. Health facilities within the selected 16 rural districts and matched control districts
2. Health facilities contracted under RBF project

Exclusion criteria:
1. Health facilities outside the selected 32 rural districts
2. Health facilities not contracted under RBF project

Age minimum:
Age maximum:
Gender: Both

Health Condition(s) or Problem(s) studied

Maternal and child health
Not Applicable

Intervention(s)

Health facilities within RBF districts will receive incentives every quarter based on attaining
1. Quantity (volume of services)
2. Quality (adherence to national standards of care)
3. Client satisfaction
Health facilities in the control districts receive no incentives (business-as-usual).

Primary Outcome(s)

Health utilization indicators:
1. Antenatal care
2. Institutional delivery
3. Postnatal care
4. Immunization
5. Outpatient consultations
6. Referral
7. Adoption of family planning methods
8. ARV prophylaxis
Household level indicators:
1. Household health seeking behavior
2. Out-of-pocket healthcare expenditure
3. Satisfaction on the service provider
These will be measured through a household survey at the end of the intervention

Secondary Outcome(s)

Health facility infrastructure indicators:
1. Drug stockout rates
2. Availability of drugs
3. Availability of clinical protocols
4. Availability of equipment
5. Updated records
Quality of care indicators:
1. Counseling and client interaction
2. Waiting time
3. Physical examination
Equity indicators:
1. Utilization of health care and quality of care indicators vis-à-vis clients' socio-economic and residence status
Health worker indicators:
1. Health worker training status
2. Knowledge
3. Motivation
4. Job satisfaction
These will be measured through a health facility survey at the end of the intervention

Secondary ID(s)

N/A

Source(s) of Monetary Support

Health Results Innovation Trust Fund, World Bank (USA)

Secondary Sponsor(s)

Ethics review

Status:
Approval date:
Contact:

Medical Research Council of Zimbabwe, 29/11/2011, ref. MRCZ/A/1648

Results

Results available:	Yes
Date Posted:
Date Completed:	01/03/2015
URL:

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