Cambodia Nutrition Project –Impact Evaluation Study Survey Firm for Midline Data Collection

Laos water resource situation

At-risk Household Cash Transfer Impact Evaluation Study

New York University – Legacies of conflict and violence Cambodia

Survey on the Status of AquaMedicines, Drugs, and Chemicals Use in Cambodia Aquaculture

Train the Teachers Curriculum and training

Midline Evaluation of Reproductive, Maternal and Neonatal Health Knowledge, Attitudes and Practices among Garment Factory Workers

Location

Cambodia. Location within country: Phnom Penh and Kandal province

Project Description

The objectives of this project were firstly to assess changes in the knowledge, attitudes and practices (KAP) of female garment factory workers (GFW) towards reproductive, maternal and neonatal health (RMNH) from the baseline indicators in the Monitoring, Evaluation, Reporting and Improvement (MERI) framework. Secondly, to determine the exposure and participation of garment factory workers (GFW) in the BCC and Chat! Contraceptive campaign activities, and any effects on MERI indicators and lastly to gather qualitative information about the effectiveness of PSL in achieving its objectives and outcomes.

Angkor Research staff conducted the research design, sampling methodology, instrument review and translation, data collection/oversight, and data entry and cleaning services for these surveys with over 900 women of reproductive age working in the garment factories receiving PSL interventions. To strengthen and illuminate the findings from this quantitative component, Angkor Research also conducted qualitative interview with factory infirmary staff as well as focus group discussions with survey respondents.

Health Sector Support Project 1 (HSSP1): End of Project Assessment

Location

Cambodia. Location within country: 12 provinces

Project Description

The main objective of HSSP1 was to contribute to the improvement of the health status of the population by increasing the accessibility and quality of health services and assisting the Royal Government of Cambodia to implement its Health Sector Strategic Plan and strengthen the sector’s capacity to manage resources efficiently. The objectives of the end of project assessment were: (i) Determine the achievements of the project over the 6 year period from 2003 to the end of 2008, and derive lessons that can be applied to the second Health Sector Support Program; (ii) Establish baseline values for the HSSP2 indicators.

A team of Angkor Research staff carried out 3 surveys:

Household survey of over 1,800 individuals within 44 clusters. The response rate was 98%, and interviewers conducted 10.7 interviews per day.
Qualitative survey on accessibility, quality, affordability and coverage of health services, through interviews and focus group discussions in 6 villages with a total of 208 respondents and participants.
Health facility assessment of 20 randomly selected health facilities. This survey included interviewing health facility directors (n=12) and health workers (n=93), clinical observations (n=186), and patient exit interviews (n=313).

Angkor Research staff were responsible for all survey activities including research design, sampling, staff recruitment and training, field work and supervision, database design, data entry, data cleaning, validation and analysis, and reporting.

HEF Utilisation Survey: Complementary Survey
(Evaluation of the Impact and Efficiency of the Integrated Social Health Protection Scheme in Cambodia: Follow-up Survey)

Location

Cambodia. Location within country: 3 provinces (Battambang, Kampong Cham, Kampong Thom)

Project Description

In 2013, the German-Cambodian Social Health Protection Project (SHPP) implemented by GIZ commissioned a survey to gather evidence on the effectiveness and efficiency of integrated social health protection schemes (ISHPS) for the poor on the utilisation of health services and associated financial protection, in four GIZ-supported operational districts (ODs). A first round of data collection was conducted between November 2013 and March 2014, with a second round planned for 2014-2015. Due to the similar objectives of this survey with the WB-initiated HEF Utilization Survey, GIZ and WB agreed to cooperate on producing similar instruments, sampling, data collection and analysis for the two studies, fielded simultaneously in 2015. It thus enabled a comparison of these GIZ-supported schemes with other HEFs in Cambodia, as well as the initial baseline.

After winning the public bid for the HEF Utilization Survey, Angkor Research was awarded the contract for the Complementary Survey from GIZ. Angkor Research was responsible for all components of the data collection and data management, including: initial research design and literature review; sampling methodology, framework and selection (including longitudinal matching of baseline households); instrument design, translation and pre-testing; national ethical approval (NECHR); field data collection; data entry and data management; transcription, translation and coding of all qualitative data; quantitative and qualitative data analysis; and report writing.

The Complementary Survey was also longitudinal, with tracking and follow-up interviews with baseline respondents. The quantitative household survey was conducted with 1,889 households, with a two-tiered control arm, and segregated by distance to the nearest public health facilities. Care was taken to ensure alignment of all survey instruments and sampling procedures between the two projects, and with the previous baseline survey. Additional qualitative in-depth interviews (IDIs) were conducted with 56 key informants including ISHP members, HEF operators, public hospital/health center directors and doctors, and village health support group volunteers. The quantitative household survey was conducted among 1,745 households, including 1,521 households matched from the baseline. The response rate was 92.4%, and individual interviewers completed an average of 5.8 interviews per day.

Baseline Survey: Impact Evaluation of the Voice and Action: Social Accountability for Improved Service Delivery (I-SAF) Project

Location

Cambodia. Location within country: Battambang, Kampong Cham, Kampong Chhnang, Kampong Speu, Kampong Thom, Kampot, Koh Kong, Kratie, Mondulkiri, Preah Vihear, Prey Veng, Pursat, Ratanakiri, Stung Treng, Tboung Khmum (15 provinces)

Project Description

In order to enhance the accountability of service providers and local officials and, as a result, improve the quality of service delivery, the Cambodian government, non-governmental organizations (NGOs), and bilateral donors have – with assistance from the World Bank through the Voice and Action Program (VAP) – developed the Social Accountability Framework (SAF). Whereas evaluations of social accountability interventions in other contexts indicate that such interventions have been unsuccessful due to a failure to provide service providers and local officials with incentives to change their behavior, the design of the SAF builds on lessons from the body existing research by providing for coordinated interventions by both state and non-state actors.
The Voice and Action Program (VAP) Impact Evaluation (VAP-IE) will use a randomized controlled trial conducted across 42 districts in 15 provinces of Cambodia to determine whether the coordinated interventions mandated by SAF improve the quality of educational, health, and commune services provided to villagers in rural Cambodia and increase villagers’ engagement with local government. Evidence from the VAP-IE will be used by national authorities, NGOs, bilateral donors, and the World Bank to inform future funding and design decisions related to the National Decentralization Reform.

At the baseline, Angkor Research’s involvement in this large-scale, randomized control trial included instrument review/translation (with back-translation), primary CAPI data collection (tablet-based), data management, analysis and reporting to evaluate the effects of I-SAF on a range of household and service delivery indicators at the commune level. The sample is representative of the I-SAF program implementation areas, and covered 336 villages in 22 provinces of Cambodia. On the supply side, Angkor Research conducted interviews with 140 health centers, 168 commune councils, 168 primary schools, and 336 village chiefs (812 IDIs). 3,455 households were targeted for quantitative interviews, out of which 3,363 were completed (97.3% response rate). Data collection also included photos of local government offices, and GPS locations.