Study on Health Services for Children with Disabilities in Cambodia

Location

Cambodia, Kampong Thom.

Project Description

This Study aims to provide an understanding of the resources and accessibility of basic literacy education and health services available to children with disabilities in targeted districts in Kampong Thom. The project aims to create a database providing detailed information (location, type of support, etc.) regarding organization working on disabilities in Cambodia, as well as a database of children and adults with disabilities.

Angkor Research conducted a survey aiming to assess the knowledge of all village chiefs (273) in 3 districts of Kampong Thom (Kampong Svay, Stoung and Stung Sen) regarding organizations working with disabilities in their areas and the health services available, as well as the prevalence of people with disabilities in their village. A specific focus was put on creating a list of people with disabilities and children with disabilities to know their knowledge of sign language and Braille, as well as if they went to school. Services provided to reach this end were research design, sampling methodology, instrument review and translation, data collection/oversight, and data entry and cleaning of the datasets.

Impact Evaluation of Service Delivery Grants (SDGs) in the Health Sector in Cambodia: Baseline Survey

Location

Cambodia. Location within country: 23 provinces/municipalities (Banteay Meanchey, Battambang, Pailin, Kampong Cham, Kampong Chhnang, Kampong Speu, Kampong Thom, Kampot, Kep, Kandal, Kratie, Mondulkiri, Oddar Meanchey, Phnom Penh, Prey Veng, Pursat, Ratanakiri, Siem Reap, Sihanoukville, Stung Treng, Svay Rieng, Takeo, Tboung Khmum)

Project Description

The World Bank, in collaboration with the Ministry of Health (MOH), is supporting the redesign of Service Delivery Grants (SDGs) that will be implemented as part of the larger Health Equity and Quality Improvement Project (H-EQIP). H-EQIP aims to increase the sustainability of these innovations by improving their resourcing and management as envisaged in the government’s Health Strategic Plan 2016-2020 (HSP3). It will further strengthen the results-based focus of SDGs with a specific goal of improving quality of health service delivery and utilization of services by the poor and will use a multi-pronged approach to strengthening health systems, especially to support improvements in quality of care.

As part of its support, WB designed a rigorous impact evaluation to measure improvements in quality (and quantity) of health service delivery attributed to the SDGs. The results from this quantitative evaluation are expected to inform the Royal Government of Cambodia (RGC) and Development Partners on the efficacy of the proposed intervention. Impact evaluation will take place at the same 3 levels where SDGs are inputted: health centers, hospitals and operational districts (ODs).

The objectives of the baseline data collection are to provide a reference point against which the interventions’ effects can be measured, help inform the intervention design, and contribute to the evidence base on quality of care in Cambodia.

At the baseline, Angkor Research’s involvement in this large-scale, randomized control trial included sample selection, instrument review/translation (from the WB RBF IE Toolkit, with back-translation), primary CAPI data collection (tablet-based) and data management for surveys of both the demand-side and supply-side aspects of health care utilization and access, to evaluate the effects of SDGs on a range of household, service delivery and health care indicators.

The sample is nationally representative, and covered 70 ODs in 23 provinces of Cambodia. On the supply-side, Angkor Research conducted interviews with 70 OD directors, health facility evaluations at 140 public health centers (including medical record audits and drug/medical equipment inventories), 545 interviews with medical staff (including situational vignettes), and 1,000 exit interviews with patients. In the catchment areas of the target health centers, 2,500 households were interviewed on a range of indicators, including health equity fund (HEF) status anthropometrics, health-seeking behavior, out-of-pocket health expenditures and maternal/child health. Household data is longitudinal, and can be linked between survey rounds. Data collection also includes interviews with village authorities and GPS locations in all villages. The household survey was completed with a 98.7% response rate.

“Transforming e-waste into job and business opportunities” Baseline Survey

Post-evaluation of APICI Project

Impact Assessment of Police Post Construction

Study of Food Provision on Garment Workers’ Health and Productivity: Impact Evaluation and Secondary Activities

Assessing the Impact of Social Land Concessions on Rural Livelihoods in Cambodia

Midterm Evaluation: Sexual and Reproductive Health and Rights

Impact Evaluation of Community Preschool Expansion: Baseline Survey

Location

Cambodia. Location within country: 13 provinces (Kampong Chhnang, Kampong Speu, Kampot, Kandal, Koh Kong, Kratie, Mondulkiri, Preah Sihanouk, Prey Veng, Ratanakiri, Steung Treng, Svay Rieng, Takeo)

Project Description

The World Bank, in collaboration with the Ministry of Education Youth and Sports (MOEYS), supports the Second Education Sector Support Project (SESSP) funded by Global Partnership for Education (GPE). One component of SESSP seeks to expand the availability and quality of Early Childhood Care and Development (ECCD) services. The objectives of the ECCD interventions are to assist MOEYS to expand access to quality Early Childhood Education (ECE) for 3-5 year old’s through construction of facilities, provision of materials and training of staff, as well as to build the demand for ECCD services among families from disadvantaged backgrounds. The program was also designed with a rigorous evaluation to measure the impact of community ECCD services on child cognitive and psychosocial development—with a focus on school readiness. To this end, the World Bank in collaboration with MOEYS is conducting the impact evaluation over three years, from 2016 to 2018.

At the baseline, Angkor Research’s involvement in this large-scale randomized control trial includes sample selection, instrument review/translation, primary CAPI data collection (tablet-based) and data management for over 7,000 households and 305 preschools and villages (divided into treatment and control communities) in 13 provinces, to evaluate the service delivery and effects of preschools on a range of household and child indicators including anthropometrics and cognitive testing for both mothers/caregivers and children. Household and child data is longitudinal and linked across survey rounds. Data collection also includes interviews with village authorities and community preschool facility assessments, photos and GPS locations in all 305 sample villages. The survey was completed, with a 99.9% response rate.

Impact Assessment Framework Design