Reaching the Poor Conference, February 23, 2004 1 Data: Types and Sources Abdo Yazbeck Lead Health Economist World Bank Institute.

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Presentation transcript:

Reaching the Poor Conference, February 23, Data: Types and Sources Abdo Yazbeck Lead Health Economist World Bank Institute

2 Types of Data Outcomes, Outputs, Inputs 1.Health Outcomes 2.Financing Burden 3.Service Use and Behavioral Dimensions 1.Income/Wealth 2.Residence (Geographic, Rural/Urban) 3.Other Socio Economic Measures Other Data (community, household, costs, payment, subsidy)

3 1. Health Outcomes Mortality Measures (Infant 1Q0, Child 5Q0, Adult 45Q15) Morbidity Measures (quality of life) Nutritional Outcomes (stunting, BMI) Population Outcomes (fertility rates)

4 Quantitative Techniques Resources/Documents Technical Document on Outcomes: Child Survival pdf Technical Document on Outcomes: Anthropometrics pdf Technical Document on Outcomes: Adult Health pdf

5 2. Financial Burden Direct Out of pocket payments (Drugs, Fees) Indirect Out of Pocket Payments (time from work, transport) Insurance Premiums and Co-payments Tax Burden

6 Quantitative Techniques Resources/Documents Technical Document on Financing: Payment Technical Document on Financing: Decomposition Technical Document on Financing: Catastrophic Payment Technical Document on Financing: Poverty Impact

7 3. Service Use (Expenditures or Benefits) Basic Utilization –curative care –preventive care –delivery related Other Behavioral aspects –Nutrition, smoking, hand washing, exercise, etc

8 Quantitative Techniques Resources/Documents Technical Document on Outputs: Health Services Technical Document on Outputs: Benefit Incidence

9 Data Sources Non-Routing: Household Surveys/Exit –Demographic and Health—DHS (USAID) –Living Standards Measurement—LSMS (Bank) –Multiple Indicator Cluster (UNICEF) –World Health Surveys (WHO) –National HH Budget Surveys (health modules) –Exit Surveys (facility Based) Routine Date: HIS, Census

10

11

12 Linking HH Survey with Exit Survey: India Example Used the India DHS (NFHS) to identify assets in Urban AP Used a subset of the Assets in the Exit Survey Re-calculated the Asset Scores with the Subset of assets used Linked the Exit survey to the Population- based results from the HH Survey