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

2. 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. 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. 4 Quantitative Techniques Resources/Documents Technical Document on Outcomes: Child Survival www.worldbank.org/poverty/health/wbact/health_eq_tn01. pdf Technical Document on Outcomes: Anthropometrics www.worldbank.org/poverty/health/wbact/health_eq_tn02. pdf Technical Document on Outcomes: Adult Health www.worldbank.org/poverty/health/wbact/health_eq_tn03. pdf

5. 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. 6 Quantitative Techniques Resources/Documents Technical Document on Financing: Payment www.worldbank.org/poverty/health/wbact/health_eq_tn16.pdf Technical Document on Financing: Decomposition www.worldbank.org/poverty/health/wbact/health_eq_tn17.pdf Technical Document on Financing: Catastrophic Payment www.worldbank.org/poverty/health/wbact/health_eq_tn18.pdf Technical Document on Financing: Poverty Impact www.worldbank.org/poverty/health/wbact/health_eq_tn19.pdf

7. 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. 8 Quantitative Techniques Resources/Documents Technical Document on Outputs: Health Services www.worldbank.org/poverty/health/wbact/health_eq_tn13.pdf Technical Document on Outputs: Benefit Incidence www.worldbank.org/poverty/health/wbact/health_eq_tn12.pdf

9. 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

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12. 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