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Last Published February 20, 2017 01:55 AM March 13, 2017 04:19 PM
Primary Outcomes (End Points) The success of the interventions – which are defined ultimately by improvements in health, education, and other public service outcomes – are predicated on the improvement of the quality of services as a result of changes in behavior by state actors (local authorities and service providers). Key outcomes include: School Enrolment, Attendance and Repetition; Test Scores; School Services and Facilities; Satisfaction with Education Quality; Unofficial Cost of Education; School Performance; School Engagement; School Awareness; Infant Mortality; Utilization of Health services; Health Services and Facilities; Access of Poor Villagers to Health Services; Cost of Healthcare; Use of Non-Professional Health Providers; Health Service Performance; Satisfaction with Health Services; Health Service Engagement; Ownership of Birth Certificates; Quality of Service Provision; Unofficial Cost of Service Provision; Access to Information; Satisfaction with Service Provision; Commune Council Performance; Attendance in VIllage or Commune Meetings; Engagement with Leaders; Social Capital; Awareness; Use of Information
Primary Outcomes (Explanation) Education Outcomes: Enrolment; Attendance; Repetition; Test Scores: Successful completion of basic numeracy and literacy test; School Services and Facilities: Audit of school facilities (teacher and staff absteeism, desks, chairs, textbooks, bathroom facilities, electricity, blackboards / whiteboards etc.); Unofficial Cost of Education: Incidence and amount of unofficial payments for textbooks; Incidence and amount of unofficial payments for (involuntary) private tutoring; Incidence and amount of unofficial payments for enrollment.; School Performance: Attainment of government performance standards; School Engagement: Frequency of Discussions with School Teachers and Officials; School Awareness: Parental attendance of teacher-parents meetings; Parental access to student record book; Parental awareness of presence of school support committee; Parental awareness of free textbook policy; Parental Awareness of School Budget; Health Outcomes: Infant Mortality; Health Services and Facilities: Audit of health facilities (staff absenteeism, availability of basic medicines; cleanliness of facilities; 24 hour attendance; number of patients waiting and duration of wait).; Access of Poor Villagers to Health Services: Incidence of ownership of HEF cards among poor villagers; Awareness of health care entitlements among IDpoor households.; Cost of Healthcare: Total unofficial payments for health services in the past year; Proportion of unofficial payment over total medical expense in the past year; Total medical expenses in the past year.; Use of Non-Professional Health Providers: Frequency of self-treatment in event of illness; Frequency of visits to traditional healers in event of illness; Frequency of home delivery without qualified midwife.; Health Service Performance: Attainment of government performance standards; Health Service Engagement: Frequency of discussions with health service administrators; Service Outcomes: Ownership of Birth Certificates for Children Aged 1 – 4; Unofficial Cost of Service Provision: Frequency of payment of unofficial fees for certificates; Access to Information: Availability of documentation on commune budget; Perceptions of trustworthiness of published documentation of commune budget; Perceptions of trustworthiness of published documentation of local development projects.; Satisfaction with Service Provision: Satisfaction with work of village chief and commune councilors in past year; Perceived benevolence of village chiefs; Perceived benevolence of commune councilors; Perceived benevolence of district councilors. ; Commune Council Performance: Attainment of government performance standards; Meeting Participation: Participation in Village or Commune Meetings ; Social Capital: Perceived benevolence of other villagers; Acquaintance with villagers other than relatives; Acquaintance with villagers of marginalized status; Interpersonal trust; Incidence of socially-cooperative behavior.; Awareness: Awareness of council decisions and budgetary allocations; Awareness of meeting times and topics of last council meeting.; Use of Information: Knowledge and understanding of information and budgets.
Randomization Method To increase the possibility of achieving statistical balance between the treatment and the control group and to enable inference over conditioning effects, a matched-pair randomization is employed to assign treatment. Per the procedure, districts were matched with other districts in the sample of 42 districts based on the Mahalanobis distance between aggregates of the following variables extracted from the 2010 census: district population; proportion of communes with electricity; share of population in agriculture; number of communes in district; and a dummy variable for each province. Randomization was done in office by a computer. To increase the possibility of achieving statistical balance between the treatment and the control group and to enable inference over conditioning effects, a matched-pair randomization is employed to assign treatment. Per the procedure, districts were matched with other districts in the sample of 42 districts based on the Mahalanobis distance between aggregates of the following variables extracted from the 2010 census: district population; proportion of communes with electricity; share of population in agriculture; number of communes in district; and a dummy variable for each province.
Randomization Unit district-level randomization Districts
Planned Number of Clusters 42 districts 42 Districts
Sample size (or number of clusters) by treatment arms Treatment district: 21 Control district: 21 Treatment Districts: 21 Control Districts: 21
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Irbs

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IRB Name The Human Research Protection Program is responsible at The Ohio State University The Human Research Protection Program at The Ohio State University
IRB Approval Date March 10, 2017 March 31, 2017
IRB Approval Number 1 N/A
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