Deadline: 04-Mar-2019 at 11:59:59 PM (Eastern Time – Washington D.C.)
Since this pilot is preceding proposed larger roll-out of the program across Tanzania, it is critical to understand how effective the pilot is in improving trauma care and reducing morbidity and mortality, and if other strategies could be implemented in conjunction with the pilot that would make them more effective. The Development Impact Evaluation unit at the World Bank is proposing to conduct an impact evaluation, funded by UKaid, of this pilot. There is currently little rigorous evidence on the impact of post-crash interventions on morbidity and mortality outcomes. What little evidence exists is only focused in developed country settings where implementation and results may be very different. An important contribution of this study is to bridge this gap and allow policymakers to have evidence on how post-crash interventions work in achieving the goals of greater access to emergency transport, improved on-scene primary care, reduced delays in accessing medical care, and ultimately lower morbidity and mortality in low income countries such as Tanzania. The evaluation can directly contribute to decisions about if and how policy makers scale the program to the country level.
This Impact Evaluation aims to answer the following question: How much does a combined post-crash response program, composed of community health worker trainings, provision of ambulance services, and trauma facility upgrades, improve access to hospital-based trauma care and initial health indicators from motor vehicle crashes (MVCs), and improve timeliness and quality of trauma care more generally? We currently plan to answer this question using a difference-in-differences design that will include high frequency data collection through the scale up of an already existing trauma registry. Data from the trauma registry, which will need to be scaled to all (7) EMS facilities as well as 7 control facilities, will allow us to analyze detailed data on trauma cases to study the impact of the project. Quantifying the impact of these programs on intermediate outcomes such as timeliness of treatment for trauma patients can help policymakers understand if the programs are being utilized effectively. Impact on health status of trauma patients and potentially on mortality rates will make it possible to calculate the cost effectiveness to determine whether to scale up such programs to the rest of Tanzania or explore other effective strategies for Trauma Care.
eConsultant2 website: https://wbgeconsult2.worldbank.org/wbgec/index.html
Tender notification: # 1261418
- TZ – Tanzania