Sub-tool | Quality dimension | Central question | Assessment tool | Main focus |
---|---|---|---|---|
1 | Physical environment and equipment | Do health facilities have sufficient resources and provide a supportive environment to enable providers to fulfill the job expectations that are placed on them? | Checklist | Cleanliness of health facility; availability of equipment and supply; implementation of infection prevention and control (IPC); basic infrastructure of health facility |
2 | Job expectations | Do providers know what is expected from them in terms of service delivery? | Structured interview and checklist | Knowledge of services provided at the health facility; availability of and knowledge about job descriptions; availability of treatment algorithms and guidelines |
3 | Professional knowledge and skills | Do health providers have sufficient knowledge and skills to fulfill job expectations? | Direct observation checklist | Adherence to principles of clinical history, physical examination and IPC; management of children under 5Â years of age (IMCI), pregnant women, fever patients above 5Â years of age and HIV/TB suspects or patients |
4 | Management and administration of the facility | Do health facilities have a sound management system that provides supportive supervision and feedback to providers and the community? | Checklist | Staffing level; availability of medicines, general patient information, IEC materials and functioning referral system; implementation of record keeping, reporting, mandatory meetings and supervision visits |
5 | Staff motivation | Are providers motivated to fulfill job expectations? | Structured interview | Participation at trainings and in-house education sessions; implementation of training follow up supervision; timeliness of salary; implementation of promotion scheme; availability of statutory employment benefits |
6 | Client satisfaction | Are community expectations of health service performance met? | Structured exit-interview | Provision of privacy and courtesy during consultancy, explanations, advice, opportunity to express state of health and ask question |