Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership

Table 2 Domains measured by PIH/PHIT facility survey and mapped to WHO health systems building blocks

Domain	Example domain measures	WHO building block
Clinical services	Range of services and availability	Service delivery
Infrastructure	Quality of facility infrastructure for services offered	Service delivery
Social services	Insurance coverage, capacity to provide targeted socioeconomic support	Service delivery, Financial
Referral	Availability of emergency transfer services, communication	Service delivery, Information systems
Monitoring and Evaluation/Data use	Data systems and utilization	Information systems,* Leadership & governance
Medical equipment	Availability of essential equipment for service delivery by specialty, condition of equipment	Medical products and technology
Laboratory	Availability of essential tests, equipment, and supplies	Medical products and technology
Pharmacy	Stock monitoring, essential medicine stock outs, storage and distribution capacity	Medical products and technology
Infection control and waste management	Waste disposal, management of human and medical waste	Service delivery
Human resources	Number of trained staff, staff retention rates	Human resources
Management	Staff supervision, management practices	Leadership & governance

*An additional intervention, targeting the information systems building block, is a web-based primary care electronic medical record (EMR), which is being assessed for feasibility through measured rollout in southern Kayonza.

ISSN: 1472-6963