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

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

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

  1. *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.