Service delivery | Health Workforce | Information | Medical Products, Vaccines, & Technologies | Financing | Leadership and governance | |
---|---|---|---|---|---|---|
WHO [1] | Coverage, comprehensive accessibility continuity, person-centeredness coordination, accountability and efficiency General and specific service readiness score 1 | Health worker distribution* | Performance of specific surveys and other health measurements Facility reporting Data quality (through Data quality audits: DQA) | Availability of tracer drugs* | National expenditure of health Out of pocket expenditures Insurance coverage | Presence of relevant strategies and guidelines |
Ghana [12] | Quality of care delivered by CHWs Patient satisfaction Community satisfaction (care (availability, perception of quality) | Full complement of staff per facility Supervision of CHWs by DHMTs | Effective use of data to drive appropriate allocation and care delivery Data quality (concordance) | Availability of tracer drugs and other commodities | Allocation of project funds reflective of identified needs | Leadership capacity Data-driven allocation of funds |
Mozambique [16] | Timeliness of primary health care service provision Patient satisfaction Population coverage Service integration | Efficiency in the allocation of trained health workers Availability of trained health workers. Frequency of supervision visits (facility and district). | Data quality (through DQA) | Availability of tracer drugs and other commodities | Equity of funding distribution across districts Public sector capacity for management of project funds Financial management capacity | Availability of trained district and facility management personnel Frequency of management meetings (district and facility) |
Rwanda [10] | Quality of care delivered Service volume Population coverage (equity; effective coverage) | Facility staffing Staff training HCW retention and satisfaction Receipt of supervision | Data quality (focus on health facility and CHW registries) Internet/network downtime Utilization of facility data for management decisions | Appropriate equipment levels Availability of tracer drugs and other commodities Strength of district supply chain management Availability of selected lab capacity | Insurance coverage Costing of services delivered Public sector management of project funds | Utilization of data to drive improvement |
Tanzania2[11] | Availability of selected services, Outreach performed for care Quality of care | Staff training Facility staff levels Receipt of supervision Performance of QA activities | Required routine data reports submitted | Availability of tracer drugs and other commodities Availability of selected lab capacity | Meetings at Health Facility to discuss management and governance | |
Zambia [8] | Quality of care delivered Service readiness Guideline availability at site Community reported utilization of selected health services | Density, motivation and training of health workers | Data quality and record keeping | Availability of selected tracer drugs and other commodities | Financial planning capacity and activities Public sector management of project funds Geographic equity of funding allocation | Facility governance (self-rated) Community participation in health service delivery and perceived appropriate governance Funding allocation and activities reflecting identified gaps |