Skip to main content

Advertisement

Table 3 PHIT Partnership countries’ health systems strengthening measures by health systems building blocka

From: Measuring health systems strength and its impact: experiences from the African Health Initiative

   Ghana Mozambique Rwanda Tanzania Zambia
Service Delivery Indicators • Service utilization & quality for selected programs
• Emergency referrals
• Cause of maternal deaths
• Service utilization for selected programs
• Patient satisfaction with PHC services
• Average wait/consult time for PHC services
• Service utilization for selected programs
• Facility capacity
• Quality of care: Appropriate diagnosis and treatment
• Service utilization for selected programs
• Time use of CHWs
• Quality of IMCI
• Service utilization for selected programs
• Patient satisfaction with PHC services
• Quality of care: readiness and quality audit
  Sources -HMIS
-Project information system
-Mortality audits
-Community surveys
-Facility surveys
-HMIS
-Community surveys
-Facility surveys
-HMIS
-Community surveys
-Health & Demographic Surveillance System
-Facility surveys
-Project information system
-Community surveys
-Facility surveys
-Community surveys
Information Systems Indicators Not measured • Facility & district data quality • Community & facility data quality • % monthly CHW reports submitted • Timely health facility and CHW reporting
  Sources   -Data quality audits -Data quality audits - Project information system -Project information system
Health Workforce Indicators • CHW coverage (stratified by community health nurse and midwife)
• # and % of CHWs trained in IMCI & supervision frequency
• Health worker per capita by cadre
• Frequency of supervision visits by district
• Health worker presence
• Retention
• Competency, knowledge & skills
• CHW presence during supervision
• CHWs selected/trained/training results/retained
• Supervisors trained & working
• Frequency of supervision visit to CHWs
• Health worker motivation
• Health workers trained in previous 12 months
  Sources -Community survey
-Project information system
-Project information system -Facility surveys
-Project information system
-Project information system -Facility surveys
Leadership & Governance Indicators • Perceptions of governance and leadership changes • Data utilization
• % of district management teams fully staffed
• Turnover of district and provincial management teams
• Data utilization
• Appropriate use of resources
Not measured • Evidence-based planning
• Level of corruption
  Sources -Process evaluation -Special study
-Project information system
-Special study
-Policy analysis
  -Facility surveys
Medical Products, Vaccines & Technologies Indicators • Continuous stocks of essential commodities (tracer medicines and equipment) • Continuous stocks of essential commodities (tracer medicines and equipment) • Continuous stocks of essential commodities (tracer medicines and equipment) • Continuous stocks of essential commodities (tracer medicines and equipment) • Continuous stocks of essential commodities (tracer medicines and equipment)
  Sources -Project information system
-Community survey
-Facility surveys
-Facility surveys -Facility surveys -CHW stock card review -Facility surveys
Health Financing Indicators • Total costs in intervention area
• Incremental project cost
• Total costs in intervention area
• Incremental project cost
• Total costs in intervention area
• Cost by source
• Incremental project cost
• Total costs in intervention area
• Incremental project cost
• Total costs in intervention area
• Incremental project cost
  Sources -Project information system -Ministry of Health reports
-Project information system
-Ministry of Health & local government reports
-Project information system
-Project information system -Facility surveys
  1. aFurther details on the following metrics are available as a web annex to the following publication(Bryce et al., [12]): Medical products, vaccines & technologies; CHW Community Health Worker, HMIS Health Management Information System, PHC Primary Health Care, IMCI Integrated Management of Childhood Illnesses