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Table 1 Description of articles

From: Primary health Centres’ performance assessment measures in developing countries: review of the empirical literature

Sl No

Title

Authors

Publication

Country

Study type

Study population

Size of Population

Definition of Performance

Measures identified

Performance distinguished as centre(system)/personnel

Degree of description of measurement property

Quality of measurement property

1

Investing in Improved Performance of National Tuberculosis Programs Reduces the Tuberculosis Burden: Analysis of 22 High-Burden Countries

Akachi, Y., A. Zumla, and R. Atun [28]

The Journal of Infectious Diseases, 2012. 205: p. S284-S292

High TB burden countries

Quantitative

Developing Countries

Not Applicable

1. Secondary analysis of WHO, OECD data

2. Indicators of National Tubercular Program (NTP) and its effect on burden of disease

1. Tuberculosis Burden:

 a. Incidence

 b. Prevalence

 c. Mortality

2. Tuberculosis control program:

 a. Case detection rate

 b. Treatment success rate

 c. NTP expenditure

System (Country)

2

3

2

Performance of female volunteer community health workers in Dhaka urban slums

Alam, K., S. Tasneem, and E. Oliveras [29]

Social Science & Medicine, 2012. 75(3): p. 511–515.

Dhaka, Bangladesh

Mixed Method [Quantitative and Qualitative (Focus group discussion)]

Community Health Workers (CHW)

542 (50% of CHW) + 3

Active participation

1. Activities, tasks and services:

 a. Home visits

 b. Identifying pregnancies

 c. Bringing pregnant women to delivery centres

 d. Accompanying pregnant women to delivery and providing essential new born care

Personnel

2

1

3

Accessibility to tuberculosis treatment: assessment of health service performance.

Arakawa, T., et al. [30]

Rev Lat Am Enfermagem, 2011. 19(4): p. 994–1002

Ribeirao Preto, Sao Paulo State, Brazil

Quantitative

Persons with TB and undergoing treatment at referral services

100

Accessibility of services

1. Organization accessibility

2. Economic accessibility

3. Geographical accessibility

Centre

2

3

4

Problems measuring community health status at a local level: Papua New Guinea’s health information system.

Ashwell, H.E. and L. Barclay [31]

Rural Remote Health, 2010. 10(4): p. 1539.

Papua New Guinea’

Mixed Method[Qualitative (interviews)

Quantitative data from census]

Health persons rendering services at national, provincial and district health facilities

175 + 77

1. Community Health and Wellbeing

2. Community use of services

1. Community Health

 a. Physical health

 b. Social and Economic well being

 c. Healthy lifestyle

 d. Hygienic living environment

 e. Maternal and Child Health

2. Use of services

  a. Use of Antenatal, childbirth, immunization services

 b. Use of Environmentally induced diseases like malaria, pneumonia diarrhoea

Centre

1

2

5

Evaluation of maternal and child health services in El-Minia City, Egypt.

Awadalla, H.I., et al.

[32]

Journal of Public Health, 2009. 17(5): p. 321–329.

El-Minia City, Egypt

Quantitative

Female clients using health services at maternal and child health centres

400

1. Utilization

2. Client Satisfaction

1.Utilization of various components of Maternal &Child Health (MCH) services

 a. Abortion

 b. Under 5 year mortality

 c. Curative MCH services

 d. Antenatal care

 e. Delivery services

 f. Family planning services

 g. Preventive and curative MCH services

2.Satisfaction

 a. Waiting time

 b. Environment

 c. Doctor client interaction

 d. Nurse client interaction

 e. Economic feasibility

Centre

2

1

6

District health managers’ perceptions of supervision in Malawi and Tanzania.

Bradley, S., et al. [33]

Hum Resour Health, 2013. 11: p. 43.

Malawi and Tanzania

Qualitative

District health management team

57

1. Health indicators

2. Facility Provision

3. Individual Staff performance

4. Supervisory practices

1.Health indicators

 a. Number of Deliveries

 b. Maternal mortality Figs.

2. Facility Provision

 a. Availability of supplies

 b. Registers filled

 c. Cleanliness of wards

3. Individual Staff performance

 a. Punctuality

 b. Response time for on call staff

 c. Absenteeism

 d. Staff reporting to work at recommended time

4. Supervisory practices

Personnel

2

2*

7

A Rapid assessment methodology for the evaluation of primary care organization and performance in Brazil

Macinko, J., C. Almeida, and P.K. de Sá [34]

Health Policy and Planning, 2007. 22(3): p. 167–177.

Brazil

Quantitative

Client and provider

936

Assessment of primary care experiences

1.Accessibility of Facility and Services

2.Gate keeping/ First contact care

3.Longitudinality

4.Comprehensiveness

5.Coordination

6.Family focus

7.Community orientation

8.Provider characteristics

Centre

2

3

8

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of Sao Paulo

Ponce, M.A., et al. [35]

Rev Lat Am Enfermagem, 2011. 19(5): p. 1222–9

Sao Paul, Brazil

Quantitative

Patient Health professional Managers

108 + 37 + 15

Establishment of bonds (Patient experience Health professional experience Managers experience)

Bonding Identified by 11 items

Centre

2

3

9

Assessing the performance of primary health centres under decentralized government in Kerala, India

Varathrajan D, Thankappan R, Jayapalan S [36]

Health Policy and Planning, 2004.19(1)41–51

Kerala, India

Mixed Method [Qualitative (key informant/ client interviews)

Quantitative data from PHCs]

Primary Health Centre

10

Cost effectiveness

1. Infrastructure: Building structure, Toilet, Clean running water, Electricity, Communication, Wash basin, equipment and instruments, furniture, drugs and other supplies

2. Access: Size of building to patient load, home visits by PHC staff, facility hours, patient records waiting area, patient privacy, distribution/display of health education materials, display of community statistics

3. Costs: salary, investment, maintenance, patient care, building, furniture, equipment

4. Number of patient contacts served

5. Client experience: focus on illness, service received, access frequency, staff behaviour, diagnosis

6. Key informant experience: budget, cost, financial sources, PHC and local government characteristics and linkages

Centre

2

3

10

Gap analysis and the performance of primary health centres in the implementation of the school health programme of NRHM

Shreedevi D [37]

International journal of Research in Business Management, 2014.2(2)1–8

Andhra Pradesh, India

Quantitative

Primary Health Centre

159

Program delivery

Program Specific

1. Services

 a. Screening, Health care and Referral

 b. Immunization

 c. Micronutrient management

 d. De-worming

2. Promotion

3. Capacity building

4. Monitoring & Evaluation

5. Midday Meal

System(District)

2

3

11

Factors affecting the performance of maternal health care providers in Armenia

Fort AL, Voltero L [38]

Human Resources for Health 2004, p 2–8

Armenia

Mixed Method [Qualitative (personnel interviews) Quantitative data (skill items)]

Nurses and Midwifes

285

Completion of clinical and non-clinical tasks

Skill Items of

1. Prenatal care (42 items)

2. Post-natal care (3 items)

Personnel

2

3

12

Improving health worker performance: The patient-perspective from a PBF program in Rwanda

Lannes. L [39]

Social science and Medicine (2015). 138:1–11

Rwanda

Quantitative

Health workers of Primary level facilities

157

Patient satisfaction

1. Clinical services

 a. Privacy during examination

 b. Staff attitude

 c. Explanation

 d. Cost of drugs

 e. Cost of services

 f. Availability of drugs

 g. Overall satisfaction

2. Non-clinical services

 a. Waiting time

 b. Time with provider

 c. Cleanliness

Personnel

2

3

13

Assessment of the role of primary health care in tuberculosis control in Serbia

Stosic M, Lazarevic N, Kuruc V, Ristic L [40]

MedicinskiPregled (Novi Sad)

2015. 68(9–10):331–335

Serbia

Quantitative

Primary Health Centre

19

Organization of care

1. Availability and coverage of general practice and TB services

2. Health activities performed

3. Collaboration with health services

Compliance to health needs

Centre

2

3

14

Skilled Birth Attendants in Tanzania: A descriptive study of cadres and emergency obstetric care signal functions performed

Uneo E, Adegoke A. A, Masenga G, Fimbo J, Msuya S E [41]

Maternal and child health journal, 2015.19:155–169

Tanzania

Mixed Method[Quantitative(facility survey and task items) Qualitative(challenges in care delivery)]

Healthcare workers in Primary Health Centre

158

Knowledge and Skill of Emergency Obstetric Care signal functions

1. BEmOC signal functions

 a. Administers parenteral antibiotics

 b. Administers uterotonics drug

 c. Administers parenteral anti-convulsants

 d. Manually remove the placenta

 e. Remove retained products

 f. Perform assisted vaginal delivery

 g. Perform basic neonatal resuscitation

2. CEmOC signal functions

 a. Perform surgery

Perform blood transfusion

Personnel

2

3

15

Organization and delivery of primary healthcare services in Petropolis, Brazil

Macinko J, Almeida C, Oliveria ES, Sa P K [42]

International Journal of Health Planning and Management

Brazil

Mixed Method [Quantitative (facility survey) Qualitative(validated participant selection)]

Primary care facility and Family care centres

33 care facilities

Attributes of Primary care systems

1. Accessibility

2. First contact

3. Longitudinality

4. Comprehensiveness

5. Coordination

6. Family-focused

7. Community orientation

8. Provider characteristics

Centre

2

3

  1. *Qualitative article with sound theoretical framework derived from literature