Health Sector Performance Indicators Lecture PDF

Health sector performance Indicators MWEEMBA BOYD Msc. Epidemiology and biostatistics, M&E Specialist 1 LEARNING OUTCOMES Define and formulate Indicators  Classify indicators and highlight the logical relationship between types of indi...

Health sector performance Indicators MWEEMBA BOYD Msc. Epidemiology and biostatistics, M&E Specialist 1 LEARNING OUTCOMES Define and formulate Indicators  Classify indicators and highlight the logical relationship between types of indicators.  Discuss indicators that inform different national and international reports. 2  Indicators - a definition  Variables that help to measure changes, directly or indirectly (WHO, 1981)  Indirect measure of an event or condition (Wilson, 1993)  Variables that indicate or show a given situation & thus can be used to measure change (Green, 1992) 3  An Ideal Indicator RAVES RELIABLE  Give the same result if used by different people APPROPRIATE  Best way of measuring what we want to know VALID  Measures what you want to measure EASY  How feasible is it to collect the data to use this indicator SENSITIVE & SPECIFIC  Reflects changes in events being measured 4  Indicators - Measures of Coverage & Quality Events / counts once processed help measure change:  Used to monitor stated objectives  Monitor progress towards defined targets  Describe situations  Measure trends (changes) over time  Provide a measurement whereby institutions / teams can compare themselves to others 5 The Information Filter Impact International Outcome National Output Province Process District Input Community 6  Indicators - A Systems Classification INPUT/PROCESS Examples (Input/Process indicators):  Monitors activities that are carried out Utilisation rate  Monitors affordability of resources Staff to population ratios  Measures availability of resources Workload indicators  Measures accessibility of services – coverage & quality Examples (Output indicators): Immunisation coverage rate OUTPUT Woman year protection rate  Monitors results of activities Antenatal coverage rate  Measures acceptability - use, change, performance, coverage & quality Examples (Outcome indicators): OUTCOME Hypertension incidence rates  Monitors changes in health status of populations Malaria case fatality rate  Measures appropriateness - effectiveness, efficiency, sustainability TB cure rate IMPACT Examples (Impact indicators):  Measure the extent to which the goal has been achieved Maternal mortality rate (usually long term) Child mortality rate 7 HIV sero-prevalence rate  Zambia Health Sector Goals, Objectives, Indicators When monitoring the performance of the health sector there is a range of different goals, objectives and indicators consisting of, amongst others:  Sustainable Development Goals  8th National Development Plan (NDP) 2017-2022- Zambia with the Performance Assessment Framework (PAF) a subset.  4th National Health Strategic Plan (NHSP) 2006-2011- Health Sector.  MoH Strategic Plan - Ministry of Health.  Program strategic and operational plans.  Provincial and district strategic and operational plans. 8  Millennium Development Goals Goal 1 Eradicate extreme hunger and poverty Goal 2 Achieve universal Primary Education Goal 3 Promote gender equality and empower women Goal 4 Reduce childhood mortality Goal 5 Improve Maternal health Goal 6 Combat HIV/AIDS, malaria and other diseases Goal 7 Ensure environmental stability Goal 8 Develop a global partnership for development 9  Sustainable Development Goals List down the sustainable development goal in an ascending order 10  NDP Indicators Program Input Output Outcome Impact Child Health % facilities with % Children fully functioning cold immunised