OPD Number of Tracks the DHIS Numerator: Accuracy of Output Percentage Quarterly Yes Higher levels Programme General General OPD utilisation of OPD headcount of uptake Manager clinic new clinic new cases Hospitals General depends on may indicate case not (seeking medical by patients clinic the reliability an increased referred attention for a to access headcount of district burden of condition for the PHC case not hospital disease, or rate” first time) that services, referred. record greater report to the which in management reliance on General OPD fact should at facility public health department be level system Denominator without being accessed at = OPD referred from a PHC General PHC facility or services. clinic doctor during the This could headcount reporting period in also points new all Hospitals to the (district, regional, needs for Sum of : tertiary and PHC central) as a services or OPD percentage of the gaps in General OPD General PHC clinic headcount new service visits total. delivery Patients with case General OPD referred follow-up visits, OPD visiting specialised General OPD clinics and clinic Emergency patients are not -new counted in case not denominator, referred because this is not regarded as PHC level of care.
OPD General clinic new case not referred rate” Number of General OPD clinic new cases (seeking medical attention for a condition for the first time) that report to the General OPD department without being referred from a PHC facility or doctor during the reporting period in all Hospitals (district, regional, tertiary and central) as a percentage of the OPD General headcount new visits total. Patients with General OPD follow-up visits, visiting specialised OPD clinics and Emergency patients are not counted in denominator, because this is not regarded as PHC level of care. Tracks the utilisation of Hospitals by patients to access PHC services, which in fact should be accessed at PHC services. This could also points to the needs for PHC services or gaps in PHC service delivery DHIS Numerator: OPD General clinic headcount case not referred. Denominator = OPD General clinic headcount new Sum of : OPD General clinic case referred OPD General clinic -new case not referred Accuracy of headcount depends on the reliability of district hospital record management at facility level Output Percentage Quarterly Yes Higher levels of uptake may indicate an increased burden of disease, or greater reliance on public health system Programme Manager
Final%20master%20Health%20Vote%207-%202011-12-13-14%20APPapproved%20by%20Legislature%20on%2028%20June%202011%20.docx