PROGRAMME 5: CENTRAL/TERTIARY HOSPITALS TABLE AND 61: NATIONAL PERFORMANCE INDICATORS FOR TERTIARY HOSPITALS Indicator Short Purpose/ Source Method of Data Type of Calculation Reporting New Desired Indicator Title Definition Importance Calculation Limitations Indicator Type Cycle Indicator Performance Responsibility Caesarean Track the DHIS Numerator: Accuracy Output Percentage Quarterly No Higher Hospital Caesarean section performance dependant on percentage of section rate for Number of deliveries in of obstetric quality of data Caesarean Central / Caesarean hospitals care of the from reporting section Tertiary sections expressed as a central and indicates facility hospitals performed in percentage of tertiary higher central and all deliveries in hospitals burden of tertiary central and disease, hospitals tertiary and/or poorer hospitals quality of Denominator: antenatal Total number care. of deliveries in central and tertiary hospitals Recorded Monitoring DHIS Sum of: Accuracy Output Cumulative Quarterly No Higher levels Hospital Total completion of the service dependant on totals of uptake Services Separations in Inpatient treatment volumes quality of data may indicate Central/Tertiary deaths and/or the from reporting an increased Hospitals Inpatient accommodation facility burden of of a patient in disease, or district greater Inpatient hospitals. reliance on transfer Separations public health out include system Day inpatients who patient were discharged, transferred out to other (All above in hospitals or central and who died and tertiary includes Day hospitals) Patients. (in central and tertiary
PROGRAMME 5: CENTRAL/TERTIARY HOSPITALS TABLE AND 61: NATIONAL PERFORMANCE INDICATORS FOR TERTIARY HOSPITALS Indicator Title Short Definition Purpose/ Importance Source Method of Calculation Data Limitations Type of Indicator Calculation Type Reporting Cycle New Indicator Desired Performance Indicator Responsibility Caesarean section rate for Central / Tertiary hospitals Caesarean section deliveries in hospitals expressed as a percentage of all deliveries in central and tertiary hospitals Track the performance of obstetric care of the central and tertiary hospitals DHIS Numerator: Number of Caesarean sections performed in central and tertiary hospitals Denominator: Total number of deliveries in central and tertiary hospitals Accuracy dependant on quality of data from reporting facility Output Percentage Quarterly No Higher percentage of Caesarean section indicates higher burden of disease, and/or poorer quality of antenatal care. Hospital Total Separations in Central/Tertiary Hospitals Recorded completion of treatment and/or the accommodation of a patient in district hospitals. Separations include inpatients who were discharged, transferred out to other hospitals or who died and includes Day Patients. (in central and tertiary Monitoring the service volumes DHIS Sum of: Inpatient deaths Inpatient Inpatient transfer out Day patient (All above in central and tertiary hospitals) Accuracy dependant on quality of data from reporting facility Output Cumulative totals Quarterly No Higher levels of uptake may indicate an increased burden of disease, or greater reliance on public health system Hospital Services
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