Table 8. DHMT performance indicators (full details are in Annex 22): ASSESSED ACTIVITIES Maximum % score possible 1 100% of Health Centres have received at least one 35 17.5 comprehensive quality assessment applying the appropriate checklist and protocol, and providing adequate feedback per quarter 100% of all health centres have a quarterly renewable 2 20 10 contract with a business plan attached 3 100% of health centres have received one quarterly 15 7.5 visit for data verification jointly with PPTA DHMT prepares quarterly progress report 4 15 7.5 5 At least one Meeting at district headquarters with 20 10 Health staff during the past quarter Centres’ 6 At least one hour training on a specific topic, offered 10 5 immediately following the quarterly HC staff meetings Monthly HC HMIS report entered in the HMIS 7 20 10 database; report has a separate page with PBF indicators 8 DHMT activity planning well organized 5 2.5 9 Participation in the quarterly district PBF Steering 15 7.5 Committee Meetings 10 HCs have 100% of qualified staff as per minimum 20 10 criteria based on HC establishment list and assessed by actual presence Management of the District Pharmacy 11 20 10 12 Maintain regular communication with health facilities 5 2.5 Total points 200 100 Regular adjustment of the quality assessment methodology Quality has various dimensions, and the PBF checklists can only measure some dimensions. Lessons learned from other PBF projects point at the importance of regular typically once per – year - review of the quality checklists. New norms and guidelines can thus be incorporated as they become available. Feedback from the end users can inform the design. Over time the quality bar will be put progressively higher to motivate health staff to continue improving the quality of the services. Adjusting the quality bar can be done in various ways: by adjusting the points value of certain items; by revising the items; by increasing the requirements where a numerical value is used and by lifting the threshold bar before a quality bonus is offered (at present set at 50%). Lastly, it is possible to increase the weight factor for quality scores, which currently stands at 25%. Usage of PBF benefits
Table 8. DHMT performance indicators (full details are in Annex 22): ASSESSED ACTIVITIES Maximum score possible % 1 100% of Health Centres have received at least one comprehensive quality assessment applying the appropriate checklist and protocol, and providing adequate feedback per quarter 35 17.5 2 100% of all health centres have a quarterly renewable contract with a business plan attached 20 10 3 100% of health centres have received one quarterly visit for data verification jointly with PPTA 15 7.5 4 DHMT prepares quarterly progress report 15 7.5 5 At least one Meeting at district headquarters with Health Centres’ staff during the past quarter 20 10 6 At least one hour training on a specific topic, offered immediately following the quarterly HC staff meetings 10 5 7 Monthly HC HMIS report entered in the HMIS database; report has a separate page with PBF indicators 20 10 8 DHMT activity planning well organized 5 2.5 9 Participation in the quarterly district PBF Steering Committee Meetings 15 7.5 10 HCs have 100% of qualified staff as per minimum criteria based on HC establishment list and assessed by actual presence 20 10 11 Management of the District Pharmacy 20 10 12 Maintain regular communication with health facilities 5 2.5 Total points 200 100 Regular adjustment of the quality assessment methodology Quality has various dimensions, and the PBF checklists can only measure some dimensions. Lessons learned from other PBF projects point at the importance of regular – typically once per year - review of the quality checklists. New norms and guidelines can thus be incorporated as they become available. Feedback from the end users can inform the design. Over time the quality bar will be put progressively higher to motivate health staff to continue improving the quality of the services. Adjusting the quality bar can be done in various ways: by adjusting the points value of certain items; by revising the items; by increasing the requirements where a numerical value is used and by lifting the threshold bar before a quality bonus is offered (at present set at 50%). Lastly, it is possible to increase the weight factor for quality scores, which currently stands at 25%. Usage of PBF benefits
Project_Implementation_Manual.docx