DHMT data etc Motivation agreement for DHMT Motivation agreements, Quarterly MOH Primary staff interviews of DHMT Health Care staff, District PBF Directorate, PPTA Steering committee members Ex-ante verification quantity of Health centre monthly Monthly PPTA verification – services at health centres: report, ; interviews of officers and DHMT health centre personnel comments on the quality of data, timeliness of submission of report, over reporting or fraudulent data, Which services are (or not) performing well and why etc Ex-ante verification quantity of Hospital monthly Monthly PPTA verification – services at hospitals report, interviews of officers, MOH hospital personnel Clinical Services comments on the quality of data, Directorate timeliness of submission of report, over reporting or fraudulent data Which services are (or not) performing well and why etc Ex-ante verification quality of DHMT health centres Quarterly DHMT and PPTA – services at health centres: supervision verification officers reports/quality Challenges noted in supportive checklist; interviews of supervision visits, have health centre personnel recommendations been addressed who were present – why or why not; during supervision appropriateness of the checklist visits Ex-ante verification quality of Peer review Quarterly Personnel from – services at hospitals mechanism/quality other hospitals, checklist, supervision MOH Clinical Challenges noted in supportive reports; interviews of Services supervision visits, have hospital personnel who Directorate, DHMT, recommendations been addressed were present during PPTA verification – why or why not; use of the supervision visits officers checklist Ex-post verification quantity Randomly selected Quarterly CBOs/NGOs – and quality of services at health clients from the health contracted by PPTA centres and hospitals: facility registers for client satisfaction Challenges, areas for surveys by phone improvement, success stories, interviews or home visits Independent health facility quality Health centre and In May each year MOH Quality of care assessments hospital quality Assurance Unit, checklists PPTA Review and validation of invoices Heath centre invoice; Monthly District PBF submitted by health centres interviews of health Steering Committee centre personnel, Variation in quantity and quality district PBG Steering of services among health centres committee, DHMT within and across districts and why
data etc DHMT Motivation agreement for DHMT staff Motivation agreements, interviews of DHMT staff, District PBF Steering committee members Quarterly MOH Primary Health Care Directorate, PPTA Ex-ante verification – quantity of services at health centres: comments on the quality of data, timeliness of submission of report, over reporting or fraudulent data, Which services are (or not) performing well and why etc Health centre monthly report, ; interviews of health centre personnel Monthly PPTA verification officers and DHMT Ex-ante verification – quantity of services at hospitals comments on the quality of data, timeliness of submission of report, over reporting or fraudulent data Which services are (or not) performing well and why etc Hospital monthly report, interviews of hospital personnel Monthly PPTA verification officers, MOH Clinical Services Directorate Ex-ante verification – quality of services at health centres: Challenges noted in supportive supervision visits, have recommendations been addressed – why or why not; appropriateness of the checklist DHMT health centres supervision reports/quality checklist; interviews of health centre personnel who were present during supervision visits Quarterly DHMT and PPTA verification officers Ex-ante verification – quality of services at hospitals Challenges noted in supportive supervision visits, have recommendations been addressed – why or why not; use of the checklist Peer review mechanism/quality checklist, supervision reports; interviews of hospital personnel who were present during supervision visits Quarterly Personnel from other hospitals, MOH Clinical Services Directorate, DHMT, PPTA verification officers Ex-post verification – quantity and quality of services at health centres and hospitals: Challenges, areas for improvement, success stories, Randomly selected clients from the health facility registers for client satisfaction surveys by phone interviews or home visits Quarterly CBOs/NGOs contracted by PPTA Independent health facility quality of care assessments Health centre and hospital quality checklists In May each year MOH Quality Assurance Unit, PPTA Review and validation of invoices submitted by health centres Variation in quantity and quality of services among health centres within and across districts and why Heath centre invoice; interviews of health centre personnel, district PBG Steering committee, DHMT Monthly District PBF Steering Committee
Project_Implementation_Manual.docx