Vital Signs Profile

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Indicator descriptions

Financing

PHC spending per capita
$ 23
Per capita
Prioritization of PHC:
Overall health spending
68% on PHC
Government health spending
56% on PHC
Sources of PHC spending
14 % Government
86 % Other
Health Financing Improvement Strategies

Capacity

Governance
Test Source Nov 2019
4
Inputs
1
Population Health & Facility Management
2
Topic without any Data
not currently available

Performance

Access Index
DHS STATcompiler (2016 survey)
0
50
100
46
Quality Index
SPA (2015 survey)
0
50
100
53
Service Coverage Index
2017 UHC Global Monitoring Report
0
50
100
51

Equity

Access: % with perceived barriers due to cost, by wealth quintile
DHS STATcompiler (2016 survey)
0
100
30Highest
71Lowest
Coverage of RMNCH services, by mother's education
Health Equity Monitor (2014 data)
0
100
62None
70Secondary +
Outcomes: Under-five mortality, by residence
DHS Report (2016)
0
100
34Urban
44Rural

Core Indicators

These 38 indicators assess different aspects of how a country's primary health care (PHC) system is performing across five categories - overall systemic factors, inputs, service delivery, outputs, and outcomes.

System

Is primary health care prioritized in your health system?

Inputs

Does your system offer sufficient facilities, health care professionals, and supplies?

Service Delivery

Are services accessible and effectively organized, managed, and coordinated to deliver high quality care?

Outputs

Does your system provide the essential services you need throughout each phase of life?

Outcomes

Does your system efficiently deliver better outcomes and greater equity?

Contextual

Capacity

Governance
not currently available

Governance and Leadership

not currently available
Measure 2: Primary health care policies (2/2)
not currently available
Measure 3: Quality management infrastructure
not currently available
Measure 4: Social accountability (1/2)
not currently available
Measure 5: Social accountability (2/2)
not currently available

Adjustment to Population Health Needs

Measure 6: Surveillance
not currently available
Measure 7: Priority setting
not currently available
Measure 8: Innovation and learning
not currently available
Inputs
not currently available

Drugs and Supplies

Measure 9: Stock-out of essential medicines
not currently available
Measure 10: Basic equipment availability
not currently available
Measure 11: Diagnostic supplies
not currently available

Facility Infrastructure

Measure 12: Facility density
not currently available
Measure 13: Facility amenities
not currently available
Measure 14: Standard safety precautions and equipment
not currently available

Information Systems

Measure 15: Civil Registration and Vital Statistics
not currently available
Measure 16: Health Management Information Systems
not currently available
Measure 17: Personal care records
not currently available

Workforce

Measure 18: Density and distribution
not currently available
Measure 19: Training
not currently available
Measure 20: Community health workers
not currently available

Funds

Measure 21: Facility budgets
not currently available
Measure 22: Financial Management Information System
not currently available
Measure 23: Salary payment
not currently available
Population Health and Facility Management
not currently available

Population Health Management

Measure 24: Local priority setting
not currently available
Measure 25: Community engagement
not currently available
Measure 26: Empanelment
not currently available
Measure 27: Proactive population outreach
not currently available

Facility Organization and Management

Measure 28: Team-based care organization
not currently available
Measure 29: Facility management capability and leadership
not currently available
Measure 30: Information system use
not currently available
Measure 31: Performance measurement and management (1/2)
not currently available
Measure 32: Performance measurement and management (2/2)
not currently available

Performance

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Access Index
DHS STATcompiler (2016 survey)
0
50
100
46

Financial

Perceived access barriers due to treatment costs
DHS STATcompiler
0
50
100
55%

Geographic

Perceived access barriers due to distance
DHS STATcompiler 2016
0
50
100
53%
Quality Index
SPA (2015 survey)
0
50
100
53

Comprehensiveness

Average availability of services for 3 tracer communicable diseases
SPA
0
50
100
79%
Average availability of diagnosis & management for 3 tracer NCDs
SPA
0
50
100
62%
Average availability of RMNCH services
SPA
0
50
100
80%

Continuity

Treatment success rate for new TB cases
WHO TB Programme 2015
0
50
100
92%
DTP3 dropout rate
SPA
0
50
100
5%

Person-Centeredness

Percentage of caregivers who were told sick child’s diagnosis
SPA
0
50
100
33%

Provider availability

Percentage of family planning, ANC, and sick child visits over 10 mins
SPA
0
50
100
42%

Provider Competence

Adherence to clinical guidelines
not currently available
Diagnostic accuracy
No recent indicator available from international or national data sources
Family planning quality score
SPA
0
50
100
26%
Antenatal care quality score
SPA
0
50
100
41%
Sick child quality score
SPA
0
50
100
28%

Safety

Adequate infection control
SPA
0
50
100
35%
Adequate waste disposal
SPA
0
50
100
54%
Service Coverage Index
2017 UHC Global Monitoring Report
0
50
100
51

Reproductive, Maternal, Newborn and Child Health

Demand for family planning satisfied with modern methods
2017 UHC Global Monitoring Report
0
50
100
65%
Coverage of DTP3 immunization
2017 UHC Global Monitoring Report
0
50
100
91%
Antenatal care coverage (4+ visits)
2017 UHC Global Monitoring Report
0
50
100
60%
Care-seeking for suspected child pneumonia
2017 UHC Global Monitoring Report
0
50
100
50%

Infectious diseases

Tuberculosis cases detected and treated
2017 UHC Global Monitoring Report
0
50
100
69%
Use of insecticide-treated nets (ITN) for malaria prevention
2017 UHC Global Monitoring Report
Indicator not applicable
People living with HIV receiving anti-retroviral treatment
2017 UHC Global Monitoring Report
0
50
100
36%
Children under 5 with diarrhea receiving ORS
DHS STATcompiler 2016
0
50
100
37%

Non-Communicable Diseases (NCDs)

Percentage of population with normal blood pressure (age standardized and rescaled)
2017 UHC Global Monitoring Report
0
50
100
70%

Notes

The PHC Vital Signs indicators rely on third party data. To learn more about our data click here, or e-mail us at info@improvingphc.org to provide feedback. Visit the Indicator Library for detailed descriptions of the rationale, construction, and limitations of indicators.

References