Definition: No. of minor surgery = 0 then not available, if No. of minor surgery > 0 then available
Numerator: No. of minor surgery
Denominator: 1
Result = Marks if available
HMC
Monthly
1
if available then Score = Marks, else 0
0.000
Availability of PNC
Definition: No. of PNC/PNC1/PNC2 for newborn/mother = 0 then not available, if No. PNC/PNC1/PNC2 for newborn/mother > 0 then available
Numerator: No. of PNC/PNC1/PNC2 for newborn/mother
Denominator: 1
Result = Marks if available
EmONC
Monthly
1
if available then Score = Marks, else 0
0.000
Availability of c-section
Definition: No. of c-section = 0 then not available, if No. of c-section > 0 then available
Numerator: No. of c-section
Denominator: 1
Result = Marks if available
EmONC
Monthly
1
if available then Score = Marks, else 0
0
Rate of initiation of breast feeding (within 1hr) at facility for newborn
Definition: No. of newborn initiated breastfeeding within 1 hour of birth
Numerator: No. of newborn initiated breastfeeding within 1 hour of birth
Denominator: No. of live birth in the facility
Result = Numerator/Denominator
EmONC
Monthly
0
Score = Result*Marks
0.000
Rate of mobile phone service provided in each month
Definition: The total number of service provided towards clients through emergency medical officer mobile phone
Numerator: Total number of service provieded in a month
Denominator: Expected number of service to be provided in a month
Result = Numerator/Denominator
Mobile Phone
Monthly
50
Score = Result*Marks
0.000
Total
0.000
Health Workforce- 6.4
, Per indicator mark- 1.6
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Functionality of the biometric attendance machine by staff
Definition: No. of days attendance given by any staff in a month
Numerator: No. of days attendance given
Denominator: No. of days in that month
Result = Numerator/Denominator
Biometric Attendance
Monthly
Score = Result*Marks
0.000
Presence of average no. of staffs
Definition: No. of average employee present per day in a month
Numerator: No. of average daily presence of staffs in a month
Denominator: No. of filled up post of in that month (Expected number of presence, e.g: 80% of filled up post)
Result = Numerator/Denominator
Biometric Attendance
Monthly
Score = Result*Marks
0.000
Completeness of HRM data (Facility)
Definition: Timely completion of total 7 predefined fields for all facilities in HRM (Latitude, Longitude, Ministry, Facility Agency, Facility Head Post, Reported total post, Reported filled post)
Numerator: Average no. of predefined data fields completed (for all facility)
Denominator: 7
Result = Numerator/Denominator
HRM
Monthly
7
7
Score = Result*Marks
1.600
Completeness of HRM data (Provider)
Definition: Timely completion of total 10 predefined fields for all staffs in HRM. (National ID, Contact no., Designation, Address, Freedom Fighter, Tribal, Qualification, Category, Professional Decipline, Date of Birth)
Numerator: Average no. of predefined data fields completed (for all staff)
Denominator: 10
Result = Numerator/Denominator
HRM
Monthly
0
Score = Result*Marks
0.000
Total
1.600
Health Information System- 6.4
, Per indicator mark- 1.6
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Timely submission of reporting forms
Definition: Timeliness of form submission will be checked. Forms submitted within 10th day of next month will be measured against expected number
Numerator: No. of forms submitted at the end of given time (within 15th days of next month)
Denominator: Total number of forms to be submitted
Result = Numerator/Denominator
DHIS2: Ontime reporting rate
Monthly
700
Score = Result*Marks
0.000
Percentage of reporting forms submitted
Definition: No. of forms submitted in the system in proportion to total number of forms to be submitted in the system
Numerator: No. of forms submitted at the end of given time. (within 30th days of next month)
Denominator: Total number of forms to be submitted
Result = Numerator/Denominator
DHIS2: Reporting rate
Monthly
700
Score = Result*Marks
0.000
Completeness of data fields of the reporting forms
Definition: No. of data fields completed for all dataset/Total no. of data fields in dataset
Numerator: No. of data fields completed for all dataset
Denominator: Total no. of data fields in datasets
Result = Numerator/Denominator
DHIS2: Report
Monthly
571
Score = Result*Marks
0.000
Percentage of inpatients diagnosed using ICD10 codes/ ICD-O codes
Definition: Percentage of inpatients diagnosed using ICD10 codes/ICD-O codes per month in the facility
Numerator: Number of inpatients diagnosed using ICD10 codes/ICD-O codes
Denominator: Total number of inpatients
Result = Numerator/Denominator
DHIS2: Event Capture
Monthly
1843
804
Score = Result*Marks
1.600
Total
1.600
Access to Essential Medicines/ Equipment, logistics/ Utilities/ Infrastructure- 6.37
, Per indicator mark- 0.91
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Proportion of functioning diathermy
Definition: Number of functioning diathermy will be measured against number of available diathermy machine
Numerator: No. of functioning diathermy machine
Denominator: No. of available diatherymy machine
Result = Numerator/Denominator
Major equipment
Monthly
Score = Result*Marks
0.000
Proportion of functioning of basic equipment: ECG
Definition: Number of functioning ECG machine will be measured against number of available ECG machine
Numerator: No. of functioning ECG machine
Denominator: No. of available ECG machine
Result = Numerator/Denominator
Major equipment
Monthly
Score = Result*Marks
0.000
Proportion of functioning of basic equipment: Sucker
Definition: Number of functioning Sucker machine will be measured against number of available Sucker machine
Numerator: No. of functioning Sucker machine
Denominator: No. of available Sucker machine
Result = Numerator/Denominator
Major equipment
Monthly
Score = Result*Marks
0.000
Proportion of functioning of basic equipment: X-ray
Definition: Number of functioning X-ray machine will be measured against number of available X-ray machine
Numerator: No. of functioning X-ray machine
Denominator: No. of available X-ray machine
Result = Numerator/Denominator
Major equipment
Monthly
Score = Result*Marks
0.000
Proportion of functioning ambulance
Definition: Number of functioning ambulance will be measured against number of available ambulance
Numerator: No. of functioning ambulance
Denominator: No. of available ambulance
Result = Numerator/Denominator
Major equipment
Monthly
Score = Result*Marks
0.000
Proportion of functional desktop computer
Definition: Number of functioning desktop computer will be measured against number of available desktop computer
Numerator: No. of functioning desktop computer
Denominator: No. of available desktop computer
Result = Numerator/Denominator
Major equipment
Monthly
Score = Result*Marks
0.000
Proportion of functioning laptop
Definition: Number of functioning laptop will be measured against number of available laptop
Numerator: No. of functioning laptop
Denominator: No. of available laptop
Result = Numerator/Denominator
Major equipment
Monthly
Score = Result*Marks
0.000
Total
0.000
Leadership/ Governance/ Management- 6.43
, Indicator mark - 3.215
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
No. of Hospital Management Committee (HMC)/ Hospital Coordination Meeting (HCM) held on a monthly basis
Definition: At least one HMC/HCM meeting needs to be held in each month
Numerator: No. of meeting held each month
Denominator: 1
Result = Numerator/Denominator
HMC
Monthly
1
Score = Marks if meeting done, else 0
0.000
No. of decisions taken in the HMC/HCM meeting
Definition: There is provision to make at least 3 decisions in every HMC/HCM meeting
Numerator: No. of decisions taken from HMC meeting
Denominator: 3
Result = Numerator/Denominator
HMC
Monthly
0
3
Score = Result*Marks
0.000
Total
0.000
Access- 12
, Indicator mark - 6
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Bed occupancy rate
Definition: Monthly bed occupancy rate in that facility
Numerator: Average number of beds occupaied rate
Denominator: 100
Result = Numerator/Denominator
Bed Statement
Monthly
100
Score = Result*Marks
0.000
Increase of OPD visits in catchment area
Definition: Increase of OPD visits for the facility than previous year
Numerator: No. of OPD visit in that month
Denominator: No. of avg OPD visit in last 12 month
Result = Numerator/Denominator
Daily OPD
Monthly
6721
8714.33
Score = Result*Marks
4.628
Total
4.628
Quality- 12
, Indicator mark - 3
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Increase of ANC rate
Definition: Monthly increase of ANC visits for the facility scored against last 12 months average
Numerator: No. of ANC service provided in the facility in that month
Denominator: Average no. of ANC services provided by the facility in last 12 month
Result = Numerator/Denominator
EmONC
Monthly
175.727
Score = Result*Marks
0.000
Very severe disease referral from IMCI
Definition: WHO recommendation is to refer 100% of child diagnosed with very severe disease to higher center
Numerator: No. of children refarral for very severe disease
Denominator: No. of children with very severe disease
Result = Numerator/Denominator
IMCI
Monthly
0
Score = Result*Marks
0.000
Use of SMS complain/suggestion system
Definition: Total no. of of SMS in a month
Numerator: No. of SMS in that month
Denominator: 5
Result = Numerator/Denominator
DGHS: Dashboard
Monthly
8
5
Result*Mark=Score
3.000
Total
3.000
Coverage -12
, Indicator mark- 4
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Percentage of Normal vaginal Delivery (NVD) rate than last year
Definition: As DLI indicator, percentage increase of NVD than previous year will be measure and scored against target of 5% increase than last year
Numerator: (No. of NVD this year - No. of NVD last year)*100
Denominator: No. of NVD last year
Result = Numerator/Denominator
EmONC
Yearly
Score = Result*Marks
Percentage of minor surgery
Definition: No. of Minor surgery in a month will be calculated for the facility and scored against expected number of minor surgeries for the facility type
Numerator: Total number of minor surgeries done in the facility in a month
Denominator: Average number of minor surgeries for that type of facility in the last 12 month
Result = Numerator/Denominator
HMC
Monthly
539.3
Score = Result*Marks
0.000
Total
0.000
Safety -12
, Indicator mark - 12
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Safe blood transfusion
Definition: No. of safe blood transfusion in month will be scored against expected number of safe blood transfusion for that specific type of facility
Numerator: No. of safe blood transfusion in a month
Denominator: Average number of Safe Blood Transfusion for that type of facility in the last 12 month
Result = Numerator/Denominator
EmONC
Monthly
4
Result*Mark= Score
0.000
Total
0.000
Onsite Monitoring -20
, Indicator mark - 20
Indicators
Definition
Dataset
Period
Numerator
Denominator
Score Calculation
Score
Trend
Site Monitoring
Definition: Numerator: Denominator: 44
Result = Numerator/Denominator