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Sonargaon Upazila Health Complex , Rank : 108 , Period : February, 2024

Service Delivery Health Workforce HIS Logistics Leadership Access Quality Coverage Safety

Service Delivery 7.2

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
Availability of major surgery (excluding C-section) 0.28Definition: Availability of major surgery (excluding C-section)
Numerator: Number of major surgery (excluding C-section)
Denominator: 1
Result = Marks if available		HMCMonthly10
1
if available then Score = Marks, else 00.280
1.28Availability of minor surgery
Numerator: Number of minor surgery
Denominator: 1
Result = Marks if available		HMCMonthly340
1
if available then Score = Marks, else 01.280
1.28Definition: Availability of PNC
Numerator: Number of PNC services
Denominator: 1
Result = Marks if available		EmONCMonthly434
1
if available then Score = Marks, else 01.280
" style="position:fixed; top:0; 1Definition: NAvailability of C-section
Numerator: No. of C-section
Denominator: 1
Result = Marks if available		EmONCMonthly10
1
if available then Score = Marks, else 01
Rate of Initiation of breast feeding (within 1hr) at facility for newborn 1.28Definition: 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 births in the facility
Result = Numerator/Denominator		EmONCMonthly106106Score = Result*Marks1.280
Rate of mobile phone service provided in each month 1.28Definition: 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 PhoneMonthly19545Score = Result*Marks1.280
Availability of WASH indicators 0.8Definition: Timely completed of total 6 predefined fields for all facility in HRM. (WASH indicators: available of basic improved water supply, running water with soap and basin, wastage seg., ENV cleaning, separate toilet for Male & Female)
Numerator: Number of predefined fields completed Datasource: HRM (facility)
Denominator: 6
Result = Numerator/Denominator		HRMMonthly66Score = Result*Marks0.800
Total 7.200

Health Workforce 7.6  

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
Functionality of the biometric attendance machine by staff 1.6Definition: No. of days the biometric machine functional in a month
Numerator: No. of days machine funtional for attendance by staff
Denominator: No. of days in that month
Result = Numerator/Denominator		Biometric AttendanceMonthly2929Score = Result*Marks1.600
Presence of average no. of staffs 0Definition: No. of average employees 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 AttendanceMonthlyScore = Result*Marks0.000
Completeness of HRM data for facility 1Definition: Timely completed of total 7 predefined fields for all facility in HRM. (LAT, LON, 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		HRMMonthly77Score = Result*Marks1.000
Completeness of HRM data for provider 1.5Definition: Timely completion of total 8 predefined fields for all staffs in HRM (National ID, Contact no., Designation, Address, Freedom Fighter, Tribal, Category, Professional Decipline).
Numerator: Total predefined data fields completed (for all staff)
Denominator:Total Number of Employee * 8 predefined field
Result = Numerator/Denominator		HRMMonthly797888Score = Result*Marks1.494
No. of staff registered in the biometric system 1.55Definition: No. of staff registered in the biometric system in a month
Numerator: No. of registration of staffs in biometric system Datasource: Biometric
Denominator: Total number of filled up position Datasource: HRM (filled up, facility)
Result = Numerator/Denominator		Biometric AttendanceMonthlyScore = Result*Marks0.000
No. of staff provided attendence in the biometric system1.55Definition: No. of staff provided attendence per day in a month
Numerator:No. of attendence Datasource: Biometric system Defn: Total number of presence of staff in a month
Denominator: No. of registration of staffs in biometric system Datasource: Biometric Defn: Number of registration of staff*days of a month
Result = Numerator/Denominator		Biometric AttendanceMonthly00Score = Result*Marks0.000
Total 4.094

Health Information System 18.6  

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
Percentage of reporting forms submitted 2Definition: 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 day of next month)
Denominator: Total number of forms to be submitted
Result = Numerator/Denominator		DHIS2: Ontime reporting rateMonthly500700Score = Result*Marks1.429
Timely submission of reporting forms 3.1Definition: 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 10th day of next month)
Denominator: Total number of forms to be submitted
Result = Numerator/Denominator		DHIS2: Reporting rateMonthly500700Score = Result*Marks2.214
Completeness of data fields of the reporting forms 3.1Definition: No. of data fields completed for all forms/Total data fields in all forms
Numerator:No. of fields completed for all forms
Denominator: Total all data fields in all forms
Result = Numerator/Denominator		DHIS2: ReportMonthly571Score = Result*Marks0.000
Percentage of inpatients diagnosed using ICD10 codes/ ICD-O codes 7.4Definition: % 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 CaptureMonthly404403Score = Result*Marks7.400
No. of Medical Certification of Cause of Death reported 3Definition: Medical Certification of Cause of Death reported
Numerator: Number of death reported in MCCOD module Dataset: total count of MCCOD individual record
Denominator: Total number of death reported Dataset: OPD aggregated dataset
Result = Numerator/Denominator		Total count of MCCOD individual record & OPD aggregatedMonthly11Score = Result*Marks3.000
Total 14.043

Access to Essential Medicines/ Equipment, logistics/ Utilities/ Infrastructure 2.17

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
Proportion of Functioning Diathermy 0.31Definition: 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 equipmentMonthly11Score = Result*Marks0.310
Proportion of Functioning of basic equipment: ECG 0.31Definition: Number of functioning ECG machine will be measured against number of available ECG machine.
Numerator: No. of ECG machine functional
Denominator: Total No. of ECG machine available
Result = Numerator/Denominator		Major equipmentMonthly33Score = Result*Marks0.310
Proportion of Functioning of basic equipment: Sucker 0.31Definition: Number of functioning Sucker machine will be measured against number of available Sucker machine.
Numerator: No. of Sucker Machine functional
Denominator: Total No. of Sucker Machine available
Result = Numerator/Denominator		Major equipmentMonthly33Score = Result*Marks0.310
Proportion of Functioning of basic equipment: X-ray 0.31Definition: Number of functioning X-ray machine will be measured against number of available X-ray machine.
Numerator: No. of X-ray Machine functional
Denominator: Total No. of X-ray Machine available
Result = Numerator/Denominator		Major equipmentMonthly11Score = Result*Marks0.310
Proportion of Functioning Ambulance 0.31Definition: Number of functioning ambulance will be measured against number of available ambulance
Numerator: No. of ambulance functional
Denominator: Total No. of ambulance available
Result = Numerator/Denominator		Major equipmentMonthly11Score = Result*Marks0.310
Proportion of Functional Desktop Computer 0.31Definition: Number of functioning desktop will be measured against number of available Laptop
Numerator: No. of Functioning Desktop
Denominator: No. of available Desktop
Result = Numerator/Denominator		Major equipmentMonthly1313Score = Result*Marks0.310
Proportion of Functioning laptop 0.31Definition: 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 equipmentMonthly3737Score = Result*Marks0.310
Essential ICU equipment: vetinaltor 0Definition: Number of functioning ICU equip. will be measured against number of available ventinaltor
Numerator: No. of Functioning ventinaltor
Denominator: No. of available ventinaltor
Result = Numerator/Denominator		Major equipmentMonthlyScore = Result*Marks0.000
Essential ICU equipment: defibrilator 0Definition: Number of functioning ICU equip. will be measured against number of available defibrilator
Numerator: No. of Functioning defibrilator
Denominator: No. of available defibrilator
Result = Numerator/Denominator		Major equipmentMonthlyScore = Result*Marks0.000
Upgraded radiological equipments: CT scan 0Definition: Number of functioning ct scan will be measured against number of available ct scan
Numerator: No. of Functioning ct scan
Denominator: No. of available ct scan
Result = Numerator/Denominator		Major equipmentMonthlyScore = Result*Marks0.000
Upgraded radiological equipments: MRI 0Definition: Number of functioning MRI will be measured against number of available MRI
Numerator: No. of Functioning MRI
Denominator: No. of available MRI
Result = Numerator/Denominator		Major equipmentMonthlyScore = Result*Marks0.000
Upgraded radiological equipments: ultrasonogram0Definition: Number of functioning ultrasonogram will be measured against number of available ultrasonogram
Numerator: No. of Functioning ultrasonogram
Denominator: No. of available ultrasonogram
Result = Numerator/Denominator		Major equipmentMonthlyScore = Result*Marks0.000
Procedure equipment (endoscopy) 0Definition: Number of functioning Endoscopy will be measured against number of available Endoscopy
Numerator: No. of Functioning Endoscopy
Denominator: No. of available Endoscopy
Result = Numerator/Denominator		Major equipmentMonthlyScore = Result*Marks0.000
Total 2.170

Leadership/ Governance/ Management 3.43

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
No. of Hospital Management Committee (HMC)/ Hospital Coordination Meeting (HCC) Meetings held on a monthly basis1.71Definition: At least one Hospital Management Committee meeting needs to be held in each month
Numerator:
Denominator: 1
Result = Numerator/Denominator		HMCMonthly100
1
Score = Marks if meeting done, else 01.710
No of decisions taken in the HMC meeting1.72Definition:There is provision to make at least 3 decisions in every HMC meeting
Numerator:No. of decisions taken from HMC meeting
Denominator: 3
Result = Numerator/Denominator		HMCMonthly33Score = Result*Marks1.720
Total 3.430

Access 20.5

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
No. of emergency visit in catchment area 4Definition: No. of emergency patient services per bed in the health facility (Emg/BED) Emg/BED = Numerator/ Denominator Score distribution: IF 1. Emg/BED>= 40% of avg.(Emg/BED) then Score = 4 2. Emg/BED> 10-40% of avg.(Emg/BED) then Score = 3 3. Emg/BED>= 0-10% of avg.(Emg/BED) then Score = 2 4. Emg/BED< 0 to -10% of avg.(Emg/BED) then Score = 2 5. Emg/BED<= -10 to -40% of avg.(Emg/BED) then Score = 1 6. Emg/BED<= -40% of avg.(Emg/BED) then Score = 0
Numerator: No. of emergency patient in a month Datasource: Health Bulletin (Hospital Statistics: Admission)
Denominator: Approved bed*days in the month Datasource: Health Bulletin (Basic information: Bed #)
Result = Numerator/Denominator		LHBMonthly35531450 3.000
No. of inpatient in the catchment area 4Definition: No. of inpatient services per bed in the health facility (IP/BED) IP/BED = Numerator/ Denominator Score distribution: IF 1. IP/BED>= 40% of avg.(IP/BED) then Score = 4 2. IP/BED> 10-40% of avg.(IP/BED) then Score = 3 3. IP/BED>= 0-10% of avg.(IP/BED) then Score = 2 4. IP/BED< 0 to -10% of avg.(IP/BED) then Score = 2 5. IP/BED<= -10 to -40% of avg.(IP/BED) then Score = 1 6. IP/BED<= -40% of avg.(IP/BED) then Score = 0
Numerator: No. of patient in a month*length of stay Datasource: Health Bulletin (Hospital Statistics: Admission
Denominator: Approved bed*days in the month Datasource: Health Bulletin (Basic information: Bed #)
Result = Numerator/Denominator		LHBMonthly8061450 1.000
No. X-ray services reported 1.5Definition: No. X-ray services reported
Numerator:No. of X-ray services in the month
Denominator: Average no. of X-ray conducted within district in the month.
Result = Numerator/Denominator		LHBMonthly15110Score = Result*Marks0.205
No. ECG services reported 1.5Definition: No. ECG services reported
Numerator: No. of ECG services in the month
Denominator: Average no. of ECG conducted within district in the month.
Result = Numerator/Denominator		LHBMonthly2176.75Score = Result*Marks0.410
No. Ultrasonogram services reported1.5Definition: No. Ultrasonogram services reported
Numerator: No. of Ultrasonogram services in the month
Denominator: Average no. of Ultrasonogram conducted within district in the month.
Result = Numerator/Denominator		LHBMonthly179219.25Score = Result*Marks1.225
No. CT scan services reported 0Definition: No. CT scan services reported
Numerator:
Denominator:
Result = Numerator/Denominator		LHBMonthly00Score = Result*Marks0.000
No. MRI services reported 0Definition: No. MRI services reported
Numerator:
Denominator:
Result = Numerator/Denominator		LHBMonthly00Score = Result*Marks0.000
Bed Occupancy Rate 4Definition:Monthly bed occupancy rate in that facility
Numerator:Bed Occupancy rate
Denominator: 100
Result = Numerator/Denominator		Bed StatementMonthly104.48100Score = Result*Marks4.000
No. of OPD visits in catchment area 4Definition: No. of outpatient visits per bed in the health facility (OPD/BED) OPD/BED = Numerator/ Denominator Score distribution: IF 1. OPD/BED>= 40% of avg.(OPD/BED) then Score = 4 2. OPD/BED>= 10-40% of avg.(OPD/BED) then Score = 3 3. OPD/BED< 10% of avg.(OPD/BED) then Score = 2 4. OPD/BED> -10% of avg.(OPD/BED) then Score = 2 5. OPD/BED <= -10% to -40% of avg.(OPD/BED) then Score = 1 6. OPD/BED < -40% of avg.(OPD/BED) then Score = 0
Numerator: No. of OPD visits in a month Data source: Health Bulletin (Hospital Statistics: Admission)
Denominator: Approved bed*days in the month Data source: Health Bulletin (Basic information: Bed #)
Result = Numerator/Denominator		Daily OPDMonthly169361450 2.000
Total 11.840

Quality 12

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
ANC-1 rate 2Definition: Increase of ANC-1 visits for the facility than previous year
Numerator: No. of ANC-1 service provided in the facility in that month
Denominator: Average no. of ANC-1 services provided by the facility in the last 12 month
Result = Numerator/Denominator		EmONCMonthly312247.5Score = Result*Marks2.000
ANC-4 rate 2Definition: Increase of ANC-4 visits for the facility than previous year
Numerator: No. of ANC-4 service provided in the facility in that month
Denominator: Average no. of ANC-1 services provided by the facility in the last 12 month
Result = Numerator/Denominator		EmONCMonthly147138.583Score = Result*Marks2.000
Active management of 3rd stage of labor 3Definition: Increase active management of 3rd stage of labor in the health facility
Numerator: No. of normal deliveries with AMTSL at facility level
Denominator: Total number of NVD
Result = Numerator/Denominator		EmONCMonthly9696Score = Result*Marks3.000
Newborn received 7.1% Chlorhexidine in the umbilical cord 3Definition: Increase number of newborn who received 7.1% Chlorhexidine in their umbilical cord
Numerator: No. of newborn received 7.1% Chlorhexidine in the umbilical cord Data source: Local HB
Denominator: No. of live births (LB) Data source: Local HB
Result = Numerator/Denominator		LHBMonthly106106Score = Result*Marks3.000
Very severe disease referral from IMCI 0Definition: WHO recommendation is to refer 100% of child diagnosed with very severe disease to higher center
Numerator: No. of child referred (very severe disease) from IMCI unit
Denominator: No. of children diagnosed very severe disease in IMCI unit
Result = Numerator/Denominator		IMCIMonthlyScore = Result*Marks0.000
Case Fatality Rate (Maternal death) (Institutional Maternal Mortality Ratio) 1Definition:Institutional maternal mortality ratio (per 100000 live birth) will be checked
Numerator: No. of maternal death at facility*100000/No. of deliveries at facility
Denominator: District/Division average for facility in last 12 months (per 100000 live birth)
Result = Numerator/Denominator		Monthly0.000.00Score = Result*Marks0.000
Use of SMS complain/suggestion system 1Definition: The total number of SMS in a month
Numerator: No. of SMS in that month
Denominator: 5
Result = Numerator/Denominator		DGHS: DashboardMonthly35Result*Mark=Score0.600
Total 10.600

Coverage 12

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
% of Normal vaginal Delivery (NVD) rate than last year 4Definition: No. of NVD conducted in the health facility SCORE distribution: NVD/BED = Numerator/ Denominator SCORE: IF 1. NVD/BED>=40% of avg.(NVD/BED) then 4 2. NVD/BED>10-40% of avg.(NVD/BED) then 3 3. NVD/BED>=0-10% of avg.(NVD/BED) then 2 4. NVD/BED< 0 to -10% of avg.(NVD/BED) then 2 5. NVD/BED<= -10 to -40% of avg.(NVD/BED) then 1 6. NVD/BED<= -40% of avg.(NVD/BED) then 0
Numerator: No. of NVD conducted in a month Datasource: Health Bulletin (Hospital Statistics: Admission)
Denominator: Approved bed*days in the month Datasource: Health Bulletin (Basic information: Bed #)
Result = Numerator/Denominator		EmONCYearly961450  2
C-section rate 4Definition: No. of C section will be scored against average number of C-section over the country/division.
Numerator: No. C-section delivery Data source: EmONC dataset (data element no. 6.4)
Denominator: Average no. of C-section within district (division is applicable for district hospital)
Result = Numerator/Denominator		EmONCMonthly108.6568 4.000
% of Minor Surgery 4Definition: No. of Minor surgery in a month will be calculated for the facility and scored against expected number of major surgeries for the facility type. Calculate in terms number of beds
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		HMCMonthly340338.5Score = Result*Marks4.000
% of Major Surgery Note: for mental health institute separate indicator will be initiated 0Definition: No. of Major surgery in a month will be calculated for the facility and scored against expected number of major surgeries for the facility type. Calculate in terms number of beds
Numerator: Total number of major 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		HMCMonthlyScore = Result*Marks0.000
Total 10.000

Safety 2.5

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
Safe Blood Transfusion 2.5Definition: 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		EmONCMonthly44Result*Mark= Score2.500
Total 2.500

Onsite Monitoring 14

Indicators Definition Dataset Period Numerator Denominator Score Calculation Score Trend
Onsite monitoring conducted 10Definition: Monthly onsite monitoring visit completed (Qualitative questionnaire)
Numerator: Total number of responses in the onsite monitoring tool
Denominator: Total number of indicators in the onsite monitoring tool Note: Based on the responses, score will generate.
Result = Numerator/Denominator		Site monitoringMonthly3944Result*Mark= Score8.9
Performance Bonus 4Definition: Performance bonus from previous work history
Numerator: Score in this month
Denominator: Average Score of last 12 month
Result = Numerator/Denominator		Perfomance BonusMonthly1.0
Total 9.9