the balanced scorecard report - royal tropical institute 2019-02-25¢  the balanced...

The Balanced Scorecard Report

Final 2018

Essential Package of Health Services 2018

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CONTENTS

CONTENTS ........................................................................................................................................................................ i

EXECUTIVE SUMMARY ............................................................................................................................................. iv

ABBREVIATIONS .......................................................................................................................................................... vi

DEFINITION OF COMMON TERMS USED IN BSC ........................................................................................ vii

HOW TO READ THE BSC EXPLAINED IN LAY LANGUAGE .................................................................... ix

BACKGROUND ............................................................................................................................................................... 1

METHODS ......................................................................................................................................................................... 4

Description of domains, instruments, scoring ........................................................................................................... 4

Assessment design and data collection ....................................................................................................................... 5

Data management and analysis .................................................................................................................................... 5

Ethical approval .............................................................................................................................................................. 6

NATIONAL RESULTS ................................................................................................................................................... 7

Domain A: Clients and Community ............................................................................................................................ 7

A-1: Client satisfaction and perception of quality index ..................................................................................... 7

A-2: Community involvement and participation .................................................................................................. 9

A-3: User Fees; Transparency and exemptions .................................................................................................... 9

Domain B: Human Resources...................................................................................................................................... 9

B-1: Staffing index ................................................................................................................................................... 10

B-2: Staff management ............................................................................................................................................ 11

B-3: Staff satisfaction .............................................................................................................................................. 11

B-4: Staff motivation ............................................................................................................................................... 12

B-5: Hospital training activities ............................................................................................................................. 12

B-6: Provider knowledge score .............................................................................................................................. 13

B-7: Gender equity, providers of care .................................................................................................................. 13

B-8: Salaries up-to-date ........................................................................................................................................... 13

Domain C: Physical Capacity ..................................................................................................................................... 14

C1: Communications and Transport .................................................................................................................... 15

C2: Infrastructure ..................................................................................................................................................... 16

C3: Supplies – Drug and Equipment .................................................................................................................... 17

C4: Service Availability ............................................................................................................................................ 18

Domain D: Quality of Service Provision.................................................................................................................. 23

D1: Enabling Environment ................................................................................................................................... 23

D2: Quality of Care ................................................................................................................................................. 25

Domain E: Management Systems .............................................................................................................................. 28

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E-1: Hospital Management Functionality ............................................................................................................ 28

E-2: Health Management Information System (HMIS) .................................................................................... 29

E-3: Equipment Management ............................................................................................................................... 30

E-4: Administrative and Financial Autonomy .................................................................................................... 30

E-5: Local Financial Management......................................................................................................................... 30

E-6: Security.............................................................................................................................................................. 31

Domain F: Functionality Indicators .......................................................................................................................... 31

Domain G: Ethics and Values.................................................................................................................................... 33

G-1: Gender Equity, Recipients of Care .............................................................................................................. 33

G-2: Compliance with MoPH Policies and Local Laws .................................................................................... 34

Recommendations at the National Level ................................................................................................................. 34

PROVINCIAL RESULTS .............................................................................................................................................. 36

Badakhshan ................................................................................................................................................................... 37

Badghis ........................................................................................................................................................................... 40

Baghlan ........................................................................................................................................................................... 43

Balkh ............................................................................................................................................................................... 46

Bamyan ........................................................................................................................................................................... 49

Daykundi ........................................................................................................................................................................ 52

Farah ............................................................................................................................................................................... 55

Faryab ............................................................................................................................................................................. 58

Ghazni ............................................................................................................................................................................ 61

Ghor ............................................................................................................................................................................... 64

Helmand ..........................................................................