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