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  • The Balanced Scorecard Report

    Final 2018

    Essential Package of Health Services 2018

  • i

  • i

    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

  • ii

    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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