National Indicators for Routine Monitoring of Coverage and Quality of Health Services and Management Performance 

  S. No     Indicator Name                        Numerator Constant  X     (Multiplier) Used for Monitoring
                       Denominator 
1 Percentage of pregnant women starting antenatal care during the first  trimester Number of pregnant women starting antenatal   care during their first trimester        100 Service coverage and quality
Number of expected pregnant women in the catchment area
2 Average number of antenatal visits Total antenatal visits         N/A Continuity and quality of services
Total number of new antenatal attendees
3 Percentage of pregnant women received adequate TT 2 doses Number of pregnant women received adequate TT doses         100 Service coverage
Number of expected pregnant women in the catchment area
4 Percentage of pregnant women received iron supplementation Number of pregnant women who received iron supplementation at least 120 tablets         100 Coverage

Quality of care

 
Number of expected pregnant women in the catchment area
5 Percentage of pregnant women received sulphadoxine pyrimethamine (SP) Number of pregnant women who received 2 doses of SP during pregnancy         100 Coverage

Quality of care
Number of expected pregnant women in the catchment area
6 Percentage of deliveries attended by trained health personnel Number of deliveries attended by trained health personnel          100 Service coverage
Number of expected deliveries in the catchment area
7 Percentage of deliveries attended by trained traditional birth attendants

(TBAs)

 Number of deliveries attended by trained TBAs          100 Service coverage
Number of expected deliveries in the catchment area
8 Percentage of women with obstetric complications treated in obstetric care facility Number of women with obstetric complications treated at obstetric care facility           100 Service coverage and quality
Number of women expected to experience obstetric complications in the catchment area
9 Caesarian section rate Number of caesarian sections           100 Service coverage
Number of expected deliveries in the catchment area
10 Percentage of women attending first postnatal care within two weeks of delivery Number of women attending first postnatal care within 2 weeks of delivery           100 Service coverage and quality
Number of expected deliveries in the catchment area
11 Percentage of postnatal women who have received Vitamin A supplementation within two weeks of delivery Number of postnatal women who have received Vitamin A within two weeks of delivery           100 Coverage

Quality of care
Number of expected deliveries in the catchment area
12 Percentage of women of child bearing age (WCBA) using modern family planning methods (CPR) Number of women using modern family planning methods            100 Service coverage
Total number of women of child bearing age (15 - 49 years) in the catchment area
13 Percentage of new family planning acceptors Number of new family planning acceptors of child bearing age women            100 Service coverage
Total number of women of child bearing age
14 Percentage of fully immunised under 1 children Number of fully immunised under 1 children            100 Service coverage
Total number of under 1 children in the catchment area
15 Percentage of expected doses of vitamin A given to under 5 children Number of vitamin A doses given to under 5 children            100 Coverage

Quality of care
Population of children under 5 in the catchment area X 2 doses
16 Percentage of under-weights in the under 5 attending clinic Number of under-weight in under-fives attending clinic            100
  • Nutrition status
  • Effectiveness of the program
Total number of children attending under-five clinic
17 OPD utilisation rate Number of OPD attendance            100
  • Case load
  • OPD utilisation
Total catchment population
18 Reported new cases of acute flaccid paralysis (AFP) Number of new AFP cases            100,000
  • Sensitivity of surveillance
  • Effectiveness of programme
Under-15 years old population in the catchment area
19 Reported new cases of acute flaccid paralysis (AFP) Number of new leprosy cases              1000 Effectiveness of programme
Catchment area population
20 Reported new cases of neonatal tetanus  Number of new neonatal tetanus cases              1000 Effectiveness of programme
Total number of live births
21 Reported new cases of measles in under 5 population Number of new measles cases               1000 Effectiveness of programme
Catchment area under- five population
22 Reported new cases of sexually transmitted infections (STI) Number of new STI cases              1000 Effectiveness of programme
Catchment area population
23 Reported new cases of HIV Number of new confirmed HIV positive cases              10,000 Trend of disease
Total population in the catchment area 
24 Volunteer counselling and confidential testing (VCCT) for HIV Number of new volunteer counselling and confidential tests               1,000 Coverage/Effectiveness of Programme
Total population in the catchment area
25 Reported new cases of clinical malaria Number of new clinical malaria cases               1,000 Effectiveness of programme
Total population in the catchment area
26 Reported new cases of diarrhoea in under 5 population Number of new under-five diarrhoea cases                1,000 Effectiveness of programme
Catchment area under- five population 
27 Reported new cases of pneumonia in under 5 population Number of new under-five pneumonia cases                1,000 Effectiveness of programme
Catchment area under-five population
28 TB cases detection rate Number of TB cases diagnosed                 1,000
  • Effectiveness of case detection mechanism,
  • Resource allocation
total population in the catchment area
29 TB cure rate Number of new sputum positive cases who are proved smear negative at the end of treatment                 100
  • Effectiveness of treatment,
  • Quality of care
Total number of new sputum positive TB patients in same cohort
30 Bed occupancy rate Number of inpatient days                100 Resource allocation
Number of bed capacity days
31 Bed turnover rate Number of admissions during the period                N/A Resource allocation
Bed capacity
32 Average length of stay Number of inpatient days during the period                N/A Resource allocation
Number of admissions 
33 Inpatient death rate of malaria Number of inpatient deaths from malaria               1,000 Quality of care
Number of malaria admissions
34 Inpatient death rate of diarrhoea Number of inpatient deaths from diarrhoea               1,000 Quality of care
Number of diarrhoea admissions
35 Inpatient death rate of pneumonia Number of inpatient deaths from pneumonia               1,000 Quality of care
Number of pneumonia admissions
36 Inpatient death rate of malnutrition Number of inpatient deaths from malnutrition               1,000 Quality of care
Number of malnutrition admissions
37 Inpatient death rate of TB Number of inpatient deaths from TB               1,000 Quality of care
Number of TB admissions
38 Direct obstetric death rate in the facility Number of direct obstetric deaths in the facility               1,000 Quality of care
Number of emergency obstetric complications in the same facility
39 Inpatient death rate of all causes Total number of inpatient deaths               1,000 Quality of care
Total number of admissions from all causes
40 Availability of vital drugs Sum of days when each vital drug was available                 100
  • Supply quality
  • Service availability
Days in the period x number of all vital drugs
41 Availability of vaccines Sum of days when each vaccine was available                  100
  • Supply quality
  • Service availability

 
Days in the period x all vaccines
42 Availability of essential medical supplies Sum of days when each medical supply item was available                  100
  • Supply quality
  • Service availability

 
Days in the period x number of all selected medical supplies
43 Availability of categories of food stuff Sum of days during the period when each category of food stuff was available                   100 Supply quality
Days in the period x number of all selected categories of food stuff
44 Percentage of households with access to safe drinking water Number of households with safe drinking water                   100 Water supply coverage
Total number of households in the catchment area
45 Percentage of households with san plat latrines Number of households with san plat latrines                   100 Coverage
Total number of households in the catchment area
46 Percentage of availability of vehicles for programme activities Sum of the vehicle days available for programme activities                   100 Appropriate use of vehicles
Total available vehicle days
47 Percentage of positions of doctors filled Number of doctors in post                   100

  • Lobbying

          deployment

  • Quality of care

  • Workload
Number of established posts for doctors 
48 Percentage of positions of nurses filled Number of nurses in post                   100

  • Lobbying

          deployment

  • Quality of care

  • Workload
Number of established posts for nurses
49 Percentage of positions of nurses filled Number of clinical officers in post                100

  • Lobbying

          deployment

  • Quality of care

  • Workload
Number of established posts for clinical officers
50 Percentage of positions of medical assistants filled Number of medical assistants in post                100

  • Lobbying

          deployment

  • Quality of care

  • Workload
Number of established posts for medical assistants
51 Percentage of positions of health assistants filled Number of health assistants in post                100

  • Lobbying

          deployment

  • Quality of care

  • Workload
Number of established posts for health assistants
52 Percentage of positions of health surveillance assistants (HSAs) filled Number of HSAs in post                100

  • Lobbying

          deployment

  • Quality of care

  • Workload
Number of established posts for HSAs
53 Percentage of other recurrent transactions (ORT) budget received Cumulative ORT allocation received up to date                100 Timeliness and adequacy of budget release
Total ORT budget for the year
54 Percentage of budget spent in each sub-programme Cumulative actual expenditure per sub-programme                100 Financial input to each sub-programme
Annual budget per sub-programme
55 Percentage of income from cost sharing Total income from cost sharing                100 Mobilization of local resources
Total income from all sources
56 Percentage of drug and medical supplies expenditure spent at health centres Expenditure on drugs and medical supplies spent at health centres                100 Expenditure balancing between hospitals and 

Health Centres Services
Total expenditure on drugs and medical supplies during the period
57 Percentage of cumulative drug expenditure to date Cumulative drug expenditure to date                100
  • Timeliness of supply
  • Adequacy
Cumulative drug budget
58 Percentage of health centres with functioning communication equipment Number of health centres with functioning communication equipment                100 Communication coverage
Total number of health centres
59 Percentage of health centres with functioning water supply Number of health centres with functioning water supply                100 Quality of facility
total number of health centres
60 Percentage of health facilities with functioning medical waste disposal facilities Number of health facilities with incinerator and placenta disposal pit                 100 Quality of facility
Total number of health facilities
61 Percentage of active village health facilities Number of active village health committees within catchment areas                100
  • HSAs performance
  • Community participation
62 Percentage of management meetings conducted Number of management meetings conducted                100 Performance of head of institution
Number of expected management meetings
63 Percentage of health facilities supervised by Management Team Number of health facilities supervised by management team during the period                100 Supervisory coverage
Number of health facilities in the catchment area
64 Percentage of completeness of reporting Number of HMIS reports received for specified period                100
  • Staff performance
  • Completeness of reporting
Number of HMIS reports expected for the same period
65 Percentage of timeliness of reporting Number of HMIS reports received within specified date                100
  • Staff performance
  • Timeliness
Number of HMIS reports expected within the specified date