Key Performance Indicators

1. ደቡብ ክልል ጤና ቢሮ
የመጀመሪያ ደረጃ ጤና አገልግሎት አሀድ
የጤና ተቋማት አፈጻጸም ለመለካት
የተመረጡ ቁልፍ ጠቋሚዎች ትርጓሜ
2010 ዓ/ም
ሀዋሳ

2. የጤና ተቋማት አፈጻጸም ለመለካት
የተመረጡ ቁልፍ ጠቋሚዎች
KPI
Indicators Target N/D Data Element Data source
ID
KPI
1
% of EHCRIG
management
standards met
by a health
center
85%
N
Number of EHCRIG
operational standards
for health center reform
met *100 EHCRIG
assessment
Quarterly
D
Total number of EHCRIG
Operational Standards
(81)

3. የቀጠለ
EHCRIG
ምዕራፎች
81
የመሰረታዊ ጤና
ክብካቤ አሃድ ስራ
አመራርና አስተዳደር
(12)
የጤና ጣቢያ ጤና
ኬላ ትስስር (8)
የህሙማን ፍሰትና
አደረጃጀት (6)
የሕክምና መረጃ
አያያዝ ስርዓት (4)
የፋርማሲ አገልግሎት
(13)
የላቦራቶሪ አገልግሎት
(9)
ጽዳት፣
ምቾት፣ብክለት
መከላከልና ደህንነት
(10)
የህክምና መሳሪዎችና
ፋሲሊቲ ምህንድስና
አሰተዳደር (8)
የሰው ሃብት ልማት
አስተዳደር (6)
የአገልግሎት ጥራት
ማሻሻያና መረጃ
አያያዝና አላላክ (5)
ለምሳሌ X HC - 60 ነጥብ ቢያገኝ EHCRIG አፈጻጸም 60/81
*100 = 73%

4. የቀጠለ
KPI 2
Contraceptiv
e acceptance
rate
85%
N
Number of new and repeat
acceptors of modern contraceptive
method *100
HMIS
D
Total number of women of
reproductive age (15-49) who are
not pregnant in the catchment area
of the HC
KPI 3
Long acting
family
planning
(LAFP)
coverage
40%
N
Number of women in reproductive
age who use LAFP methods * 100
HMIS
D
Number of women who use modern
contraceptive methods

5. Cont..
KPI 4 ANC +4 100%
N
Number of women attending their
fourth or more ANC+4 visit during
pregnancy *100
HMIS
D
Total number of expected pregnancies
in the catchment area of the HC

6. Cont…
KPI 5
Antenatal
mothers
tested for
Syphilis
100%
N
Number of pregnant women tested
for syphilis
*100
HMIS
D
Total number of pregnant women
who attended first ANC visit
KPI 6
Skilled
delivery care
95%
N
The number of births attended by
skilled health personnel in the Health
Center *100 HMIS
D Total number of expected Deliveries

7. የቀጠለ
KPI 7
Early postnatal
care coverage
within 7 days
95%
N
Number of postnatal visits
within 7 days of delivery
*100
HMIS
D
Total number of expected
Deliveries
KPI 8
Neonates
Treated for
Sepsis
95%
N
Number of Neonate treated
for sepsis *100
D
Estimated number of
Neonates with sepsis (7.6%
0f live birth)

8. Neonates Treated for Sepsis
Data Source - CBNC register for -HPs
IMNCI register for- HCs & Primary hospitals

9. የቀጠለ
KPI 9
PMTCT-
Option B+
95%
N
Number of HIV positive pregnant
and lactating women who
received ART at ANC, L&D and PNC
for the first time and those women
who get pregnant while
on ART & linked to ANC *100 HMIS
D
Expected number of HIV Positive
pregnant and Lactating women
(0.54% of pregnant women)

10. የቀጠለ
KPI 10
Under
Weight
pregnant
and
lactating
mothers
<5%
N
Number of pregnant
mothers whose Middle
Upper Arm Circumference
(MUAC) is below 23 cm
*100
HMIS
Number pregnant and
lactating mothers whose
MUAC is measured
D

11. Cont…
KPI
11
Underweight
Children aged
<5 years
(Moderate (-2
to -3 Z-score)
and severe
(below -3 Z-
score)
<15%
Number of weights reflecting
underweight amongst children under
5 years of age *100
HMIS
N
D
Total number of weights-for-age
(WFAs) recorded amongst children
under 5 years of age whose growth
was monitored during a given time
period in the catchment area

12. Cont…
KPI
12
Immunization drop
out rate from
Penta1 to penta3
5%
N
[Number of children immunized for
penta1]-[number of Children
immunized for penta3] *100 HMIS
D
Number of children immunized for
penta1
KPI
13
Fully Immunization
coverage for under
one year Children
N
Number of children received all
vaccines doses before the 1st birthday
*100
HMIS
95% D Total Number of surviving Infant

13. Cont…
Institutional
maternal
death
N
Number of maternal deaths
in health facility
*100
HMIS
KPI
14
<1
%
D
Total number of deliveries
in health facility

14. Maternal death Interpretation
• Maternal death is the death of a woman from conditions
caused or aggravated by pregnancy, which occurs from time
of conception to six weeks postpartum, but not from
incidental or accidental causes.
• The cause of death could be direct – abortion,
hemorrhage, pregnancy induced hypertension, obstructed
labor or sepsis; or could be indirect like heart disease
aggravated by pregnancy, malaria in pregnancy, anemia, etc...

15. Maternal death
Sources of data
• Inpatient department registers. To capture all
maternal deaths it is essential to review death
registers from surgical, medical, obstetric, and
gynecological wards, from OPD (for deaths
before admission), and from the delivery
register.

16. Cont..
KPI 15
Early
institutional
neonatal
death rate
<1%
N
Number of deaths in the first 7
days of life *100
HMIS
D
Total number of live births
attended by skilled health
attendants

17. waiting time
• Definition :
average time from arrival at the HC to
treatment consultation begins (minutes)
the time of arrival means the time of arrival at
the patient registration or the time of arrival
at triage (whichever is first)
for patients who have an appointment, the
time of arrival begins at the time when they
reach the OPD waiting area.

18. Cont..
KPI
16
Outpatient
waiting Time
HC
<20
Min/
Hospit
al <40
min
N
Sum of waiting time on cards for
health center/primary hospital (in
minutes)
Survey
quarterl
y
D
Total waiting cards completed for
the health center/primary hospital
during the reporting period

19. Cont…
KPI
17
Referral
rate
<6%
N
Total referral forms (emergency +
non-emergency) completed by
health center in order to refer
patient to primary hospital in the
reporting period *100
Referral
register
D
Total number of patients/clients
seen by health center in the
same reporting period.

20. Referral rate Interpretation
• A referral is the process in which a health
worker at one level of the health system,
having insufficient resources (drugs,
equipment, skills) to manage a clinical
condition, seeks the assistance of a better or
differently resourced facility at the same or
higher level to assist in, or take over the
management of, the client’s case.

21. Cont…
KPI
18
Referral
feedback
rate HC-PH
80%
N
Total written referral feedback
provided to health centers from
primary hospital during the reporting
period, as available in health center
record in the reporting period
D
Total referral forms (emergency + non-
emergency) completed by health
center in order to refer patient to
primary hospital in the same reporting
period.

22. Cont…
KPI
19
Tracer drug
availability
100%
N
Sum of tracer drugs x months
available in the time period
*100
D
Sum tracer drugs x Sum total
number of months in time
period

23. Tracer drug availability example first 6 months 2010 X - HC
Tracer drug availability Jul/10 Aug/10 Sep/10 Oct/10 Nov/10 Dec/09 SuM
Amoxicillin 1 1 1 1 1 1 6
Oral Rehydration Salt 0 0 1 1 1 0 3
Arthemisin / Lumphantrine 1 1 1 1 1 1 6
Mebendazole Tablets 1 1 1 1 1 1 6
Tetracycline Eye Ointment 0 1 0 1 0 0 2
Paracetamol 1 0 1 0 1 1 4
Refampicine / Isoniazide / Pyrazinamide
/ Ethambutol 1 1 1 1 1 1 6
Medroxyprogesterone (depo) Injection 0 0 1 1 1 0 3
Ergometrine Maleate Tablets 1 0 0 1 0 1 3
Ferrous Sailt plus Folic Acid 1 1 1 1 1 1 6
Pentavalent DPT-Hep-Hib Vaccine 1 1 1 1 1 1 6
Zinc 0 0 0 1 0 0 1
Gentamycine 1 0 0 1 0 1 3
Sum of tracer drugs = 55 55
No of tracer drugs = 13 55/78*100
Reporting periods = 6 months 13*6 = 78 70.5 %

24. Cont…
KPI 20
Percentage of Data
quality attained based
on Lotus quality
assurance sampling
(LQAS)
>90
%
Data Accuracy
Check Sheet

25. Random #
(1)
Reporting elements
(2)
Value in Consistent
Register
(3)
Tally
(4)
Report
(5)
Yes N
2 New acceptors 15 20 20 
16
Number of weights measured for
children <3 years 10 10 10 
21
Measles immunizations for infant
<1 year of age 8 8 8 
11
Early neonatal deaths
(institutional) 3 - 1 
14 Low birth Weight 10 - 10 
28
TT does used (all ages)/dose
opened 7 7 7 
4 First antenatal attendances 20 - 20 
60 Arthemisin/Lumphantrine - 
87 Curative Visits<5::Repeat-female 15 - 15 
92 Practitioners working in OPD - *2 2 
32 VCT females aged >=25years 1 1 1 
10 Institutional maternal death 1 - 0 
Total (YES or NO) 8 4
Data Accuracy Check Sheet
Month -------/Quarter------
/Year: --------
4/17/2023 25

26. Decision Rules for sample Sizes of 12 and Coverage Targets /Average of 20-95%
Sampl
e
size
Average Coverage (baselines)/Annual Coverage Targets (monitoring and
Evaluations)
Less
tha
n
20%
20
%
25
%
30
%
35
%
40
%
45
%
55
%
60
%
65
%
70
%
75
%
80
%
85
%
90
%
95
%
12 N/A 1 1 2 2 3 4 5 6 7 7 8 8 9 10 11

27. Cont…
KpI
21
Health
budget
utilization
100
%
N
Total Health budget utilized
* 100
Finance &
admin
report
D Total Health Budget allocated

28. Health budget utilization Interpretation
• It indicates the capacity to utilize the budget
allocated (including government allocation,
Aid and internal revenue) in a fiscal year.

29. Cont…
KPI
22
Revenue
utilization
100%
N
HC expenses charged to
health center generated
revenue
D
Total generated revenue by
health center from all
services.

30. Cont…
KPI
23
CBHI enrollment
rate in the Health
center/hospital
catchment area.
100%
N
Number of households in the health center
catchment area who are enrolled in CBHI
*100
D
Total number of eligible households in the
health center catchment area

31. CBHI Interpretation
• This indicator deals with the proportion of
households enrolled as CBHI members in a
woreda for a given year from the eligible
ones.
• Formal sector employees who reside in the
woreda are not eligible for membership.
The eligibles are not only tax payer

32. የቀጠለ
KPI
25
Tuberculosis
case
detection
rate
95%
N
Number of all forms of TB (New and Relapse
cases detected during reporting period)
HMIS
D
Estimated number of all forms of TB cases in
the population during the same period in
the PHCU
KPI
26
Malaria cases
per 1,000
population
<5 case
per
1000
populat
ion
N
Number of new malaria OPD + IPD cases (All
malaria cases, of any species, should be
included – whether clinical or laboratory
diagnosis.) *1000
D Total population in the catchment area HMIS

33. የቀጠለ..
KPI
27
Currently on
ART
N
Number of people currently
on ART
HMIS
90% D
Estimated number of HIV
positive adults and children
eligible for ART
KPI
28
Average
community
score card
rate
>85
%
N
Sum of community score on
selected indicators Periodic
assessm
ents
D
Total number of selected
indicators

34. የቀጠለ …
KPI 29
Functional Health
Development Army
(HDA)
N
Number of functional 1 to 5 network in
the catchment area *100
D
total expected number of 1to 5
networks

35. Interpretation of 1 to 5 net work
• Functional 1 to 5 network: (min. criteria)
– Received training from HEWs based on the family
health guide,
– has individual and team plan,
– meets regularly as per the guideline ( at least
once a week),
– Reports regularly to development team,
– actively discuss the health issues.

36. የቀጠለ …
Functional Health
facility Development
Army (Health
Workers)
N
Number of functional 1 to 5
network forums * 100
D
Total number of expected 1 to 5
network forums
Model kebeles
N
Number of model kebeles declared
as model *100
D
Number of kebeles in the
catchment area

37. አመሰግናለሁ