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Table 1 Indicators under the Ghana’s Holistic Assessment Tool

From: Frameworks for health systems performance assessment: how comprehensive is Ghana’s holistic assessment tool?

Objective 1: Bridge the equity gaps in geographical access to health services

Objective 4: Improve quality of health services delivery including mental health services

 1. Proportion of functional ambulance service centres

1. Institutional all-cause mortality

 2. Proportion of functional CHPS zones

2. Proportion of regional and district public hospitals offering Traditional medicine practice

 3. Per capita OPD attendance

3. Proportion of public hospitals offering mental health service

 4. Equity poverty: Uder-5 Mortality Rate

4. Institutional Malaria Under 5 case Fatality Rate

 5. Equity geography: Supervised deliveries

5. Surgical site infection rate

 6. Equity geography: Doctor to population

6. Percentage of public hospitals with trained emergency team

 7. Equity geography: Nurse to population

Objective 5: Enhance national capacity for the attainment of the health related SDGs and sustain the gains

 8. Equity gender: Female/male NHIS active membership

1. Unmet need for contraception

Objective 2: Ensure sustainable financing for health care delivery and financial protection for the poor

2. Couple Year Protection(CYP), All sources incl. The private sector

 1. Proportion of total MTEF allocation to health

3. Infant Mortality Rate

 2. Per capita expenditure on health (USD)

4. Institutional Neonatal Mortality Rate

 3. Budget execution rate (Goods and services as proxy)

5. Neonatal Mortality Rate

 4. Proportion of population with active NHIS membership

6. Under-5 Mortality Rate

 5. Proportion of NHIS members in exempt categories

7. Maternal Mortality Ratio

 6. Proportion of population covered by NHIS as indigents

8. Institutional Maternal Mortality Ratio

 7. NHIS Expenditure over Receipts

9. HIV prevalence rate

 8. Equity poverty: NHIS members

 

Objective 3: Improve efficiency in governance and management of the health system

10. Proportion of infected pregnant women who received ARVs for PMTCT

 1. Doctor: Population ratio

11. Proportion of babies born to HIV mothers being HIV negative(refine)

 2. Nurse: Population ratio including Community Health Nurses

12. Proportion of children U5 who are stunned

 3. Midwife: WIFA Population ratio

13. proportion of children fully immunized (proxy Penta 3 coverage)

 4. Proportion of health facilities in current registration

14. Antenatal Care Coverage 4+

 5. Proportion of NHIF budget released to NHIS

15. Exclusive breast feeding for six months

 6. Proportion of NHIS claims settled within 12 weeks

16. Proportion of deliveries attended by a trained health worker

 7. Proportion of health budget (goods and service) allocated to research activities

17. Still birth rate

 8. Proportion of government expenditure spent on goods and services

18. Postnatal care coverage for newborn babies

 9. Proportion of government expenditure spent on assets

19. Proportion of children under 5 years sleeping under ITN

 

20. TB treatment success rate

 

Objective 6: Intensify prevention and control of non-communicable and other communicable diseases

 

1. Non-Acute Flaccid Paralysis (AFP) Polio rate

 

2. Population prevalence of hypertension

 

3. Number of deaths attributable to selected cancer

  1. Source: MOH, 2015 [18]
  2. MTEF Medium-Term Expenditure Framework, NHIF National Health Insurance Fund, WIFA Women in Fertility Age, PMTC Prevention of Mother to Child Transmission, ITN Insecticide Treated Net.