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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 servicesObjective 4: Improve quality of health services delivery including mental health services
 1. Proportion of functional ambulance service centres1. Institutional all-cause mortality
 2. Proportion of functional CHPS zones2. Proportion of regional and district public hospitals offering Traditional medicine practice
 3. Per capita OPD attendance3. Proportion of public hospitals offering mental health service
 4. Equity poverty: Uder-5 Mortality Rate4. Institutional Malaria Under 5 case Fatality Rate
 5. Equity geography: Supervised deliveries5. Surgical site infection rate
 6. Equity geography: Doctor to population6. Percentage of public hospitals with trained emergency team
 7. Equity geography: Nurse to populationObjective 5: Enhance national capacity for the attainment of the health related SDGs and sustain the gains
 8. Equity gender: Female/male NHIS active membership1. Unmet need for contraception
Objective 2: Ensure sustainable financing for health care delivery and financial protection for the poor2. Couple Year Protection(CYP), All sources incl. The private sector
 1. Proportion of total MTEF allocation to health3. 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 membership6. Under-5 Mortality Rate
 5. Proportion of NHIS members in exempt categories7. Maternal Mortality Ratio
 6. Proportion of population covered by NHIS as indigents8. Institutional Maternal Mortality Ratio
 7. NHIS Expenditure over Receipts9. HIV prevalence rate
 8. Equity poverty: NHIS members 
Objective 3: Improve efficiency in governance and management of the health system10. Proportion of infected pregnant women who received ARVs for PMTCT
 1. Doctor: Population ratio11. Proportion of babies born to HIV mothers being HIV negative(refine)
 2. Nurse: Population ratio including Community Health Nurses12. Proportion of children U5 who are stunned
 3. Midwife: WIFA Population ratio13. proportion of children fully immunized (proxy Penta 3 coverage)
 4. Proportion of health facilities in current registration14. Antenatal Care Coverage 4+
 5. Proportion of NHIF budget released to NHIS15. Exclusive breast feeding for six months
 6. Proportion of NHIS claims settled within 12 weeks16. Proportion of deliveries attended by a trained health worker
 7. Proportion of health budget (goods and service) allocated to research activities17. Still birth rate
 8. Proportion of government expenditure spent on goods and services18. Postnatal care coverage for newborn babies
 9. Proportion of government expenditure spent on assets19. 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.