Vital Signs Profile

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Indicator Descriptions

Financing

WHO est. (2014 data)

PHC spending per capita
$ 153
Per capita
Prioritization of PHC:
Overall health spending
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Government health spending
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Sources of PHC spending
60 % Government
40 % Other
Health Financing Improvement Strategy

Capacity

Governance
not currently available
Inputs
not currently available
Population Health & Facility Management
not currently available

Performance

Access Index
DHS STATcompiler (2017 Survey) 
not currently available
Quality Index
Ideal Clinic Facility Profiles & Ideal Clinic Framework version 17 (2017)
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Service Coverage Index
2017 UHC Global Monitoring Report
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Equity

Access: % with perceived barriers due to cost, by wealth quintile
not currently available
Coverage of RMNCH services, by mother's education
RSA Demographic and Health Survey (2016 data)
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Outcomes: Under-five mortality, by residence
not currently available

Core Indicators

These 38 indicators assess different aspects of how a country's primary health care (PHC) system is performing across five categories - overall systemic factors, inputs, service delivery, outputs, and outcomes.

System

Is primary health care prioritized in your health system?

Inputs

Does your system offer sufficient facilities, health care professionals, and supplies?

Service Delivery

Are services accessible and effectively organized, managed, and coordinated to deliver high quality care?

Outputs

Does your system provide the essential services you need throughout each phase of life?

Outcomes

Does your system efficiently deliver better outcomes and greater equity?

Contextual

Capacity

Progression Model Measures

For more information on these PHC Progression Model measures, download the tool above.
Hyperlinks below navigate to relevant Improvement Strategies.

Governance
not currently available

Governance and Leadership

not currently available
not currently available
not currently available
not currently available
not currently available

Adjustment to Population Health Needs

not currently available
not currently available
not currently available
Inputs
not currently available

Drugs and Supplies

Measure 9: Stock-out of essential medicines
not currently available
Measure 10: Basic equipment availability
not currently available
Measure 11: Diagnostic supplies
not currently available

Facility Infrastructure

Measure 12: Facility density
not currently available
Measure 13: Facility amenities
not currently available
Measure 14: Standard safety precautions and equipment
not currently available

Information Systems

Measure 15: Civil Registration and Vital Statistics
not currently available
Measure 16: Health Management Information Systems
not currently available
Measure 17: Personal care records
not currently available

Workforce

Measure 18: Workforce density and distribution
not currently available
Measure 19: Training
not currently available
Measure 20: Community health workers
not currently available

Funds

Measure 21: Facility budgets
not currently available
Measure 22: Financial Management Information System
not currently available
Measure 23: Salary payment
not currently available
Population Health and Facility Management
not currently available

Population Health Management

not currently available
not currently available
not currently available
not currently available

Facility Organization and Management

not currently available
not currently available
not currently available
not currently available
not currently available

Performance

Hyperlinks below navigate to related Improvement Strategies.

Access Index
not currently available

Financial

Perceived access barriers due to treatment costs
No recent indicator available from international or national data sources
Perceived access barriers due to transport costs
Indicator not applicable

Geographic

Perceived access barriers due to distance
No recent indicator available from international or national data sources
Perceived access barriers due to lack of transport
Indicator not applicable
Quality Index
Ideal Clinic Facility Profiles & Ideal Clinic Framework version 17 (2017)
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Comprehensiveness

Average availability of services for 3 tracer communicable diseases
not currently available
Average availability of NCD services
Ideal Clinic Facility profiles 2017
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Average availability of 5 tracer RMNCH services
Ideal Clinic Facility profiles 2017
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Continuity

Treatment success rate for new TB cases
WHO TB Programme 2015
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DTP3 dropout rate
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Person-Centeredness

Percentage of clinicians who told caregiver the sick child’s diagnosis
not currently available

Provider availability

Provider absence rate
No recent indicator available from international or national sources

Provider Competence

Adherence to clinical guidelines
not currently available
Diagnostic accuracy
No recent indicator available from international or national data sources
Family planning quality score
not currently available
Antenatal care quality score
not currently available
Sick child quality score
not currently available

Safety

Adequate infection control
Ideal Clinic Facility profiles 2017
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Adequate waste disposal
Ideal Clinic Facility profiles 2017
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Service Coverage Index
2017 UHC Global Monitoring Report
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Reproductive, Maternal, Newborn and Child Health

Demand for family planning satisfied with modern methods
2017 UHC Global Monitoring Report
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Coverage of DTP3 immunization
2017 UHC Global Monitoring Report
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Antenatal care coverage (4+ visits)
2017 UHC Global Monitoring Report
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Care-seeking for suspected child pneumonia
2017 UHC Global Monitoring Report
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Infectious diseases

Tuberculosis cases detected and treated
2017 UHC Global Monitoring Report
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Use of insecticide-treated nets (ITN) for malaria prevention
2017 UHC Global Monitoring Report
Indicator not applicable
People living with HIV receiving anti-retroviral treatment
2017 UHC Global Monitoring Report
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Children under 5 with diarrhea receiving ORS
IMPUTED 2015
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Non-Communicable Diseases (NCDs)

Percentage of population with normal blood pressure (age standardized and rescaled)
2017 UHC Global Monitoring Report
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Notes

Data: To learn more about our Core Indicators data click here, or e-mail us at info@improvingphc.org to provide feedback. Visit the Indicator Library for detailed descriptions of the rationale, construction, and limitations of Core indicators. Download VSP Indicator Descriptions (link at top) for details on VSP indicators. Indicator values presented on the VSP may differ from country data sources due to the use of standardized categories and methods to enhance international comparability. See Indicator Description Sheet for details.

Color coding: Scores for the Capacity, Performance, and Equity domains are color-coded to reflect good (green), medium (yellow), and poor (red) performance, where comparable data are available. Cut-offs can be found in the VSP Indicator Description Sheets. Scores based on data from non-comparable sources are colored gray. Finance indicators are not color-coded because these indicators lack common targets.

Capacity domain: The PHC Progression Model uses mixed methods to assess foundational capacities of PHC on a scale from 1 (low) to 4 (high).

Access Index and Quality Index: Because different data/indicators are used in each country, composite index values may not be comparable across countries. Click on the arrows to see the specific indicators used in this VSP.

References