Description of Key Performance Indicators and Community Scorecard Scoring Standards to Assess Effects of Implementing a Social Accountability Approach on Improving Health System Performance in Maternal and Child Health Services in 2 Regional States in Ethiopiaa
| I. Key Performance Indicators | |
| Contraceptive acceptance rate | |
| Number of women of reproductive age who use family planning | ×100% |
| Number of women eligible for modern family planning methods | |
| Syphilis screening among pregnant women attending antenatal care (ANC) | |
| Number of pregnant women tested for syphilis | ×100% |
| Total number of pregnant mothers attended at least 1 ANC visit | |
| Skilled delivery service coverage | |
| The number of births attended by skilled health personnel | ×100% |
| Total number of expected deliveries | |
| Postnatal care service coverage | |
| Number of postnatal visits within 7 days of delivery | ×100% |
| Total number of expected deliveries | |
| Fully immunization coverage | |
| Number of children who received all vaccine doses before first birthday | ×100% |
| Total number of surviving infants | |
| Under 2 years growth monitoring service coverage | |
| Number of children less than 2 year weighed during growth monitoring session | ×100% |
| Total estimated children under 2 years | |
| Availability of essential (tracer drugs) | |
| Sum of tracer drugs × months available in the time period | ×100% |
| Sum tracer drugs × sum total number of months in time period | |
| Clean and safe facility | |
| Number of clean and safe facility minimum standards met | ×100% |
| Total number of clean and safe facility minimum standards (met and unmet) | |
| Availability of laboratory and diagnostic services | |
| Number of laboratory services minimum standards met | ×100% |
| Total number of laboratory services minimum standards (met and unmet) | |
| Patient flow and service organization | |
| Number of patient flow and service organization minimum standards met | ×100% |
| Total number of patient flow and service organization minimum standards (met and unmet) | |
| II. Community Scorecard Facilitation and Scoring | |
| Indicator 1: Compassionate, respectful, and caring health workforce | |
| Consider patients as human beings, and provide person-centered care with empathy; effective communication with health care teams and in interactions with patients; and respect for and facilitation of patients' and families' participation in decisions and care | |
| Indictor 2: Patient waiting time for health care services | |
| Waiting time refers to the time from the patient's arrival at the health facility to the time the patient receives services | |
| Indicator 3: Availability of services, biomedical equipment, and pharmaceutical supplies | |
| Availability of services, biomedical equipment, and pharmaceutical supplies | |
| Indicator 4: Health facility infrastructure | |
| Health facility has adequate infrastructure, such as appropriate building, electricity, and water, and the infrastructure is functional for patient care. | |
| Indicator 5: Ambulance service and management | |
| Ambulance service is readily available whenever it is required, and transparent and appropriate ambulance car service management is in place. | |
| Indicator 6: Clean and safe health facility | |
| Health facility compound is clean, green, and pleasing; clinical service areas, such as the outpatient rooms, inpatient beds, and laboratory service area, are safe, hygienic, and odor free; and waste disposal mechanism managed without risk to the health workers, patients, and community members. | |
↵a Ten selected maternal, neonatal, and child health indicators were rated from 0.0% to 100.0% and the average scores were extracted. Similarly, the community scorecards were measured against 6 minimum standards developed by the Ministry of Health, regional health bureaus, and development partners. The overall score was rated from 0.0% to 100.0% and extracted from the database.