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PAIX
PEACE
PATRIEFATHERLAND
TRAVAILWORK
République du CamerounPaix - Travail - Patrie
Ministère de la Santé Publique
Republic of CameroonPeace - Work - Fatherland
Ministry of Public Health
2016-2020
I.M.E.P.MOH
AUGUST 2016
INTEGRATED MONITORING AND
EVALUATION PLAN
Integrated Monitoring and Evaluation Plan (IMEP)
2016-2020
MOHMinistry of Public Health
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TABLE OF CONTENTSLIST OF TABLES .................................................................................................................... VI
LIST OF FIGURES .................................................................................................................. VI
LIST OF ABBREVIATIONS AND ACRONYMS .................................................................. VIII
PREFACE .............................................................................................................................. X
ACKNOWLEDGEMENTS ...................................................................................................... XII
CHAPTER 1: INTRODUCTION, BACKGROUND, RATIONALE AND OBJECTIVES OF THE IMEP .... 2
1.1. Introduction ................................................................................................................... 2
1.2. Background and rationale .............................................................................................. 2
1.2.1 Background ........................................................................................................... 2
1.2.2. Rationale of the Monitoring and Evaluation Plan of the 2016-2020 NHDP ........ 3
1.3. Objectives of the monitoring and evaluation plan of the 2016-2020 nhdp .................. 4
1.3.1. Global objective of the 2016 -2020 NHDP ........................................................ 4
1.3.2. General Objective of IMEP 1 ............................................................................. 4
1.3.3. Specific objectives ............................................................................................. 4
CHAPTER 2: CURRENT SITUATION OF THE NHDP MONITORING/EVALUATION IN THE HEALTHSYSTEM ............................................................................................................................... 6
2.1 Introduction ................................................................................................................... 6
2.2 Institutional and organizational framework of the NHIS ............................................... 7
2.3 Indicatros and data collection system ........................................................................... 7
CHAPTER 3: IMPLEMENTATION FRAMEWORK OF THE NHDP MONITORING ANDEVALUATION PLAN ............................................................................................................ 10
3.1. Central level ....................................................................................................................... 10
3.2 Devolved level .................................................................................................................... 12
3.2.1 Intermediate level: The Regional Coordination and Monitoring/Evaluation Committee for the implementation of the HSS (CORECSES): ...................................... 12
3.2.2 Operational level: the Operational Committee for Coordination and Monitoring/ Evaluation of the Implementation of the HSS (COCSES) ......................... 13
CHAPTER 4: MONITORING/EVALUATION FRAMEWORK: TOOLS ........................................ 14
4.1. Operational matrix of indicators ....................................................................................... 14
4.2. Performance framework ................................................................................................... 52
4.3. Monitoring of direct achievement indicators .................................................................... 59
CHAPTER 5: ORGANISATIONAL FRAMEWORK OF MONITORING/EVALUATION .................. 73
5.1 Operational organisation OF M&E ..................................................................................... 73
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5.2. Roles and responsibilities of key stakeholders (see Chapter 3) ........................................ 75
5.3 Data management tools ..................................................................................................... 76
5.4. type, site, frequency of collection and method of calculating indicators ......................... 77
5.5 Procedures for data processing and analysis ..................................................................... 77
5.6. Data transmission procedures ........................................................................................... 77
5.6.1. Background ........................................................................................................ 77
5.6.2. Data transmission frequency ............................................................................. 77
5.6.3 Data quality control ............................................................................................ 78
5.7 Supervision of M&E data management ............................................................................. 78
5.7.1. Joint Supervisions .............................................................................................. 78
5.7.2. Facilitating supervision ...................................................................................... 78
5.7.3. Distant supervisions ........................................................................................... 78
5.8. Data sharing and dissemination ........................................................................................ 79
CHAPTER 6 : MONITORING-EVALUATION MECHANISM ..................................................... 80
6.1. Monitoring of the NHDP .................................................................................................... 80
6.1.1. At the central level ............................................................................................. 80
6.1.2. Monitoring NHDP at the regional level ............................................................. 80
6.1.3. At the operational level ..................................................................................... 81
6.2. Process for evaluating the NHDP implementation ............................................................ 81
6.2.1 Evaluation team .................................................................................................. 82
6.2.2 NHDP assessment methods ................................................................................ 82
6.2.3. Evaluation schedule ........................................................................................... 85
CHAPTER 7: BUDGET OF THE INTEGRATED MONITORING/EVALUATION PLAN ................... 86
7.1. Implementation cost of the 2016-2020 IMEP ................................................................... 86
7.1.1. Breakdown of costs per year ............................................................................. 86
7.1.2. Breakdown of costs per level of the health pyramid ......................................... 87
7.2. Detailed budget per intervention ...................................................................................... 88
APPENDICES ...................................................................................................................... 89
LIST OF CONTRIBUTORS ...................................................................................................101
REFERENCES .....................................................................................................................105
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LIST OF TABLES Table 1: Operational matrix of M/E indicators of the 2016-2020 NHDP ............................................. 15 Table 2 : Performance Framework of the NHDP ................................................................................... 53 Table 3: Monitoring indicators IMEP 1 .................................................................................................. 60 Table 4: Overall summary of the NHDP implementation steering, coordination and monitoring bodies ............................................................................................................................................................... 74 Table 5: Evaluation schedule ................................................................................................................. 85 Table 6: Detailed budget per intervention per year ............................................................................. 88
LIST OF FIGURES Figure 1: NHDP assessment methods ................................................................................................... 82 Figure 2 : Breakdown of IMEP costs from 2016-2020 ........................................................................... 86 Figure 3: Breakdown of IMEP costs per level of the health pyramid .................................................... 87
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LIST OF ABBREVIATIONS AND ACRONYMS
AIDS Acquired Immuno Deficiency Syndrome MINATD Ministry of Territorial Administration and Decentralisation
ARV Antiretroviral MINCOM Ministry of Communication AWP Annual Work Plan MINDEF Ministry of Defence
CAPR Regional Pharmaceutical Procurement Centre
MINEDUB Ministry of Basic Education
CBO Community-Based Organization MINEFOP Ministry of Employment and Vocational Training
CEmONC Complete Emergency Obstetric and Neonatal Care
MINEPAT Ministry of Economy, Planning and Regional Development
CHP Complementary Health Package MINEPDED Ministry of Environment, Nature Protection And Sustainable Development
CHRACERH Hospital Centre for Research, Human Reproduction and Endoscopic Surgery
MINEPIA Ministry of Husbandry, Fisheries and Animal Industries
CICRB Chantal Biya International Research Centre MINESUP Ministry of Higher Education
CLTS Community-Led Total Sanitation MINFI Ministry of Finance
COCSES Operational Committee for Coordination and Monitoring/ Evaluation of the Implementation of the HSS
MINFORPRA Ministry of Public Service and Administrative Reform
CORECSES Regional Comittee for the Coordination and monitoring evaluation of the HSS implementation
MINJEC Ministry of Youth Affairs and Civic Education
CSM Community-based self-monitoring MINJUSTICE Ministry of Justice
CSO Civil society organisation MINPROFF Ministry of Women’s Empowerment and the Family
DGSN General Delegation for National Security MINRESI Ministry of Scientific Research and Innovation
DHS Demographic Health Survey MINTP Ministry of Public Works
DLMEP Department of Disease, Epidemics and Pandemics Control
MINTSS Ministry of Labour and Social Security
DMC District Management Committee MOH Ministry of Public Health
DTC Diagnostic and Treatment Centre MTEF Mid term Evaluation Framework ECAM Cameroon Household Survey NACC National AIDS Control Committee
EmONC NCD Non Communicable Disease
EPD Epidemic Prone Diseases NGO Non-Governmental Organization
EPI Expanded Programme on Immunization NHAs National Health Accounts
EXFIN External Financing NHIS National Health Information System
FCFA Franc of the Financial Community of Africa NIMSP-NCD National Integrated and Multi-sector Strategic Plan for the control of Non Communicable Diseases
FP Family Planning NIS National Institute of Statistics GAVI Global Alliance for Vaccines and
Immunization NMCP National Malaria Control Programme
GDP Gross Domestic Product NPHO National Public Health Observatory GESP Growth and Employment Strategy Paper NTD Neglected Tropical Disease
HC Health Committe PAC Post Abortion Care
HDC Health District Committee PETS Public Expenditure Tracking Survey HDDP Health District Development Plan PHC Primary Health Care
HRDP Human Resource Development Plan PLWHIV People living with HIV
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HRH Human Resources for Health PMTCT/PC Prevention of Mother-to-Child Transmission of HIV/ Pediatric care
HSS Health Sector Strategy RCHDP Regional Consolidated Health Development Plan
HSSIP Health Sector Support Investment Project RDPH Regional Delegation for Public Health
IHC Integrated Health Centre RLA Regional and Local Authorities
IMCI Integrated Management of Childhood illnesses
RMNCAH Reproductive, Maternal, Neonatal, Child and Adolescent Health
ISDR Integrated Surveillance of Disease and Response
SC Steering Committee
LANACOME National Laboratory for the Quality Control of Drugs and Valuation
SDG Sustainable Development Goal
LLIN Long lasting insecticide treated net SOPs Standard Operating Procedures
MC Management Committee STI Sexually Transmitted Infection MDG Millenium Development Goal SWAP Sector-Wide Approach
MHC Medicalised Health Centre TFPs Technical and Financial Partners
MHP Minimum health Package TS-SC/HSS Technical Secretariat of the Steering Committee of the Health Sector Strategy
MICS Multiple Indicators Cluster Survey UNDP United Nations Development Programme
MINAC Ministry of Arts and Culture UNFPA United Nations Fund for Population Advancement
MINADER Ministry of Agriculture and Rural Development
WHO World Health Organisation
MINAS Ministry of Social Affairs MINATD Ministry of Territorial Administration and Decentralisation
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Technical drafting committee General Coordination:
- Mr André MAMA FOUDAMinister of Public Health
- Mr Alim HAYATOUSecretary of State for Public Health
General Supervision : - Prof. Sinata KOULLA-SHIROSecretary General of the Ministry of Public Health
Technical Supervision: - Prof. Samuel KINGUETechnical Adviser N°3, Vice-Chairman of TWG
Technical Coordination: - Dr Jacqueline MATSEZOU Permanent Secretary of the Steering Committee for follow up of the Health Sector Strategy Ministry of Public Health Cameroon
Member of the Secretariat: - M. Guy NDOUGSA ETOUNDI Officer at Steering Committee for follow up of the Health Sector Strategy Ministry of Public Health Cameroon
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PREFACE The 2016-2020 National Health Development Plan will serve as a guide for the
implementation of health actions during the next five years. In order to ensure the effective
monitoring of planned interventions at all levels of the health pyramid, a 2016-2020
Monitoring and Evaluation Plan (IMEP) has been developed. This plan details monitoring and
evaluation activities of the health system and will enable real-time assessment of
performances in the short, medium and long-term of healthcare facilities.
This plan consists of, among others, dash boards that are sample indicators which shall
enable heads of health facilities to follow up the progress of their results and gaps in relation
to the performance values projected in the 2016- 2020 NHDP. It will ultimately measure the
contribution of the health system in improving the health of the population.
However, certain obstacles may impede the implementation of 2016-2020 IMEP, notably:
the low availability of workforce in charge of the integrated monitoring of activities of the
2016-2020 NHDP, especially at the operational level; the prompt execution of the baseline
surveys as suggested in the NHDP; the weak capacity of the system to collect and complete
indicators of partner ministries and the private sub-sector which carry out health actions.
The Government is committed, with the support of all key actors of the health system, to
exploit all the opportunities to get rid of these obstacles. As such, branches of the steering
and monitoring committee of the implementation of the health sector strategy, made up of
the main actors of the health system, shall be instantly established at all levels of the health
pyramid. Their main mission shall involve designing and proposing simple strategies for
potential low performances recorded in the coordination structures.
I therefore urge all actors to master and make use of this document, which brings innovating
elements to the practice of monitoring and evaluation in our country.
Minister of Public Health
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ACKNOWLEDGEMENTS
The Minister of Public Health expresses his gratitude to all actors of the health sector who
participated in the development of this document.
Minister of Public Health
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CHAPTER 1: INTRODUCTION, BACKGROUND, RATIONALE AND OBJECTIVES OF THE IMEP
11..11..IINNTTRROODDUUCCTTIIOONN
Cameroon has just developed its 2016-2027 Health Strategy Sector. A participatory approach
was adopted for the development of this reference document and its first National Health
Development Plan (2016-2020 NHDP) in order to meet the multi-sector requirements
without which the expected impact of interventions on the health of the population cannot
be achieved.
The 2016-2020 NHDP described the different programmatic areas to be monitored during its
validity period and also specified the key indicators (tracers) of expected performance in
each programme. This plan specifies the main guidelines and operational procedures for
monitoring performances in the sector and proposes possible solutions to bottlenecks that
would limit performances of the health sector.
The integrated monitoring and evaluation plan focuses on the following major points:
- Background and rationale; - Purpose and objectives ; - Key indicators ; - Implementation framework; - Monitoring and evaluation frameworks; - Financing of the NHDP.
11..22..BBAACCKKGGRROOUUNNDD AANNDD RRAATTIIOONNAALLEE
11..22..11 BBaacckkggrroouunndd
According to results of the final evaluation of the implementation of the 2001-2015 HSS, the
Integrated Monitoring and Evaluation Plan (IMEP) developed for this purpose was not
validated, consequently it was not implemented. However, it should be emphasized that the
2011-2015 NHDP had a monitoring and evaluation framework that guided the development
of monitoring and evaluation plans of the different priority programmes. Despite the
existence of the framework, progress was poorly documented, with the exception of
interventions of priority programmes. Baseline values and those of targets of the monitoring
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indicators were not sufficiently documented, which, in addition to their high number, made
monitoring difficult.
Moreover, the multiplicity of monitoring and evaluation sub-systems (existence of
monitoring and evaluation systems and tools for each programme) did not facilitate the
overall and coherent monitoring of all the interventions implemented in the health sector.
11..22..22.. RRaattiioonnaallee ooff tthhee MMoonniittoorriinngg aanndd EEvvaalluuaattiioonn PPllaann ooff tthhee 22001166--22002200 NNHHDDPP
The difficulties encountered in the monitoring and evaluation of the performances projected
in the 2011-2015 NHDP convinced all the stakeholders to prioritize the development of an
IMEP in 2016. Indeed, following a situation analysis of the 2011-2015 NHDP monitoring and
evaluation (M&E) system, several shortcomings were noted: (i) the existence of a great
number of monitoring sub-systems; (ii) the lack of monitoring multi-sector coordination; and
(iii) the existence of a great number of data collection tools that sometimes provide the
same variables. This had a very negative impact on the performance of the National Health
Information System (NHIS).
The main consequence of the organizational, structural and institutional shortcomings in the
area of M&E is the low availability of relevant information for decision-making based on
reliable evidence.
It was therefore necessary to select and regroup the most relevant indicators validated by
key actors of the sector in a summary document. These indicators will enable to ensure the
monitoring and evaluation of the performances achieved and provide appropriate corrective
measures in a timely manner to remove any bottlenecks in view of an optimal achievement
of the objectives of the 2016-2027 HSS. The first IMEP of the 2016-2027 HSS is therefore a
summarizing tool, which establishes a synergy of the willingness of actors to monitor the
performances of the implementation of the 2016-2020 NHDP.
In line with the prioritization of the interventions planned in the 2016-2027 HSS, IMEP 1 will
lay emphasis on indicators relating to the strengthening of pillars of the health system,
governance and strategic steering as well as on tracer indicators of interventions for the
fight against morbidity and mortality related maternal and child health.
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11..33..OOBBJJEECCTTIIVVEESS OOFF TTHHEE MMOONNIITTOORRIINNGG AANNDD EEVVAALLUUAATTIIOONN PPLLAANN OOFF TTHHEE 22001166--22002200 NNHHDDPP
1.3.1. Global objective of the 2016 -2020 NHDP
"Make priority quality essential and specialized health care and services accessible to at
least 50% of the population by 2020".
This objective is expected to ensure that the populations, especially the most vulnerable,
have geographical, financial and cultural access to priority quality essential and specialized
health care and services.
1.3.2. General Objective of IMEP 1
Improving Monitoring and Evaluation of the Implementation of the 2016-2020 NHDP
1.3.3. Specific objectives
The specific objectives of IMEP 1 are:
- specifying the institutional and organizational framework for monitoring and evaluation of the 2016- 2020 NHDP;
- providing follow–up’s simplified tools at all levels of the health pyramid ; - enabling the assessment of the progress made at all levels; - developing the indicator matrix, the performance framework, the dash board for the
monitoring of the implementation of the NHDP at all levels of the health pyramid; - defining monitoring and evaluation indicators and mechanisms of the NHDP; - making a summary description of mid term and final monitoring and evaluation
modalities of the NHDP.
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CHAPTER 2: CURRENT SITUATION OF THE NHDP MONITORING/EVALUATION IN THE HEALTH SYSTEM
22..11 IINNTTRROODDUUCCTTIIOONN
Monitoring/evaluation is a core mission entrusted to the PPBS chain in partner ministries. In
addition to having staff assigned for this task, each ministry carrying out health activities has
an internal mechanism to collect and centralize information coming from the operational
level and to inform decision-making. In the MOH, the Health Information Unit (HIU) in
collaboration with the National Public Health Observatory (NPHO) carries out the
centralization of this information. Most of the interventions planned in the 2016-2020 NHDP
will be implemented by the MOH, and the level of functionality of the NHIS (ineffective
during the implementation of the 2011-2015 NHDP) will be decisive for the successful
implementation of the NHDP. In other words, the effectiveness of NHDP monitoring
depends on the functionality of the NHIS on the one hand and the other hand the availability
of information on the implementation level of interventions carried out by partner ministries
and other key actors (health facilities of the private sub-sector). Given that some actions
and interventions of the NHDP are cross-cutting, the achievement of the results projected in
the NHDP will require a coherent implementation of health actions by the various ministries
and administrations involved in health issues.
Monitoring/evaluation was one of the weaknesses identified during the implementation of
the 2011-2015 health development plan. The poor performance recorded during the
implementation of the plan was due, amongst others, to the lack of harmonized monitoring
and evaluation tools for all levels of the health pyramid. To this was added: (i) poor
coordination of the management of health information collected; (ii) existence of several
independent health information sub-systems; and (iii) absence of an umbrella multi-sector
coordination and monitoring body of the NHDP at the devolved level.
Given the above-mentioned bottlenecks that hampered the effective monitoring of
stakeholder performances in the implementation of the 2011-2015 NHDP, it is important
during this cycle to anticipate and resolve them.
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22..22 IINNSSTTIITTUUTTIIOONNAALL AANNDD OORRGGAANNIIZZAATTIIOONNAALL FFRRAAMMEEWWOORRKK OOFF TTHHEE NNHHIISS
The organization and functioning of the NHIS is based on several legal instruments. These
include Decree No. 2010/2952/PM of 1 November 2010 to lay down the creation,
organization and functioning of the National Public Health Observatory; Decree No. 2013/93
of 3 April 2013 on the organization of the Ministry of Public Health, which, among other,
attached the Health Information Unit to the Secretariat General and raised epidemiological
surveillance to a sub-department of the DLMEP. The regional level benefitted from the
creation of a health information and planning service. At the operational level, tasks relating
to health information management are assigned to the health district without any real
technical service in charge of the task. Moreover, the emergence of priority health
programmes led to the establishment of parallel information sub-systems at the central and
regional levels with practically autonomous structures (CTG, RTG, etc.).
From the above, it is observed that the monitoring system for the implementation of the
2016-2020 NHDP is relatively well organized institutionally at the central and intermediate
level, but at the operational level (health district), there is no formal health information
management service, which to some extent impedes the monitoring of the District Health
Development Plan.
A NHIS strategic strengthening plan for the period 2009-2015 was developed in 2008, but its
implementation was not effective. During the same period, nurses and nursing assistants
represented 80% of the staff involved in the management of health information at the
operational level and only 5% of these staff had received continuous training on the NHIS
(ERSEN 2014).
This insufficiency is coupled with the low promotion of NHIS activities by its actors at all the
levels of the health pyramid. Indeed, the management of health information is most often
reserved for so-called "recalcitrant" personnel (ERSEN op.cit.). Given such a profile,
adequate monitoring of NHDP interventions will be a challenge that needs to be met.
22..33 IINNDDIICCAATTRROOSS AANNDD DDAATTAA CCOOLLLLEECCTTIIOONN SSYYSSTTEEMM
With a multiplicity of health information sub-systems and data collection tools, the
coordination of health information management is problematic. The NHIS survey in the Far
North region revealed that there exist about twenty data collection tools to be filled out
8
monthly by health facilities. Filling out these many tools at the operational level is a tedious
task for HF heads; which partly explains the low availability and quality of the data collected.
In the private sub-sector, most profit-making health facilities provide very little information
on their activities and therefore do not provide statistical data. In addition, many illegal
health facilities avoid the control of the system, hence the low completeness of factual and
basic health information for decision-making.
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CHAPTER 3: IMPLEMENTATION FRAMEWORK OF THE NHDP MONITORING AND EVALUATION PLAN
Within the framework of the implementation and monitoring/evaluation of the 2016-2027
HSS, some existing regulatory instruments will be modified and others will be drafted in
order to ensure the effectiveness of the sector approach, transparency and the participation
of all actors in the monitoring/evaluation of the performances carried out. The members,
functioning and missions of the steering and monitoring committee for the implementation
of the HSS will be specified in a Prime Ministerial Decree. The same applies to the missions
of the various branches of this committee.
33..11.. CCEENNTTRRAALL LLEEVVEELL
The Steering and Monitoring Committee for the Implementation of the HSS: this
committee shall be responsible for the institutional monitoring/evaluation of the
implementation of the NHDP. As such, it shall be responsible among others for the synergy
of activities contributing to health development under the leadership of the MOH. At the
central level, the steering and monitoring committee for the implementation of the new HSS
will be set up with its two branches, which will assist it in its missions. It will have a technical
monitoring committee in accordance with the recommendations of the strategic planning
guide in Cameroon and a Technical Secretariat:
Technical Monitoring Committee : will be chaired by the Secretary General of MOH. The
following will participate in the meetings of this technical committee: (i) the 10 regional
delegates for public health; (ii) the head of planning of the PPBS chain of the MOH and
partner ministries, (iii) health focal points of partner ministries, representatives of TFPs; (iv)
the Coordinator of the Technical Secretariat of the Steering Committee; (v) heads of priority
health programmes of the MOH; (vi) the head of the follow-up unit.
This committee can, if necessary, invite ad hoc experts such as: (i) Inspectors and Technical
Advisers; (ii) Directors and Heads of Divisions; (iii) Programme heads; (iv) the Head of the
Health Information Unit; (v) Technical Secretaries of thematic sub-committees; (vi) the
coordinator of the NPHO; (Vii) heads of thematic groups of the steering and monitoring
committee for the implementation of the HSS. (Vi) the head of the HIU, etc.
11
The Technical Monitoring Committee shall meet at least three times a year and its main task
shall consist in the validation of technical files to be submitted to the steering
committee. For greater efficiency and in view of the difficulties encountered by Regional
Delegates for Public Health in monitoring the NHDP, a problem-solving contingency plan will
be elaborated at each meeting of the technical committee and support shall be given to the
delegates to resolve the bottlenecks that hinder the achievement of NHDP objectives at the
regional level.
The Technical Secretariat of the steering committee: it is in charge of implementing
decisions taken by the Steering committee. For better steering of the sector and effective
monitoring of the 2016-2027 HSS indicators, the consolidation of data collected will be
carried out at each level of the health pyramid by the various established coordination
bodies. The summary of information at the central level will include data from: (i) the 10
regional coordination and monitoring committees for the implementation of the NHDP; (ii)
the PPBS chain of the MOH and (iii) partner ministries of the health sector. Technical
meetings of the TS/SC-HSS will enable in consolidating all the data and information resulting
from the implementation of multi-sector interventions carried out at all levels of the health
pyramid by the MOH and partner administrations.
This data will enable in filling out the national dashboard for the monitoring of the
implementation of the 2016-2020 NHDP. Feedback to regions will be systematic and a copy
of the follow-up report will be forwarded to the Monitoring Committee and RDPH.
The dashboard will include two types of indicators: indicators specific to MOH and those to
be filled out by partner ministries. (See Table 3).
Within the framework of NHDP M/E, the TS/SC-HSS will also: (i) organize thematic or sector
reviews; (ii) strengthen the sector approach and introduce a compact; (iii) design and deploy
HDDP and RCHDP development tools; (iv) technical support for multi-year multisector work
plans for HDs, RDPH and structures of the central-level; (v) monitor performances projected
in the 2016-2020 NHDP; (vi) conduct rapid surveys in order to have baseline data to monitor
the NHDP; (vii) assess the achievement level of results per strategic axis; (viii) mid-term and
final evaluation of the implementation of the NHDP; (ix) develop a new HSS; and (x) strategic
and logistical support for the functioning of thematic groups and multi-sector sub-
committees in the sector. For greater coherence and efficiency, the Technical Secretariat of
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the Steering Committee will be extended to other existing thematic multi-sector secretariats
if need be.
33..22 DDEEVVOOLLVVEEDD LLEEVVEELL
At the devolved level, the Steering and Monitoring Committee for the implementation of the
HSS will have two branches: (i) the Regional Coordination and Monitoring/Evaluation
Committee for the Implementation of the HSS and (ii) and the Operational Coordination and
Monitoring/Evaluation Committee for the Implementation of the HSS. The members,
functioning and missions of all coordination and monitoring bodies for the implementation
of the NHDP at all levels of the health pyramid shall be specified by a Prime Ministerial
decree.
33..22..11 IInntteerrmmeeddiiaattee lleevveell:: TThhee RReeggiioonnaall CCoooorrddiinnaattiioonn aanndd MMoonniittoorriinngg//EEvvaalluuaattiioonn CCoommmmiitttteeee ffoorr tthhee iimmpplleemmeennttaattiioonn ooff tthhee HHSSSS ((CCOORREECCSSEESS))::
At the intermediate level, the Regional Coordination and Monitoring/Evaluation Committee
for the implementation of the HSS will be the coordinating and monitoring body for the
implementation of the 2016-2020 NHDP.
In this capacity, it will be responsible for: (i) developing the integrated Monitoring and
Evaluation Plan of the RCHDP; (ii) monitoring indicators of the regional multi-sector
dashboard; (iii) ensuring the relevance of the interventions proposed by partner ministries
and their contribution to the achievement of the objectives set out in the RCHDP; (iv)
providing technical support to Health Districts in the development of their HDDP AWPs and
M&E plans; (v) compiling and consolidating monitoring data of the devolved level for the
development of the RDPH progress report; (vi) providing feedback from the regional level to
the health districts; (vii) participating in thematic and/or sector reviews; (viii) organizing
formative and integrated supervisory missions, decentralized monitoring, and routine
coordination meetings at the regional level.
For greater coherence and efficiency, the Technical Secretariat of CORECSES shall be
extended to the other existing thematic multi-sector secretariats in the region. CORECSES
will also ensure that the activities proposed in the different multi-annual and annual work
plans of the HDs are coherent and focus on the achievement of the objectives of the RCHDP.
The governor shall preside over the meetings of CORECSES and the Regional Delegate for
Public Health assisted by the Head of the Control Brigade of the RDPH shall be in charge of
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the technical secretariat of the meetings. (The profile of other members of CORECSES is
specified in Table 1).
33..22..22 OOppeerraattiioonnaall lleevveell:: tthhee OOppeerraattiioonnaall CCoommmmiitttteeee ffoorr CCoooorrddiinnaattiioonn aanndd MMoonniittoorriinngg// EEvvaalluuaattiioonn ooff tthhee IImmpplleemmeennttaattiioonn ooff tthhee HHSSSS ((CCOOCCSSEESS))
COCSES shall be chaired by the Senior Divisional Officer/ Divisional Officer. The Head of the
Health District shall be in charge of the technical secretariat. COCSES shall, among other
things, be responsible for: (i) consolidating the AWPs of the health areas, (ii) developing the
Monitoring/Evaluation Plan for the HDDP and ensuring that it conforms with this IMEP (iii)
Providing technical support to DHC; (iv) developing the monitoring and evaluation
dashboard of the HDDP ensuring the quality control of the data collected, analyzing it and
periodically transmitting the monitoring report of indicators expected at the regional level.
Indeed, COCSES meetings chaired by the Senior Divisional Officer/Divisional Officer shall be
opportunities to present not only the performances of the HD but above all an opportunity
to assess the quality of the data, to ensure the coherence of interventions programmed in
the various ministries of the sector and which contribute to the achievement of the
objectives projected in the NHDP. These meetings will also help to correct the observed
malfunctioning that could compromise the achievement of the expected results of the
HD. Finally, the Senior Divisional Officer/Divisional Officer shall be the appropriate
intermediary to ensure and reinforce the synergy of the interventions carried out at the
operational level and the multi-sector resolution of the identified health problems.
14
CHAPTER 4: MONITORING/EVALUATION FRAMEWORK: TOOLS
The main tools recommended for the monitoring/evaluation of the implementation of the
2016-2020 NHDP include: the operational matrix of indicators, the performance framework
and the dashboard.
44..11.. OOPPEERRAATTIIOONNAALL MMAATTRRIIXX OOFF IINNDDIICCAATTOORRSS
The operational Monitoring/Evaluation matrix is a table that summarizes performance
indicators of the 2016-2020 NHDP. It makes it possible to harmonize the calculation method
and the comprehension of the content of each indicator by all the actors of the health
system. All actors (at all levels) involved in M&E will therefore have a referential that they
can use. Seven criteria are used to describe each indicator in this matrix, notably: (i) name of
the indicator; (ii) its usefulness; (iii) its method of calculation; (iv) method of data
collection; (V) persons in charge of collection; (vi) source of data collection; (vii) timing /
frequency of data collection.
Impact indicators shall be used to assess the long-term impact of health actions on the
population. The effect indicators, on the other hand, will make it possible to assess, in the
medium term, the progress made in the use of health services and the behavior changes
observed. The effect and impact indicators are therefore the basis of the performance
framework for the monitoring and evaluation of the NHDP. Finally, indicators of direct
achievement will ensure the execution and implementation level of the planned
interventions.
15
Tabl
e 1:
Ope
ratio
nal m
atrix
of M
/E in
dica
tors
of t
he 2
016-
2020
NH
DP
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
STRA
TEGI
C AX
IS 1
: HEA
LTH
PRO
MO
TIO
NTr
acer
Indi
cato
r
%
of h
ouse
hold
mem
bers
usin
g in
divi
dual
impr
oved
toile
tsEv
alua
tes t
he u
se o
f im
prov
ed to
ilets
in
hous
ehol
ds a
s a d
iseas
e pr
even
tion
stra
tegy
rela
ted
to th
e da
nger
s of o
pen
defe
catio
n
Num
erat
or: N
umbe
r of p
eopl
e liv
ing
in
hous
ehol
ds, u
sing
the
indi
vidu
al im
prov
ed
toile
t De
nom
inat
or: T
otal
pop
ulati
on o
f Ca
mer
oon
DHS
Cent
ral
Surv
eys
Ever
y 5
year
s
Prev
alen
ce o
f obe
sity
in u
rban
ar
eas
(Per
cent
age
of u
rban
pop
ulati
on
who
se b
ody
mas
s ind
ex is
gre
ater
th
an o
r equ
al to
30k
g/m
2 )
Asse
sses
the
exte
nt o
f obe
sity
in u
rban
ar
eas
Num
erat
or:N
umbe
r of p
erso
ns o
bese
(i.
e. w
ith a
BM
I gre
ater
than
or e
qual
to
30 k
g / m
2 ) in
urba
n ar
eas.
Deno
min
ator
: tot
al n
umbe
r of p
eopl
e at
ris
k in
urb
an a
reas
DHS
Cent
ral
Surv
eys
Ever
y 5
year
s
Perc
enta
ge o
f tar
gete
d co
mpa
nies
th
at a
pply
hea
lth a
nd o
ccup
ation
al
safe
ty p
rincip
les
Dete
rmin
es t
he le
vel o
f the
im
plem
entatio
n of
occ
upati
onal
safe
ty
mea
sure
s for
the
prev
entio
n of
oc
cupa
tiona
l dise
ases
and
acc
iden
ts in
w
orkp
lace
s
Num
erat
or:N
umbe
r of e
valu
ated
form
al
sect
or c
ompa
nies
that
app
ly h
ealth
and
sa
fety
prin
ciple
s at w
ork.
De
nom
inat
or: T
otal
num
ber o
f tar
gete
d co
mpa
nies
DHS
Cent
ral
Surv
eys
Ever
y 5
year
s
Chro
nic
mal
nutr
ition
in ch
ildre
n be
low
5 y
ears
of a
geDe
term
ines
the
ext
ent o
f chr
onic
malnu
trition
in c
hild
ren
belo
w 5
yea
rs
of a
ge
Num
erat
or: N
umbe
r of c
hild
ren
aged
0 to
59
mon
ths w
hose
wei
ght f
or a
ge in
dex
is be
low
-2 Z
scor
es1.
De
nom
inat
or :
Tota
l num
ber o
f chi
ldre
n ag
ed 0
to 5
9 m
onth
s exa
min
ed
DHS
Cent
ral
Surv
eys
Ever
y 5
year
s
1 Tw
o cr
iteria
wer
e ta
ken
into
acc
ount
whe
n as
signi
ng a
n in
dica
tor t
o gi
ven
leve
l of t
he h
ealth
pyr
amid
, the
se in
clud
e: th
e ea
se fo
r thi
s lev
el o
f the
hea
lth p
yram
id to
fill
out
this
indi
cato
r w
ith r
egar
ds t
o its
miss
ions
; and
(ii)
its
abili
ty t
o ca
rry
out correctiv
e actio
ns t
o im
prov
e th
is in
dica
tor
if its
val
ue is
bel
ow w
hat
is ex
pect
ed, o
r in
denti
fy
stra
tegi
es to
mai
ntai
n th
is va
lue
to it
s bes
t lev
el, i
f it i
s sati
sfac
tory
.
16
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Stra
tegi
c su
b ax
is 1
.1: Instituti
onal
and
com
mun
ity c
apac
ities
and
co-ordina
tion
in th
e fie
ld of h
ealth
promoti
onTr
acer
indi
cato
rs
Prop
ortio
n of
HDs
with
functio
nal
DHC(a
)De
term
ines
the fu
nctio
nalit
y of
dialog
ue st
ruct
ures
at t
he o
peratio
nal
leve
l
Num
erat
or:N
umbe
r of H
Ds w
ith a
n AW
P de
velope
d w
ith th
e pa
rtici
patio
n of
DHC
m
embe
rs a
nd h
avin
g orga
nize
d at
leas
t on
e coordina
tion mee
ting
docu
men
ted
and
valid
ated
by
them
the
previous
se
mes
ter.
Deno
min
ator
: To
tal n
umbe
r of a
sses
sed
HDs
DOST
S an
nual
repo
rt,
repo
rt of
RDPH
, NH
IS,
Region
alSu
rvey
sProp
ortio
n of
HD
s with
functio
nal
DHC
Trac
er in
dica
tors
Pe
rcen
tage
of
th
e M
OH
budg
et
allocated
to
heal
th
prom
otion
interven
tions
Eval
uate
s the
commitm
ent a
nd le
vel o
f in
vest
men
t of M
OH on
hea
lth
prom
otion
inte
rven
tions
Num
erat
or:b
udge
t allo
cate
d for h
ealth
prom
otion
inte
rven
tions
. De
nom
inat
or : To
tal S
tate
bud
get
DRFP
repo
rtCe
ntra
lAs
sess
men
t repo
rts
Annu
al
Prop
ortio
n of
Hea
lth D
istric
ts h
avin
g at
le
ast
3 CS
O affi
liate
d to
th
e region
al
CSO
platf
orm
an
d ha
ve
contrib
uted
in
the
implem
entatio
n of
the
Annu
al W
ork
Plan
(AW
P)
Dete
rmin
es th
e fu
nctio
nalit
y of
CSO
s of
HDs a
nd th
at of t
he re
gion
al platfo
rm of
CSO
s in
the
implem
entatio
n of
hea
lth
interven
tions; a
lso a
sses
ses t
he
parti
cipa
tion of
CSO
s in
the
implem
entatio
n of
hea
lth acti
vitie
s
Num
erat
or:N
umbe
r of C
SOs a
ffilia
ted to
th
e region
al platfo
rm of C
SOs i
nvol
ved
in
the
impl
emen
tatio
n of
hea
lth acti
vitie
s pl
anne
d in
the
AWP of
the
HD fo
r the
ev
alua
tion pe
riod.
Deno
min
ator
: To
tal n
umbe
r of C
SOs
DPS
repo
rt,
RDPH
, DC
OOP,
HD
Region
alSu
rvey,
stud
yAn
nual
Perc
enta
ge of H
Ds h
avin
g at
leas
t 3
polyvalent
CH
Ws
trai
ned
for
the
prov
ision
of com
mun
ity M
HP
Mea
sure
s the
ava
ilabi
lity
in h
ealth
di
stric
ts of q
ualifi
ed v
ersatil
e CH
Ws for
th
e dispen
satio
n of
Com
mun
ity M
HP
Num
erat
or: N
umbe
r of C
HWs t
rain
ed
and
recr
uite
d for t
he d
eliv
ery of
MHP
activ
ities
at t
he com
mun
ity le
vel
Deno
min
ator
: To
tal n
umbe
r of C
HWs
DPS
repo
rt
DOSTS,
HR
Region
alSu
rvey,
stud
yAn
nual
Avai
labi
lity
of
upda
ted
regu
lato
ry
inst
rum
ent
gove
rnin
g co
mm
unity
pa
rticipa
tion
in h
eath
interven
tions
Dete
rmin
es t
he le
vel o
f a le
gal
fram
ework for c
ommun
ity partic
ipati
onDP
S repo
rt
DAJC,
DOST
S
Cent
ral
docu
men
t re
view
Ever
y tw
o ye
ars
17
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Goal
ac
hiev
emen
t ra
te
of
the
multia
nnua
l hea
lth p
rom
otion
pla
n De
term
ines
the
rate
of a
chie
vem
ent o
f th
e pl
anne
d ob
jecti
ves i
n th
e Na
tiona
l St
rate
gic
and Multi-
sect
or P
lan
for
heal
th promoti
on
Num
erat
or: N
umbe
r of a
chie
ved
goal
s of
the
multi-
annu
al p
lan
for h
ealth
prom
otion
De
nom
inat
or :
Tota
l num
ber o
f goa
ls of
th
e pl
an
DPS
repo
rt,
RDPH
, TS-
SC/H
SS
Cent
ral
Surv
ey,
stud
yAn
nual
Prop
ortio
n of
hea
lth d
istric
ts w
here
at
lea
st 5
0% o
f se
cond
ary
scho
ols
impl
emen
t he
alth
prom
otion
activ
ities
Dete
rmin
es t
he c
apac
ity o
f sch
ools
to
deve
lop
and
impl
emen
t hea
lth
prom
otion
acti
vitie
s
Num
erat
or: N
umbe
r of s
econ
dary
sc
hool
s with
an im
plem
entatio
n re
port
on
activ
ities
in a
ccor
danc
e w
ith th
eir h
ealth
prom
otion
AW
P
Deno
min
ator
: To
tal n
umbe
r of t
arge
ted
scho
ols
DPS
repo
rt
MIN
EDUB
, M
INES
EC,
MIN
SESU
P, M
INTS
S
Ope
ratio
nal
Stud
yEv
ery
two
year
s
Prop
ortio
n of
Hea
lth D
istric
ts
havi
ng im
plem
ente
d at
leas
t 50%
of
the activ
ities
stat
ed in
thei
r An
nual
Wor
k Pl
an (A
WP)
Dete
rmin
es t
he le
vel o
f im
plem
entatio
n of
com
mun
ity in
terven
tions
that
are
in
scrib
ed in
the
annu
al w
ork
plan
s of t
he
HDs
Num
erat
or: N
umbe
r of H
Ds th
at h
ave
impl
emen
ted
at le
ast 5
0% o
f the
acti
vitie
s of
the
plan
ned
inte
grat
ed co
mm
unity
di
rect
ed in
terven
tion
pack
age
Deno
min
ator
: To
tal n
umbe
r of e
valu
ated
HD
s
DPS
repo
rtRe
gion
alSu
rvey
st
udy
Annu
al
Sub
stra
tegi
c -a
xis 1
.2: L
ivin
g En
viro
nmen
t Tr
acer
indi
cato
rs
Perc
enta
ge
of
hous
ehol
ds
usin
g so
lid fu
el a
s fir
st s
ourc
e of
dom
estic
en
ergy
use
d fo
r coo
king
Dete
rmin
es t
he le
velo
f hou
seho
ld
expo
sure
to th
e to
xic
subs
tanc
es
cont
aine
d in
the
smok
e fr
om so
lid
combu
stibl
es
Num
erat
or:N
umbe
r of h
ouse
hold
s usin
g so
lid c
ombu
stibles
as m
ain
sour
ce o
f do
mestic
ene
rgy
for c
ooki
ng.
Deno
min
ator
: To
tal n
umbe
r of t
arge
ted
hous
ehol
ds
MIC
S, D
HSCe
ntra
lSt
udie
sEv
ery
3 to
5
year
s
Perc
enta
ge
of
hous
ehol
ds
with
ac
cess
to p
otab
le w
ater
De
term
ines
the
propo
rtion
of t
he
popu
latio
n w
ith a
cces
s to
pota
ble
wat
er
Num
erat
or:N
umbe
r of h
ouse
hold
s tha
t ha
ve a
cces
s to
a po
tabl
e w
ater
sour
ce.
Deno
min
ator
: To
tal n
umbe
r of r
egist
ered
ho
useh
olds
DPS,
DHS
, M
ICS,
EC
AM
Cent
ral
Surv
ey
stud
yEv
ery
3 to
5
year
s
18
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Trac
er in
dica
tors
Pe
rcen
tage
of
HD
s im
plem
entin
g CL
TS(a
) De
term
ines
th
e le
vel o
f com
mun
ity
mob
ilizatio
n fo
r ba
sic e
nviro
nmen
tal
hygi
ene
and
the sanitatio
n
Num
erat
or: T
otal
num
ber o
f HDs
im
plem
entin
g CL
TS
Deno
min
ator
: To
tal n
umbe
r of t
arge
ted
HDs
DPS,
DHS
, M
ICS,
EC
AM
Regi
onal
(N
orth
ern
Regi
ons )
Surv
ey,
stud
yAn
nual
Prop
ortio
n of
Hea
lth D
istric
ts t
hat
have
a
publ
ic
heal
th
engi
neer
ing
tech
nici
an
Dete
rmin
es th
e av
aila
bilit
y of
per
sonn
el
trai
ned
in h
ygie
ne a
nd sa
nitatio
n in
the
HD
Num
erat
or: N
umbe
r of H
Ds w
ith a
t lea
st
one staff
trai
ned
in sa
nita
ry e
ngin
eerin
g De
nom
inat
or :
Tota
l num
ber o
f ass
esse
d Di
stric
t
DPS
repo
rt,
HRD
Regi
onal
Docu
men
t re
view
Ever
y ye
ar
Achi
evem
ent
rate
of
activ
ities
pr
ovid
ed f
or i
n th
e he
alth
pla
n of
ta
rget
ed c
ompa
nies
ove
r the
last
12
mon
ths
Dete
rmin
es th
e le
vel o
f im
plem
entatio
n of
hea
lth p
romoti
on a
ctivitie
s and
sa
fety
in th
e w
orki
ng e
nviro
nmen
t
Num
erat
or: N
umbe
r of a
ctivitie
s im
plem
ente
d in
the
heal
th p
lan
of
com
pani
es d
urin
g a
perio
d
Deno
min
ator
: To
tal n
umbe
r of p
lann
ed
activ
ities
in ta
rget
com
pani
es d
urin
g th
e sa
me
perio
d
MIN
TSS,
DP
S,
DCO
OP
Cent
ral
Surv
ey,
stud
yAn
nual
ly
Stra
tegi
c su
b ax
is 1.
3: S
tren
gthe
ning
hea
lthy
beha
viou
rs o
f ind
ivid
uals
and
com
mun
ities
Trac
er in
dica
tors
Prev
alen
ce o
f pr
egna
ncie
s am
ong
adol
esce
nt g
irls
Dete
rmin
es t
he effe
ctive
ness
of
mea
sure
s im
plem
ente
d to
pre
vent
the
occu
rren
ce o
f ear
ly p
regn
ancy
Num
erat
or: N
umbe
r of p
regn
ant g
irls
aged
15
to 1
9 ye
ars
Deno
min
ator
: To
tal n
umbe
r of g
irls a
ged
15 to
19
year
s
MIC
S5Re
gion
alSu
rvey
, st
udy
Ever
y 2
to 3
ye
ars
Prev
alen
ce o
f sm
okin
g in
per
sons
ag
ed 1
5 an
d ab
ove
Dete
rmin
es t
he e
xten
t of t
obac
co
expo
sure
in su
bjec
ts a
ged
15 y
ears
and
ab
ove
Num
erat
or: N
umbe
r of p
eopl
e ag
ed 1
5 an
d ab
ove
cons
umin
g to
bacc
o De
nom
inat
or :
Tota
l num
ber o
f peo
ple
aged
15
and
abov
e
Wor
ld
Heal
th
Stati
stics,
WHO
, DP
S, G
ATS
Cent
ral
WHO
re
port
, St
udie
s
Ever
y 3
to 5
ye
ars
19
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Trac
er in
dica
tors
Pe
rcen
tage
of
HD
s ha
ving
an
in
tegr
ated
Com
mun
icati
on p
lan
for
heal
th
prom
otion
an
d di
seas
e preven
tion
Dete
rmin
es t
he a
bilit
y of
HDs
to
orga
nize
com
mun
icati
on a
ctivitie
s for
he
alth
promoti
on a
nd d
iseas
e preven
tion
Num
erat
or: N
umbe
r of H
Ds w
ith a
n in
tegr
ated
commun
icati
on p
lan
for h
ealth
prom
otion
and
dise
ase
prev
entio
n
Deno
min
ator
: Tot
al n
umbe
r of a
sses
sed
HDs
DPS
Regi
onal
Rese
arch
/ su
rvey
Annu
ally
Annu
al n
umbe
r of c
ontr
a ba
nd
food
pro
duct
s sei
zed
Asse
sses
the
effectiv
eness
of fo
od
safe
ty c
ontr
olNu
mbe
ring
DPS,
AN
OR
Ope
ratio
nal
Ope
ratin
g do
cum
ents
Annu
al
Prop
ortio
n of
HD
s ha
ving
co
mm
unity
team
s tra
ined
in fi
rst a
id
Dete
rmin
es t
he a
vaila
bilit
y of
firs
t aid
te
ams (
avai
labi
lity
of se
rvic
e de
liver
y an
d pr
e-ho
spita
l car
e) u
sefu
l dur
ing
the
man
agem
ent o
f ro
ad a
ccid
ent c
ases
Num
erat
or: n
umbe
r of H
Ds th
at h
ave
com
mun
ity te
ams t
rain
ed in
firs
t aid
du
ring
a gi
ven
perio
d De
nom
inat
or :
Tota
l num
ber o
f dist
ricts
as
sess
ed d
urin
g th
e sa
me
perio
d
DOST
S,
DLM
EP,
NPHO
, M
INTR
ANSP
ORT
, Fi
re
fighters
Regi
onal
Stud
ies
Ever
y tw
o ye
ars
Num
ber o
f victim
s (in
jure
d or
dea
d)
of in
ter u
rban
road
acc
iden
ts
Dete
rmin
es
the eff
ectiv
enes
s of
road
sa
fety
mea
sure
s in
plac
eCo
untin
g o
f roa
d ac
cide
nt ca
ses
MIN
TRAN
S PO
RT
Repo
rts
CONA
ROU
TE R
epor
t
Cent
ral
Exploitatio
nof
do
cum
ents
Annu
al
Prop
ortio
n of
loc
al c
ounc
ils/h
ealth
di
stric
ts
with
co
nven
tiona
l de
velo
ped
sites
fo
r sp
orts
an
d ph
ysica
l acti
vitie
s
dete
rmin
es th
e av
aila
bilit
y of
de
velo
ped
area
s for
spor
ts a
nd p
hysic
al
activ
ities
in R
LAs
Num
erat
or: N
umbe
r of R
LAs w
ith a
t lea
st
one
deve
lope
d a
nd co
nven
tiona
l spa
ce
for t
he p
racti
ce o
f spo
rts
and
phys
ical
activ
ities
De
nom
inat
ors:
Tot
al n
umbe
r of t
arge
ted
RLAs
CU,
MIN
SEP
Regi
onal
Stud
y An
nual
Perc
enta
ge o
f app
rove
d ce
ntre
s fo
r sp
orts
and
phy
sical
acti
vitie
s ha
ving
a
trai
ned
spor
ts in
stru
ctor
Dete
rmin
es th
e av
aila
bilit
y of
qua
lified
hu
man
reso
urce
s to
supe
rvise
the
practic
e of
spor
ts a
nd p
hysic
al
activ
ities
in a
ccre
dite
d ce
ntre
s
Num
erat
or: N
umbe
r of a
ppro
ved
cent
res
with
a q
ualifi
ed in
stru
ctor
Deno
min
ator
: To
tal n
umbe
r of
accr
edite
d ce
ntre
s for
the
practic
e of
sp
orts
and
phy
sical
exe
rcise
s ass
esse
d
DPS
repo
rts,
MIN
SEP
Regi
onal
Surv
ey,
Stud
yAn
nual
ly
20
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
% o
f ch
ildre
n ag
ed 6
to
23 m
onth
s ha
ving
rec
eive
d fo
od f
rom
at
leas
t fo
ur fo
od g
roup
s in
the
prev
ious
day
Mea
sure
s th
e le
vel o
f ado
ption
of
practic
es re
latin
g to
bal
ance
d di
et
amon
g pa
rent
s of c
hild
ren
aged
6 to
23
mon
ths
Num
erat
or: N
umbe
r of c
hild
ren
aged
6
to 2
3 m
onth
s who
con
sum
ed fo
ods f
rom
at
leas
t fou
r foo
d gr
oups
dur
ing
the
day
prec
edin
g th
e su
rvey
Deno
min
ator
: To
tal n
umbe
r of c
hild
ren
aged
6 to
23
mon
ths a
sses
sed
DPS
Repo
rts
Ope
ratio
nal
Surv
ey,
stud
yEv
ery
2 ye
ars
Prev
alen
ce
of
dent
al
deca
y in
pr
imar
y sc
hool
pup
ils
Dete
rmin
es t
he e
xten
t of o
ral d
iseas
es
in sc
hool
sN
umer
ator
: Num
ber o
f chi
ldre
n in
sc
hool
s with
at l
east
one
dec
ayed
toot
h De
nom
inat
or :
Tota
l num
ber o
f chi
ldre
n ex
amin
ed fo
r the
per
iod
in q
uesti
on
MIN
EDUB
/ MO
H Re
port
s
Ope
ratio
nal
Surv
ey,
stud
yEv
ery
5 ye
ars
Stra
tegi
c su
b ax
is 1.
4: Essen
tial f
amily
pra
ctice
s, fa
mily
pla
nnin
g, promoti
on o
f ado
lesc
ent h
ealth
and
pos
t abo
rtion
care
Trac
er in
dica
tors
M
oder
n co
ntracepti
ve
prev
alen
ce
rate
in w
omen
of c
hild
bear
ing
age
Enab
les i
n estim
ating
the
prop
ortio
n of
w
omen
of c
hild
bear
ing
age
(15
to 4
9 ye
ars)
or m
arrie
d co
uple
s who
se F
P ne
eds a
re sa
tisfie
d by
mod
ern
met
hods
Num
erat
or: N
umbe
r of s
exua
lly acti
ve
wom
en o
f chi
ldbe
arin
g ag
e (1
5-49
yea
rs)
usin
g or
who
se p
artn
er is
usin
g a
mod
ern
cont
race
ptive
met
hod
X 10
0 De
nom
inat
or: T
otal
num
ber o
f wom
en o
f ch
ildbe
arin
g ag
e (1
5-49
yea
rs)
DSF
repo
rt
PLM
I, M
ICS
Regi
onal
Surv
ey,
st
udy
Ever
y 3
to 5
ye
ars
Prop
otion
of u
nmet
need
s in
FPDe
term
ines
the
syst
em's
abili
ty to
mak
e av
aila
ble
contracepti
ves f
or m
arrie
d w
omen
or t
hose
in a
relatio
nshi
p w
ho
no lo
nger
wan
t chi
ldre
n an
d th
ose
who
w
ant t
o w
ait f
or o
ne o
r sev
eral
yea
rs
befo
re h
avin
g an
othe
r chi
ld
Num
erat
or: N
umbe
r of w
omen
age
d 15
to
49
year
s mar
ried
or in
a re
latio
nshi
p,
who
wan
t to
spac
e ou
t birt
hs o
r lim
it th
e nu
mbe
r of c
hild
ren,
but
who
are
not
cu
rren
tly u
sing
any
cont
race
ptive
met
hod
Deno
min
ator
: To
tal n
umbe
r of m
arrie
d w
omen
or i
n a
relatio
nshi
p ag
ed 1
5-49
ye
ars w
ho a
re fe
rtile
and
wan
t to
spac
e ou
t birt
hs o
r lim
it th
e nu
mbe
r of c
hild
ren
MIC
SRe
gion
alSu
rve
y,
stud
y
Ever
y 2
year
s
21
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Trac
er in
dica
tors
Prop
ortio
n of
DHs
hav
ing
a te
chni
cal
pers
onne
l tra
ined
in E
FP(a
) De
term
ines
the
ava
ilabi
lity
of h
uman
re
sour
ces q
ualifi
ed fo
r the
promoti
on
of E
FP
Num
erat
or: N
umbe
r of H
Ds w
ith a
t lea
st
one
prov
ider
trai
ned
in E
FP
Deno
min
ator
: Tot
al n
umbe
r of a
sses
sed
HDs
DSF
Regi
onal
Surv
ey st
udy
Annu
al
Perc
enta
ge
of
hous
ehol
ds
implem
entin
g at
lea
st 7
out
of
15
essenti
al fa
mily
pra
ctices(a
)
Dete
rmin
es th
e le
vel o
f ado
ption
of
heal
thy
beha
vior
s and
pra
ctice
s in
the
com
mun
ity
Num
erat
or:N
umbe
r of h
ouse
hold
s ap
plyi
ng a
t lea
st 7
of t
he 1
5 es
senti
al
fam
ily p
racti
ces.
Deno
min
ator
: To
tal n
umbe
r of
hous
ehol
ds a
sses
sed
DPS
repo
rts
MIN
PRO
F
Ope
ratio
nal
Surv
ey,
st
udy
Annu
al
STRA
TEGI
C AX
IS 2
: DIS
EASE
PRE
VEN
TIO
NTr
acer
indi
cato
rs
Prev
alen
ce o
f Hyp
erte
nsio
n(H
PT)
in a
dults
age
d 15
yea
rs a
nd a
bove
in
urb
an a
reas
Dete
rmin
es t
he e
xten
t of h
yper
tens
ion
in u
rban
are
asi.e
. the
pro
portion
of p
eopl
e ag
ed 1
5 ye
ars a
nd a
bove
with
a sy
stol
ic b
lood
pr
essu
re o
f ≥1
40m
mHg
or d
iast
olic
bl
ood
pres
sure
of ≥
90 m
Hg
Num
erat
or: N
umbe
r of p
atien
ts a
bove
15
year
s with
hyp
erte
nsio
n De
nom
inat
or :
Tota
l num
ber o
f pati
ents
at
risk
and
age
d 15
and
abo
ve
MO
H (D
LMEP
)Ce
ntra
lSu
rvey
, st
udy
At le
ast e
very
5
year
s
Stra
tegi
c su
b ax
is 2.
1: P
reve
ntion
of C
omm
unic
able
Dise
ases
Trac
er in
dica
tor
Inci
denc
e of
HIV
De
term
ines
the
ext
ent o
f new
cas
es o
f HI
V infecti
ons
Num
erat
or: N
umbe
r of n
ew H
IV c
ases
du
ring
the
perio
d ev
alua
ted
Deno
min
ator
: To
tal p
opulati
on a
t risk
du
ring
the
sam
e pe
riod
RDSP
-HIV
, DH
SRe
gion
alSu
rvey
, st
udy
Ever
y 3
to 5
ye
ars
Prev
alen
ce o
f HIV
Dete
rmin
es th
e ex
tent
of H
IV in
the
gene
ral p
opul
ation
Num
erat
or: N
umbe
r of H
IV+
pers
ons
Deno
min
ator
: To
tal p
opulati
on
DHS
Regi
onal
Surv
ey,
stud
yEv
ery
5 ye
ars
22
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prev
alen
ce o
f vira
l Hep
atitis
BDe
term
ines
the
exte
nt o
f vira
l hep
atitis
B
in th
e ge
nera
l pop
ulati
onN
umer
ator
:Num
ber o
f Hep
atitis
B
infe
cted
perso
ns. (
that
is, n
umbe
r of
person
s scree
ned HB
s Ag po
sitive
) De
nom
inat
or :
Tota
l pop
ulati
on
DHS
Regi
onal
Sero
logi
cal
survey,
stud
y
Every
5 years
Cove
rage
of p
reventi
ve
chem
othe
rapy
for o
ncho
cerc
iasis
(C
DTI)
cove
rage
)
Determ
ines
the
cap
acity
of t
he sy
stem
to
pre
vent
the
occu
renc
e of
on
choc
erciasis
and
its c
omplicati
ons
Num
erat
or: N
umbe
r of p
eopl
e w
ho
rece
ived
pre
venti
ve tr
eatm
ent
Deno
min
ator
: To
tal p
opulati
on a
t risk
DLM
EP
repo
rt,
Prog
rams
Ope
ratio
nal
NOCP
Te
chni
cal
Repo
rt
Annu
al
Inci
denc
e of
smea
r-po
sitive
pu
lmon
ary
tube
rculosis
(PTB
+)
Determ
ines
the
num
ber o
f new
cases
of
smea
r positi
ve T
B an
d relapses
du
ring
a gi
ven
perio
d
Num
erat
or: N
umbe
r of n
ew T
B cases a
nd
rela
pses
dur
ing
a gi
ven
perio
d De
nom
inat
or :
Tota
l pop
ulati
on a
t risk
du
ring
the sa
me
perio
d
PNLT
B re
ports,
DLM
EP
Regi
onal
Surv
ey,
Revi
ew,
Mon
itorin
g
Annu
al
Trac
er In
dica
tors
Pe
rcen
tage
of H
Ds h
avin
g ca
rrie
d ou
t and
doc
umen
ted
at le
ast 7
5%
of IE
C/C4
D activ
ities
incl
uded
in
thei
r Int
egra
ted Co
mmun
icati
on
Plan
Dete
rmin
e th
e ca
paci
ty o
f the
system
to
prom
ote
heal
th a
nd se
nsiti
ze th
e po
pulatio
n on
the diffe
rent
means
of
disease
prev
entio
n (Ass
essm
ent o
f the
le
vel o
f im
plem
entatio
n of
the
awaren
ess-
raising
acti
vitie
s inc
lude
d in
th
e In
tegr
ated
Com
mun
icati
on P
lan
of
the
HD).
Num
erat
or: N
ombe
r hav
ing
carr
ied
out
and
docu
men
ted
at leas
t 75%
of I
EC/C
4D
activ
ities
incl
uded
in th
eir I
nteg
rate
d Co
mmun
icati
on P
lan
Dé
nom
inat
eur:
Tota
l num
ber o
f the
assess
ed distric
ts
Reap
ports
of H
ealth
Distric
ts,
Régi
onal
étud
eSe
mestr
ielle
Perc
enta
ge o
f inmates
aged
15-
49
years h
avin
g sc
reen
ed fo
r HI
V in
the
last
12
mon
ths
and
who
col
lect
ed
thei
r results
Determ
ines
the
effe
ctive
ness
of t
he
PICT
stra
tegy
(HIV
Pro
vide
r Initia
ted
coun
selin
g an
d testing
) in
priso
ns
Num
erat
or:N
umbe
r of p
ersons
age
d 15
-49
years
livi
ng in
prison
s who
wer
e screen
ed a
nd w
ho c
olle
cted
thei
r resul
ts.
Deno
min
ator
: Tot
al n
umbe
r of p
ersons
ag
ed 1
5-49
yea
rs li
ving
in p
rison
s who
did
th
e test
DPS,
NAC
CRe
gion
alSt
udy
Annu
al
23
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Perc
enta
ge o
f pe
ople
age
d 15
-49
year
s hav
ing
scre
ened
for
HIV
in th
e la
st 1
2 m
onth
s an
d co
llect
ed t
heir
resu
lts
Dete
rmin
es th
e eff
ectiv
enes
s of t
he
PICT
stra
tegy
(HIV
Pro
vide
r Initia
ted
coun
selin
g an
d testing
)
Num
erat
or: N
umbe
r of p
erso
ns a
ged
15-
49 y
ears
w
ho w
ere
scre
ened
for H
IV a
nd
with
drew
thei
r res
ult
Deno
min
ator
: Tot
al n
umbe
r of p
erso
ns
aged
15-
49 y
ears
hav
ing
com
plet
ed a
test
DPS,
NAC
COpe
ratio
nal
Stud
y An
nual
Prop
ortio
n of
hou
seho
lds w
ith a
n LL
IN fo
r 2 p
erso
nsDe
term
ines
the
ava
ilabi
lity
of L
LINs
in
hous
ehol
dsN
umer
ator
: Num
ber o
f hou
seho
lds w
ith
an L
LIN
for t
wo
pers
ons f
or th
e ev
alua
ted
perio
d De
nom
inat
or :
Num
ber o
f sur
veye
d ho
useh
olds
NMCP
re
port
, LL
IN
distrib
utio
n lo
gboo
k
Cent
ral
Stud
y Ev
ery
3 ye
ars
Prop
ortio
n of
chi
ldre
n be
low
5
year
s of a
ge o
f the
Nor
th a
nd th
e Fa
r Nor
th R
egio
ns w
ho re
ceiv
ed
prev
entiv
e tr
eatm
ent f
or se
ason
al
mal
aria
Dete
rmin
es th
e ca
paci
ty o
f the
syst
em
to e
nsur
e th
e preven
tion
of se
ason
al
mal
aria
in c
hild
ren
belo
w 5
of a
ge in
ar
eas p
rone
to se
ason
al m
alar
ia
Num
erat
or:N
umbe
r of c
hild
ren
belo
w 5
ye
ars o
f age
exp
osed
to se
ason
al m
alar
ia
who
rece
ived
pre
venti
ve tr
eatm
ent
durin
g a
give
n pe
riod.
Deno
min
ator
: To
tal n
umbe
r of c
hild
ren
belo
w 5
yea
rs o
f age
exp
osed
to se
ason
al
mal
aria
dur
ing
the
sam
e pe
riod
DLM
EP
repo
rt,
NMCP
re
port
,
Ope
ratio
nal
Data
compilatio
nAn
nual
Stra
tegi
c su
b ax
is 2.
2: E
PDs a
nd p
ublic
hea
lth e
vent
, m
onito
ring
and
resp
onse
to e
pide
mic
pro
ne d
iseas
es, z
oono
ses a
nd p
ublic
hea
lth e
vent
sTr
acer
indi
cato
rs
Prop
ortio
n of
HDs
with
confi
rmed
m
easle
s out
brea
ks w
hich
or
gani
zed
resp
onse
acc
ordi
ng to
na
tiona
l gui
delin
es
Dete
rmin
es t
he fu
nctio
nalit
y an
d pr
epar
edne
ss o
f the
surv
eilla
nce/
aler
t an
d re
spon
se to
epi
dem
ics i
n th
e HD
s
Num
erat
or: N
umbe
r of H
Ds w
hich
ex
perie
nced
mea
sles o
utbr
eaks
and
or
gani
zed
resp
onse
Deno
min
ator
: Tot
al n
umbe
r of H
Ds w
ith
mea
sles o
utbr
eaks
DLM
EP
repo
rts,
EPD
notifi
catio
n sh
eet,
EPD
Repo
rt
Regi
onal
Revi
ew o
f ep
idem
iolo
gic
al
surv
eilla
nce
repo
rts
Wee
kly,
M
onth
ly
24
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
mea
sles o
utbr
eak
repo
rted
and
investigated
Dete
rmin
es th
e l c
apac
ity o
f the
hea
lth
syst
em to
pro
vide
epi
dem
iologi
cal
surv
eilla
nce
for m
easle
s
Num
erat
or: N
umbe
r of r
epor
ted
and
investigated
mea
sles o
utbr
eaks
Deno
min
ator
: To
tal n
umbe
r of r
epor
ted
mea
sles o
utbr
eaks
DLM
EP
repo
rts,
EPD
notifi
catio
n sh
eet,
EPD
Repo
rt
Region
alOpe
ratin
g re
port
s epi
dem
iological
surv
eilla
nce
Wee
kly,
M
onth
ly
Trac
er in
dica
tors
Prop
ortio
n of
CER
PLE
(Reg
iona
l ep
idem
ics p
reventi
on a
nd co
ntro
l ce
ntre
s) w
ith m
inim
al o
peratio
nal
capa
city
requ
ired
to m
onito
r EP
Ds/p
ublic
hea
lth e
vent
s and
re
spon
se(a
)
Dete
rmin
es b
oth
the
avai
labi
lity
of
institutio
nal c
apac
ity a
nd th
e pr
epar
edne
ss o
f the
RDP
H to
man
age
emerge
ncie
s or p
ublic
hea
lth e
vent
s (E
PDs)
.
Num
erat
or: N
umbe
r of R
DPH
hav
ing
CERP
LE w
ith m
inim
um o
peratio
nal
capa
city
requ
ired
to m
onito
r EPD
s/pu
blic
he
alth
eve
nts a
nd re
spon
se
Deno
min
ator
: To
tal n
umbe
r of C
ERPL
E
RDPH
, DL
MEP
Cent
ral
Revi
ew o
f activ
ity
repo
rts
Annu
al
Prop
ortio
n of
RDP
H w
ith re
fere
nce
labo
rato
ries o
peratin
g in
an
EPD
surv
eilla
nce
netw
ork
Dete
rmin
es th
e av
aila
bilit
y an
d functio
nality
of th
e re
fere
nce
labo
rato
ry n
etw
ork
for E
PD su
rvei
llanc
e
Num
erat
or: N
umbe
r of R
DPH
havi
ng
atle
ast r
efer
ence
labo
rato
ries o
peratin
g in
an
EPD
surv
eilla
nce
netw
ork
De
nom
inat
or :
Tota
l num
ber o
f RDP
H
DPM
L,
NPHL
Cent
ral
Stud
ies
Annu
al
Prop
ortio
n of
RDP
H w
ith a
n up
date
d an
nual
epi
dem
ic ri
sk zo
ne
map
ping
and
ope
ratio
nal r
espo
nse
plan
s
Prov
ides
a c
ompr
ehen
sive
over
view
of
the
heal
th v
ulne
rabi
lity
of h
ealth
di
stric
ts. A
sses
s the
ext
ent o
f the
are
as
at ri
sk o
f epi
dem
ics w
ith a
vie
w to
or
gani
zing
the
resp
onse
s acc
ordi
ngly
in
the
heal
th d
istric
ts in
thes
e ar
eas
Num
erat
or:N
umbe
r of R
DPH
with
ann
ual
epid
emic
risk
map
s and
ope
ratio
nal
resp
onse
pla
ns
Deno
min
ator
: To
tal n
umbe
r of R
DPH
DLM
EP
repo
rtCe
ntra
lSt
udie
sAn
nual
Num
ber o
f chi
ldre
n left
out d
uring
routi
ne im
mun
izatio
n A
ppre
ciat
es th
e ab
ility
of D
S to
im
mun
ize
all t
heir
targ
et p
opul
atio
n
DSF,
DL
MEP
, EP
I
Region
alDe
cent
raliz
ed
mon
itorin
g,
EPI R
evie
w
Annu
al
25
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
HDs
whi
ch h
ave
inpu
ts fo
r res
pons
e to
the
othe
r EP
Ds n
ot co
vere
d by
the
EPI o
ver
the
last
thre
e m
onth
s
Dete
rmin
es th
e av
aila
bilit
y of
pre
-po
sition
ed in
puts
in H
Ds fo
r res
pons
e to
EPD
s not
targ
eted
by
the
EPI
Num
erat
or:N
umbe
r of H
Ds w
ith in
puts
fo
r a re
spon
se to
oth
er E
PDs n
ot ta
rget
ed
by th
e EP
I. De
nom
inat
or :
Tota
l num
ber o
f HDs
DPM
L re
port
Regi
onal
Supe
rvisi
on
Ever
y se
mes
ter
Sub
stra
tegi
c ax
is 2.
3: R
MN
CAH
and
PM
TCT
Trac
er in
dica
tor
Immun
izatio
n c
over
age
with
the
refe
renc
e an
tigen
(Pen
ta3)
Dete
rmin
es th
e le
vel o
f im
mun
izatio
n of
chi
ldre
n ag
ed 0
-11
mon
ths o
n PE
NTA
3
Num
erat
or: N
umbe
r of c
hild
ren
aged
0-
11 m
onth
s who
rece
ived
PEN
TA 3
ove
r a
give
n pe
riod
Deno
min
ator
: Nu
mbe
r of c
hild
ren
belo
w
one
year
exp
ecte
d fo
r the
sam
e pe
riod
MPR
, M
ICS,
EPI
activ
ity
repo
rt
Ope
ratio
nal
Mon
itorin
g de
cent
raliz
ed
EPI
Revi
ew
Mon
thly
, Ye
arly
ANC
cove
rage
rate
4 M
easu
res t
he le
vel o
f atte
ndan
ce a
nd
recr
uitm
ent o
f pre
gnan
t wom
en to
pr
enat
al co
nsultatio
n
Num
erat
orTo
tal n
umbe
r of p
regn
ant
wom
en w
ho atte
nded
at l
east
4 a
nten
atal
vi
sit d
urin
g a
give
n pe
riod
Deno
min
ator
: Num
ber o
f exp
ecte
d pr
egna
ncie
s for
the
perio
d ev
alua
ted
durin
g th
e sa
me
perio
d
DSF
PLM
NIOpe
ratio
nal
Revi
ew o
f da
taAn
nual
ly
Mea
sles’
Immun
izatio
n co
vera
ge in
/r
ubel
la v
accin
e De
term
ines
the prop
ortio
n of
chi
ldre
n (E
PI ta
rget
) who
hav
e co
mpl
eted
the
routi
ne im
mun
izatio
n
Num
erat
or: N
umbe
r of c
hild
ren
aged
0-
11 m
onth
s im
mun
ized
agai
nst m
easle
s an
d ru
bella
dur
ing
a gi
ven
perio
d De
nom
inat
or :
Tota
l num
ber o
f chi
ldre
n ag
ed 0
to 1
1 m
onth
s exp
ecte
d du
ring
the
sam
e pe
riod
EPI r
epor
tOpe
ratio
nal
Com
pilatio
n of
im
mun
izati
on d
ata
Annu
al
Prop
ortio
n of
HIV
-infe
cted
pr
egna
nt w
omen
on
ART
Dete
rmin
es t
he a
bilit
y of
the
syst
em to
en
sure
the
PMTC
T of
HIV
Num
erat
or: T
otal
num
ber o
f HIV
-infe
cted
pr
egna
nt w
omen
on
ART
durin
g a
give
n pe
riod
Deno
min
ator
: To
tal n
umbe
r of H
IV-
positi
ve p
regn
ant w
omen
dur
ing
the
sam
e pe
riod
PDSP
-HIV
NA
CCOpe
ratio
nal
Com
pilatio
n of
HIV
m
anag
eme
nt d
ata
Qua
rter
ly
26
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
chi
ldre
n ag
ed 0
-5
sleep
ing
unde
r an
LLIN
Dete
rmin
es t
he u
se o
f LLI
Ns in
chi
ldre
n ag
ed 0
-5 y
ears
Num
erat
or: N
umbe
r of c
hild
ren
aged
0-5
ye
ars s
leep
ing
unde
r LLI
Ns d
urin
g a
give
n pe
riod
Deno
min
ator
: Estim
ated
num
ber o
f ch
ildre
n ag
ed 0
-5 y
ears
dur
ing
the
sam
e pe
riod
NMCP
re
port
, M
ICS,
DHS
Ope
ratio
nal
DHS,
Ro
utine
Ever
y th
ree
year
s
Mot
her-
to-c
hild
tran
smiss
ion
rate
of
HIV
(per
cent
age
of H
IV-
expo
sed
child
ren)
Dete
rmin
es t
he im
plem
entatio
n le
vel
of P
MTC
TN
umer
ator
:Tot
al n
umbe
r of H
IV-p
ositi
ve
child
ren
born
to H
IV-p
ositi
ve m
othe
rs.
Deno
min
ator
: To
tal n
umbe
r of c
hild
ren
born
to H
IV-p
ositi
ve m
othe
rs
Routi
ne
data
DL
MEP
, NA
CC
Regi
onal
Stud
yAn
nual
ly
Prop
ortio
n of
ne
wbo
rn
with
lo
w
birt
h w
eigh
t (be
low
2.5
00 g
ram
mes
)
Enab
les t
o as
sess
the
nutrition
al st
atus
of
the
mot
her
Num
erat
or: N
umbe
r of n
ewbo
rns w
ith
less
than
250
0g a
t birt
h du
ring
the
perio
d ev
alua
ted
Deno
min
ator
: To
tal n
umbe
r of l
ive
birt
hs
regi
ster
ed d
urin
g th
e sa
me
perio
d
DHS,
M
ICS,
PH
IA
Ope
ratio
nal
Stud
y,
Surv
eys
1 to
5 y
ears
Prop
ortio
n of
pr
egna
nt
wom
en
havi
ng r
ecei
ved
at le
ast
3 do
ses
of
IPT
durin
g pr
egna
ncy
(% IP
T3)
Dete
rmin
es th
e le
vel o
f mal
aria
preven
tion
in p
regn
ant w
omen
Num
erat
or:N
umbe
r of p
regn
ant w
omen
w
ho re
ceiv
ed a
t lea
st 3
dos
es o
f IPT
du
ring
preg
nanc
y du
ring
a gi
ven
perio
d. De
nom
inat
or :
Num
ber o
f pre
gnan
t w
omen
who
atte
nded
AN
C du
ring
the
sam
e pe
riod
RMA
repo
rt,
NMCP
Ope
ratio
nal
NMCP
su
perv
ision
M
onth
ly,
Annu
ally
Prop
ortio
n of
Dist
rict H
ospi
tals
with
at
lea
st o
ne s
taff
trai
ned
in t
he
deliv
ery
of
high
im
pact
interven
tions
in
mot
her
and
child
he
alth
Dete
rmin
es th
e av
aila
bilit
y of
HR
able
to
dele
ver o
f hig
h im
pact
inte
rven
tions
in
mot
her a
nd ch
ild h
ealth
Num
érat
eur:
Nom
ber o
f HD
shav
ing
at
leas
t one
staff
trai
ned
in th
e de
liver
y of
hi
gh im
pact
inte
rven
tions
in m
othe
r and
ch
ild h
ealth
Dé
nom
inat
eur:
Nom
bre
tota
l num
ber o
f as
sess
ed H
ealth
Disc
tric
ts
Repo
rt
PLM
I, Re
port
DRH
Ope
ratio
nal
Com
pilatio
n of
routi
ne
data
Annu
al
27
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
HDs
that
del
iver
CE
mO
NC a
ccor
ding
to st
anda
rds (
9 functio
ns)(a
)
Dete
rmin
es th
e av
aila
bilit
y of
CEm
ONC
se
rvic
e de
liver
y in
HDs
(ava
ilabi
lity
of
nine
com
plet
e C
EmO
NC fu
nctio
ns)
Num
erat
or: N
umbe
r of H
Ds d
eliv
erin
g th
e 9
CEm
ONC
functio
ns d
urin
g a
perio
d
Den
omin
ator
: Tot
al n
umbe
r of H
Ds
eval
uate
d du
ring
the
sam
e pe
riod
DSF
repo
rtRe
gion
alSt
udy
Annu
al
Prop
ortio
n of
chi
ldre
n w
ho
atten
ded
PNC
serv
ices
with
in 4
8 ho
urs f
ollo
win
g de
liver
y.
Dete
rmin
es th
e ca
paci
ty o
f the
hea
lth
syst
em to
carr
y ou
t ear
ly m
anag
emen
t of
the
new
born
hea
lth p
robl
ems
Num
erat
or: N
umbe
r of c
hild
ren
rece
ived
in
PNC
with
in 4
8 ho
urs f
ollo
win
g bi
rth
durin
g a
give
n pe
riod.
Deno
min
ator
: Tot
al n
umbe
r of l
ive
birt
hs
durin
g th
e sa
me
perio
d
DSF
repo
rt
on
deliv
erie
s in
hea
lth
faci
lities
, M
ICS,
co
nsul
tati
on
logb
ooks
Ope
ratio
nal
Com
pilatio
n of
routi
ne
data
Annu
ally
, 3 to
5
year
s
Stra
tegi
c su
b a
xis 2
.4: p
reve
ntion
of n
on-c
omm
unic
able
dise
ases
Trac
er in
dica
tors
Pr
eval
ence
of
Diab
etes
type
2
amon
g ad
ults
age
d at
leas
t 18
year
s in
urba
n ar
eas
Dete
rmin
es th
e ex
tent
of d
iabe
tes t
ype
2 in
urb
an a
reas
Num
erat
or: N
umbe
r of p
erso
ns li
ving
in
urba
n ar
eas a
ged
18 a
nd a
bove
with
m
oder
ate fasti
ng g
lyce
mia
(defi
ned
by th
e va
lue
of fa
sting
blo
od su
gar b
etw
een
110
mg/
dl a
nd 1
26 m
g / d
l)
Deno
min
ator
: To
tal p
opulati
on o
f ta
rget
ed su
bjec
ts a
ged
18 y
ears
and
ab
ove
DPS
repo
rt,
DLM
EP
repo
rt
Cent
ral
STEP
S su
rvey
3 to
5 y
ears
Trac
er in
dica
tors
Prop
ortio
n of
RDP
H w
hich
or
gani
zed
at le
ast o
ne a
nnua
l NCD
(h
yper
tens
ion,
dia
bete
s, ca
ncer
s, etc.) p
reventi
on a
nd sc
reen
ing
cam
paig
n
Eval
uate
s ava
ilabi
lity
of N
CD
prev
entio
n se
rvic
e of
fere
d in
the
RDPH
Num
erat
or: N
umbe
r of R
DPH
whi
ch
orga
nize
d at
leas
t one
ann
ual N
CD
preven
tion
cam
paig
n De
nom
inat
or: T
otal
num
ber o
f RDP
H
DLM
EPCe
ntra
lOpe
ratin
g do
cum
ents
Annu
al
28
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
RDP
H w
hich
or
gani
zed
at le
ast o
ne a
war
enes
s an
d sc
reen
ing
cam
paig
n fo
r sic
kle
cell
dise
ase
Enab
les t
o de
term
ine
the
stra
tegi
es
depl
oyed
by
the
heal
th sy
stem
for t
he
preven
tion
of si
ckle
cel
l dise
ase
Num
erat
or: N
umbe
r of R
DPH
whi
ch
orga
nize
d at
leas
t one
sick
le c
ell d
iseas
e preven
tion
cam
paig
n pe
r yea
r De
nom
inat
or: T
otal
num
ber o
f RDP
H
DLM
EP
repo
rtCe
ntra
lDo
cum
ent
revi
ewAn
nual
STRA
TEGI
C AX
IS 3
: CAS
E M
ANAG
EMEN
TTr
acer
indi
cato
rs
Peri-op
erati
ve m
orta
lity
in 1
st,
2nd ,
3rd a
nd 4
th c
ateg
ory
hosp
itals
Enab
les t
o de
term
ine
the
qual
ity o
f the
m
anag
emen
t of m
edic
al a
nd su
rgic
al
case
s in
1st, 2
nd, 3
rd a
nd 4
th ca
tego
ry
hosp
itals
Num
erat
or: N
umbe
r of p
erso
ns w
ho d
ied
in th
e op
erati
ng ro
om o
r fol
low
ing
surg
ery
in 1
st ,
2nd ,
3rd a
nd 4
th c
ateg
ory
heal
th fa
ciliti
es d
urin
g a
give
n pe
riod
Deno
min
ator
: Nu
mbe
r of m
edic
al a
nd
surg
ical
case
s adm
itted
in 3
rd a
nd 4
th
cate
gory
hea
lth fa
ciliti
es d
urin
g th
e sa
me
perio
d
DLM
EP
Repo
rt,
DOST
S re
port
s
Ope
ratio
nal
Revi
ew o
f HF
logb
ooks
an
d activ
ity
repo
rts
Ever
y se
mes
ter
Specifi
c m
alar
ia m
orta
lity
rate
in
child
ren
belo
w 5
yea
rs o
f age
Enab
les t
o de
term
ine
the eff
ectiv
eness
of th
e preven
tion
and
man
agem
ent o
f m
alar
ia in
chi
ldre
n be
low
5 y
ears
of a
ge
Num
erat
or: N
umbe
r of d
eath
s of
child
ren
belo
w 5
yea
rs o
f age
due
to
mal
aria
dur
ing
a gi
ven
perio
d De
nom
inat
or :
Tota
l num
ber o
f chi
ldre
n be
low
5 y
ears
of a
ge w
ho su
ffere
d fr
om
this
dise
ase
durin
g th
e sa
me
perio
d
NMCP
re
port
DL
MEP
Cent
ral
Surv
eys,
Stud
ies
Annu
all
Intr
a ho
spita
l dire
ct o
bste
trica
l le
thal
ity ra
te
Enab
les t
o de
term
ine
the
qual
ity o
f the
m
anag
emen
t of p
regn
ant w
omen
in
heal
th fa
ciliti
es
Num
erat
or: N
umbe
r of p
atien
ts w
ho
died
in h
ospi
tal f
ollo
win
g a
preg
nanc
y co
mpl
icati
on d
urin
g a
give
n pe
riod
Deno
min
ator
: Tot
al n
umbe
r of p
regn
ant
wom
en adm
itted
at t
he h
ealth
faci
lity
durin
g th
e sa
me
perio
d
DSF
repo
rt,
PLM
NI
repo
rt
Ope
ratio
nal
Revi
ew o
f routi
ne d
ata
Ever
y 6
mon
ths
29
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Mat
erna
l mor
talit
y ratio
Mea
sure
s the
pro
babi
lity
for a
wom
an
to d
ie b
ecau
se o
f pre
gnan
cy (o
bste
tric
ris
k)
Num
erat
or: A
nnua
l num
ber o
f mat
erna
l de
aths
due
to ca
uses
rela
ted
to
preg
nanc
y or
agg
rava
ted
by p
regn
ancy
or
its m
anag
emen
t, du
ring
preg
nanc
y or
ch
ildbi
rth
or w
ithin
42
days
of t
he e
nd o
f pr
egna
ncy,
rega
rdle
ss o
f the
durati
on o
f th
e pr
egna
ncy
or th
e ty
pe o
f pre
gnan
cy
for a
giv
en p
erio
d De
nom
inat
or :
Num
ber o
f liv
e bi
rths
du
ring
the
sam
e pe
riod
DHS,
DSF
, PL
MNI
Cent
ral
Surv
eys
Ever
y 5
year
s
Neon
atal
mor
talit
y ra
teM
easu
res t
he p
roba
bilit
y fo
r a n
ewbo
rn
to d
ie b
efor
e 28
day
s dur
ing
the
per
iod
take
n in
to a
ccou
nt
Num
erat
or: N
umbe
r of n
ewbo
rn d
eath
s th
at o
ccur
red
durin
g th
e fir
st 2
8 da
ys o
f lif
e fo
r a p
erio
d of
one
yea
r or a
noth
er
perio
d
Deno
min
ator
: To
tal n
umbe
r of l
ive
birt
hs
over
the
sam
e pe
riod
DHS,
DSF
, PL
MNI
Cent
ral
DHS,
MIC
S,
ECAM
Ever
y 3
to 5
ye
ars
Child
mor
talit
y ra
teDe
term
ines
the
pro
babi
lity
for a
chi
ld
born
in a
spec
ific
plac
e du
ring
a sp
ecifi
c ye
ar to
die
bef
ore
reac
hing
the
age
of
one
year
Num
erat
or:N
umbe
r of c
hild
ren
born
al
ive
who
die
d be
fore
the
age
of o
ne y
ear
durin
g a
give
n pe
riod.
Deno
min
ator
: To
tal n
umbe
r of l
ive
birt
hs
durin
g th
e sa
me
perio
d
DHS,
DSF
, PL
MNI
Cent
ral
Surv
eys,
DHS,
MIC
S,
ECAM
Ever
y 3
to 5
ye
ars
Child
and
infa
nt m
orta
lity
rate
Dete
rmin
es th
e pr
obab
ility
for a
chi
ld
born
in a
partic
ular
pla
ce d
urin
g a
specific
year
to d
ie b
efor
e re
achi
ng th
e ag
e of
five
dur
ing
the
perio
d co
nsid
ered
Num
erat
or: N
umbe
r of d
eath
s of
child
ren
born
aliv
e fr
om 0
to 4
yea
rs o
f ag
e du
ring
a gi
ven
perio
d De
nom
inat
or :
Num
ber o
f chi
ldre
n ag
ed
0-4
year
s rec
orde
d du
ring
the
sam
e pe
riod
DHS,
DSF
, PN
LMNI
Cent
ral
Surv
eys,
DHS,
MIC
S,
ECAM
Ever
y 5
year
s
30
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Stra
tegi
c su
b ax
is 3.
1: cu
rativ
e m
anag
emen
t of c
omm
unic
able
and
non
-com
mun
icab
le d
iseas
es
Trac
er in
dica
tors
Tr
eatm
ent s
ucce
ss ra
te fo
r sm
ear-
positi
ve tu
berc
ulos
is pa
tients
Dete
rmin
es t
he effe
ctive
ness
and
qu
ality
of t
uber
culo
sis m
anag
emen
t (d
iagn
osis,
scre
enin
g, tr
eatm
ent
acco
rdin
g to
nati
onal
stan
dard
s)
Num
erat
or: n
umbe
r of n
ew sm
ear
positi
ve p
ulm
onar
y TB
cas
es tr
eate
d an
d cu
red
Deno
min
ator
: To
tal n
umbe
r of s
mea
r po
sitive
pul
mon
ary
TB p
atien
ts o
n tr
eatm
ent
NTBC
P re
port
Ope
ratio
nal
Revi
ew o
f routi
ne T
B m
anag
eme
nt d
ata
Annu
ally
Prop
ortio
n of
cas
es o
f Bur
uli u
lcer
cu
red
with
out c
omplicati
ons
Dete
rmin
es th
e eff
ectiv
enes
s of t
he
man
agem
ent o
f cas
es o
f Bur
uli u
lcer
Num
erat
or: N
umbe
r of c
ases
of B
urul
i ul
cer c
ured
with
out c
ompl
icati
ons d
urin
g a
give
n pe
riod
Deno
min
ator
: To
tal n
umbe
r of c
ases
of
Buru
li ul
cer t
reat
ed d
urin
g th
e sa
me
perio
d
NTDs
Re
port
, Su
rvey
re
port
, NH
IS
Ope
ratio
nal
Revi
ew o
f pr
ogra
m
data
Annu
ally
Trac
er in
dica
tors
Satisfa
ction
inde
x of
ben
efici
arie
s of
hea
lth se
rvic
es a
nd ca
re
Asse
sses
the
capa
city
of t
he sy
stem
to
prov
ide
heal
th c
are
and
serv
ices
that
m
eet o
r exc
eed
the
patie
nt's
expe
ctati
ons
See
Appe
ndix
7DR
OS,
HIU
re
port
Ce
ntra
lSu
rvey
s Ev
ery
4 ye
ars
Prop
ortio
n of
targ
eted
hos
pita
ls in
th
e 4t
h, 5
th a
nd 6
th ca
tego
ries
with
75%
of t
he te
chni
cal s
taff
follo
win
g pr
otoc
ols f
or
com
mun
icabl
e di
seas
es c
ase
man
agem
ent (
Mal
aria
, AID
S, T
B)
Dete
rmin
es t
he le
vel o
f mas
tery
and
us
e of
trea
tmen
t pro
toco
ls of
co
mm
unica
ble
dise
ases
in 4
th, 5
th a
nd
6th c
ateg
ory
hosp
itals
Num
erat
or: N
umbe
r of t
arge
ted
4th,
5th a
nd 6
th ca
tego
ry h
ospi
tals
of w
hich
at
leas
t 75%
of s
taff
appl
y SO
Ps fo
r the
tr
eatm
ent o
f maj
or c
omm
unic
able
di
seas
es d
urin
g a
give
n pe
riod.
Deno
min
ator
: To
tal n
umbe
r of 4
th, 5
th
and
6th c
ateg
ory
hosp
itals
asse
ssed
du
ring
the
sam
e pe
riod
DLM
EP,
NMCP
re
port
s
Regi
onal
Evalua
tion
of
prof
essio
nal
practic
es
Qua
rter
ly
31
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
targ
eted
DHs
of
whi
ch 7
5% o
f the
tech
nica
l staff
impl
emen
t pro
toco
ls fo
r the
m
anag
emen
t of t
he m
ain
NCDs
(B
urul
i ulc
er, l
epro
sy)
Dete
rmin
es th
e le
vel o
f mas
tery
and
us
e of
pro
toco
ls fo
r the
man
agem
ent o
f m
ajor
NCD
s (Bu
ruli
ulce
r, le
pros
y) in
DH
s
Num
erat
or: N
umbe
r of D
Hs o
f whi
ch
75%
of t
he te
chni
cal s
taff
impl
emen
t pr
otoc
ols f
or th
e m
anag
emen
t of t
he
maj
or N
CDs (
Buru
li ul
cer,
lepr
osy)
dur
ing
a gi
ven
perio
d De
nom
inat
or :
Tota
l num
ber o
f DHs
ev
alua
ted
durin
g th
e sa
me
perio
d
DLM
EP,
DOST
S re
port
Regi
onal
Evalua
tion
of
prof
essio
nal
practic
es
Mon
thly
% o
f tar
gete
d M
HCs a
nd D
Hs o
f w
hich
75%
of t
he te
chni
cal staff
impl
emen
t gui
delin
es fo
r tas
k shifting
in th
e m
anag
emen
t of
hype
rten
sion
and
diab
etes
Mea
sure
s the
capa
city
of t
he h
ealth
sy
stem
to p
rovi
de q
ualit
y m
anag
emen
t fo
r hyp
erte
nsio
n an
d di
abet
es a
t the
op
erati
onal
leve
l
Num
erat
or: N
umbe
r of M
HCs a
nd D
Hs o
f w
hich
75%
of t
he te
chni
cal s
taff
impl
emen
t gui
delin
es fo
r tas
k shiftin
g fo
r th
e m
anag
emen
t of
hyp
erte
nsio
n an
d di
abet
es
Deno
min
ator
: To
tal n
umbe
r of M
HCs a
nd
DHs t
arge
ted
durin
g a
perio
d
DOST
S,
DLM
EP
repo
rt
Regi
onal
Evalua
tion
of
prof
essio
nal
practic
es
Ever
y se
mes
ter
Prop
ortio
n of
RD
PH
that
ha
ve
orga
nize
d at
le
ast
one
annu
al
scre
enin
g an
d aw
aren
ess
cam
paig
n fo
r hy
pert
ensio
n /
diab
etes
out
of
heal
th
faci
lities
, in
cludi
ng
Wor
ld
Days
fo
r th
e fig
ht
agai
nst
thes
e di
seas
es
Dete
rmin
es th
e ca
paci
ty o
f the
hea
lth
syst
em to
take
eve
ry o
ppor
tuni
ty to
ra
ise a
war
enes
s and
det
ect t
hose
at r
isk
of h
yper
tens
ion/
diab
etes
. Al
so d
eter
min
es t
he a
ccep
tanc
e an
d le
vel o
f sup
port
of t
he p
opulati
on fo
r sc
reen
ing
of h
yper
tens
ion
and
diab
etes
on
the
days
thes
e di
seas
es a
re
com
mem
orat
ed w
orld
wid
e
Num
erat
or: N
umbe
r of p
eopl
e at
risk
sc
reen
ed fo
r hyp
erte
nsio
n/di
abet
es o
n th
e da
ys th
ese
dise
ases
are
co
mm
emor
ated
wor
ldw
ide
Deno
min
ator
: To
tal n
umbe
r of p
eopl
e se
nsiti
zed
durin
g th
ese
days
DLM
EP,
DOST
S re
port
Ope
ratio
nal
Revi
ew o
f sc
reen
ing
cam
paig
n da
ta fo
r HT
A /
Diab
etes
Annu
ally
% o
f tar
gete
d M
HCs a
ndDH
s of
whi
ch 7
5% o
f the
tech
nica
l pe
rson
nel u
se st
anda
rds/
prot
ocol
s fo
r the
man
agem
ent o
f maj
or n
on-
com
mun
icabl
e di
seas
es (d
iabe
tes,
men
tal h
ealth
, Hyp
erte
nsio
n)
Dete
rmin
es t
he q
ualit
y of
the
man
agem
ent o
f dia
bete
s and
hy
pert
ensio
n ca
ses i
n 4th
and
5th
ca
tego
ry h
ospi
tals
Num
erat
or: N
umbe
r of M
HCs a
nd D
Hs o
f w
hich
75%
of t
arge
ted
tech
nica
l pe
rson
nel i
mpl
emen
t val
idat
ed p
roto
cols
for t
he m
anag
emen
t of
case
s of d
iabe
tes
and
hype
rten
sion
durin
g a
give
n pe
riod
Deno
min
ator
: To
tal n
umbe
r of M
HCs a
nd
DHs e
valu
ated
dur
ing
the
sam
e pe
riod
DLM
EP
repo
rtRe
gion
alEvalua
ting
practic
es
prof
essio
nal
Ever
y se
mes
ter
32
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
% o
f tar
gete
d IH
Cs a
nd M
HCs
whi
ch m
anag
ed a
t lea
st 8
0% o
f ch
ildre
n be
low
5 y
ears
of a
ge
suffe
ring
from
dia
rrhe
a/AR
I with
th
e IM
CI a
ppro
ach
Dete
rmin
es th
e sy
stem
's ab
ility
to offe
r lo
w c
ost q
ualit
y he
alth
care
for c
hild
ren
belo
w 5
yea
rs
Num
erat
or: N
umbe
r of t
arge
ted
IHCs
and
M
HCs t
hat m
anag
ed a
t lea
st 8
0% o
f ch
ildre
n be
low
5 y
ears
with
the
IMCI
ap
proa
ch d
urin
g a
give
n pe
riod
Deno
min
ator
: To
tal n
umbe
r of I
HCs a
nd
MHC
s eva
luat
ed d
urin
g th
e sa
me
perio
d
DSF,
PL
MNI
re
port
s,
Regi
onal
Evalua
ting
practic
es
prof
essio
nal
Annu
ally
Perc
enta
ge o
f ass
esse
d Di
stric
t and
Re
gion
al H
ospi
tal staff
who
use
val
id
palliati
ve tr
eatm
ent p
roto
cols.
Mea
sure
s the
leve
l of m
aste
ry a
nd u
se o
f pa
lliati
ve c
are
regi
men
s in
2nd a
nd 3
rd
cate
gory
hos
pita
ls
Num
erat
or: N
umbe
r of 2
nd a
nd 3
rd
cate
gory
hos
pita
ls w
hich
adh
ere
to
valid
ated
care
pro
toco
ls fo
r the
dispen
satio
n of
palliativ
e ca
re in
a g
iven
pe
riod
Deno
min
ator
: Tot
al n
umbe
r of 2
nd a
nd 3
rd
cate
gory
hos
pita
ls ev
alua
ted
durin
g th
e sa
me
perio
d.
Repo
rt
from
DL
MEP
, Ge
nera
l In
spec
tora
tes
, DO
STS
Cent
ral
Evalua
tion
of
prof
essio
nal
practic
es
Ever
y tw
o ye
ars
Stra
tegi
c su
b-ax
is 3.
2 : M
ater
nal,
neon
atal
, inf
ant,
child
and
ado
lesc
ent h
ealth
Trac
er in
dica
tors
R
ate
of d
eliv
erie
s in
a he
alth
faci
lity
En
able
s to
appr
ecia
te th
e ca
paci
ty o
f the
sy
stem
to p
rote
ct w
omen
aga
inst
the
risk
rela
ted
to h
ome
deliv
erie
s
Num
erat
or: N
umbe
r of d
eliv
erie
s in
heal
th
faci
lities
in a
giv
en p
erio
d De
nom
inat
or: T
otal
num
ber o
f exp
ecte
d de
liver
ies d
urin
g th
e sa
me
perio
d
DSF,
PLM
NI,
MIC
S re
port
s, de
liver
y ro
om
regi
ster
s
Ope
ratio
nal
Use
of
routi
ne d
ata
Mon
thly
Prop
ortio
n of
cas
es o
f obs
tetr
ic
fistu
la re
paire
d M
easu
res t
he a
vaila
bilit
y of
obs
tetr
ic
fistu
la m
anag
emen
t N
umer
ator
: Num
ber o
f fistul
a ca
ses
notifi
ed a
nd re
paire
d
Deno
min
ator
: Tot
al n
umbe
r of r
epor
ted
case
s
DSF,
PLM
NI
repo
rts
Ope
ratio
nal
Use
of
routi
ne d
ata
Qua
rter
ly
33
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Rate
of C
aesa
rean
secti
ons
Mea
sure
s the
capa
city
of t
he sy
stem
to
man
age
preg
nanc
y- re
late
d complicati
ons
Num
erat
or: T
otal
num
ber o
f cae
sare
an
secti
ons r
egist
ered
dur
ing
a gi
ven
perio
d.
Deno
min
ator
: tot
al n
umbe
r of d
eliv
erie
s in
the
HF
DSF,
PLM
NI
repo
rts
Ope
ratio
nal
Use
of
routi
ne d
ata
Mon
thly
Prop
ortio
n of
IHCs
whi
ch c
ompl
eted
at
leas
t hal
f of t
he p
lann
ed
outr
each
/mob
ile st
rate
gies
Mea
sure
s the
syst
em's
capa
city
to
prov
ide
heal
th c
are
and
serv
ices
to
popu
latio
ns li
ving
in diffi
cult-
to- a
cces
s or
rem
ote
area
s
Num
erat
or: N
umbe
r of I
HCs w
hich
co
mpl
eted
at l
east
50%
of t
he p
lann
ed
outr
each
/mob
ile st
rate
gies
in a
giv
en
perio
d.
Deno
min
ator
: Tot
al n
umbe
r of I
HCs
eval
uate
d du
ring
the
sam
e pe
riod
DOST
S re
port
s Ope
ratio
nal
Revi
ew o
f IH
C/M
HC
repo
rts
Mon
thly
Perc
enta
ge o
f DHs
with
at l
east
1
heal
th p
rovi
der t
rain
ed in
clin
ical
IM
CI
Mea
sure
s the
ava
ilabi
lity
of IM
CI se
rvic
e de
liver
y N
umer
ator
: Num
ber o
f DHs
with
at l
east
on
e staff
mem
ber t
rain
ed in
clin
ical
IMCI
w
ithin
a g
iven
per
iod
Deno
min
ator
: Tot
al n
umbe
r of d
istric
t ho
spita
ls ev
alua
ted
durin
g th
e sa
me
perio
d.
DSF,
PLM
NIre
port
s Re
gion
alEvalua
tion
stud
ies o
f pr
ofes
siona
l practic
es,
supe
rviso
ry
repo
rt
Ever
y tw
o ye
ars
Prop
ortio
n of
targ
eted
MHC
s and
DH
s with
75%
of t
echn
ical
staff
us
ing
valid
ated
pro
toco
ls fo
r the
m
anag
emen
t of m
ater
nal a
nd c
hild
he
alth
cond
ition
s
Mea
sure
s the
leve
l of m
aste
ry a
nd u
se o
f pr
otoc
ols f
or th
e m
anag
emen
t of
mat
erna
l and
child
hea
lth co
ndition
s
Num
erat
or: N
umbe
r of M
HCs a
nd D
Hs
with
75%
of t
he staff
eva
luat
ed u
sing
valid
ated
pro
toco
ls fo
r the
man
agem
ent o
f m
ater
nal a
nd ch
ild h
ealth
cond
ition
s in
a gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f MHC
s and
DH
s eva
luat
ed d
urin
g th
e sa
me
perio
d
DSF,
PLM
NI
Repo
rts,
Gene
ral
Insp
ecto
rat
es, D
OST
S
Ope
ratio
nal
Evalua
tion
stud
ies o
f pr
ofes
siona
l practic
es
Ever
y tw
o ye
ars
Prop
ortio
n of
DHs
with
use
r-frie
ndly
se
rvic
es fo
r the
man
agem
ent o
f ad
oles
cent
hea
lth c
onditio
ns
Mea
sure
s the
ava
ilabi
lity
of se
rvic
e de
liver
y fo
r the
man
agem
ent o
f ad
oles
cent
hea
lth
Num
erat
or: N
umbe
r of D
Hs w
ith u
ser-
frie
ndly
serv
ices
for t
he m
anag
emen
t of
adol
esce
nts i
n a
give
n pe
riod
De
nom
inat
or: T
otal
num
ber o
f dist
rict
hosp
itals
eval
uate
d du
ring
the
sam
e pe
riod
DPS,
DSF
, PL
MNI
re
port
s
Regi
onal
Surv
ey, s
tudy
An
nual
34
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
chi
ldre
n bo
rn to
HIV
po
sitive
mot
hers
and
put
on
ART
Eval
uate
s the
capa
city
of t
he sy
stem
to
man
age
HIV-
positi
ve p
regn
ant w
omen
an
d th
eir c
hild
ren
with
ART
Num
erat
or: T
otal
num
ber o
f chi
ldre
n bo
rn
to H
IV-p
ositi
ve m
othe
rs o
n AR
T in
a g
iven
pe
riod
Deno
min
ator
: Tot
al n
umbe
r of c
hild
ren
born
to H
IV-p
ositi
ve m
othe
rs d
urin
g th
e sa
me
perio
d
RSDP
-HIV
, N
ACC,
DSF
re
port
s
Ope
ratio
nal
Use
of C
NLS
routi
ne d
ata
(doc
umen
t re
view
)
Annu
al
Stra
tegi
c su
b-ax
is 3.
3 : E
mer
genc
ies a
nd p
ublic
hea
lth e
vent
sTr
acer
indi
cato
rs
Prop
ortio
n of
targ
eted
DHs
hav
ing
man
aged
at l
east
80%
of m
edic
al
and
surg
ical
em
erge
ncie
s acc
ordi
ng
to S
OPs
in th
e pa
st 6
mon
ths
Mea
sure
s the
qua
lity
of m
anag
emen
t of
case
s of m
edic
al a
nd su
rgic
al
emer
genc
ies
Num
erat
or: N
umbe
r of D
Hs h
avin
g m
anag
ed a
t lea
st 8
0% o
f med
ical
and
su
rgic
al e
mer
genc
ies a
ccor
ding
to
stan
dard
s with
in 6
mon
ths b
efor
e th
e su
rvey
De
nom
inat
or: T
otal
num
ber o
f dist
rict
hosp
itals
eval
uate
d du
ring
the
sam
e pe
riod.
Tech
nica
l Su
perv
ision
re
port
or
from
IGSM
P
Regi
onal
Surv
ey,
evalua
tion
stud
ies o
f pr
ofes
siona
l practic
es
Ever
y tw
o ye
ars
Avai
labi
lity
of a
bud
gete
d na
tiona
l pu
blic
hea
lth e
vent
s m
anag
emen
t pl
an
and
corr
espo
ndin
g an
nual
im
plem
entatio
n re
port
s
Mea
sure
s the
cap
acity
of t
he h
ealth
sy
stem
to a
ntici
pate
the
occu
rren
ce o
f EP
Ds a
nd p
ublic
hea
lth e
vent
s
DLM
EP,
DOST
S re
port
s
Cent
ral
Docu
men
t re
view
An
nual
Prop
ortio
n of
Dist
rict H
ospi
tals
with
m
edic
ines
/
cons
umab
les
for
effectiv
e m
anag
emen
t of
the
mos
t co
mm
on
med
ical
an
d su
rgic
al
emer
genc
ies
Eval
uate
s the
ava
ilabi
lity
of in
puts
for t
he
man
agem
ent o
f em
erge
ncy
case
s in
the
DH.
Num
erat
or: N
umbe
r of D
Hs th
at h
ave
not
expe
rienc
ed a
stoc
k-ou
t of
drug
s/co
nsum
able
s use
d to
man
age
the
mos
t com
mon
cas
es o
f med
ical
and
su
rgic
al e
mer
genc
ies
Deno
min
ator
: Tot
al n
umbe
r of d
istric
t ho
spita
ls ev
alua
ted
durin
g th
e sa
me
perio
d.
DPM
L,
DOST
S re
port
Cent
ral
Supe
rvisi
on
repo
rt,
Annu
al
35
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
RDP
H th
at c
ondu
cted
at
leas
t one
em
erge
ncy
simulati
on
exer
cise
per
yea
r
Mea
sure
s the
leve
l of p
repa
redn
ess o
f re
gion
s for
the
man
agem
ent o
f em
erge
ncie
s
Num
erat
or: N
umbe
r of r
egio
ns h
avin
g co
nduc
ted
an e
mer
genc
y si
mulati
on
exer
cise
per
yea
r dur
ing
a gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f reg
ions
as
sess
ed d
urin
g th
e sa
me
perio
d
DOST
S,
DLM
EP,
MIN
ATD
(DPC
) re
port
s
Cent
ral
Supe
rvisi
on,
docu
men
t re
view
Ever
y th
ree
year
s
Perc
enta
ge
of
RDPH
w
ith
Rapi
d Interven
tion
and
Resp
onse
Tea
ms
(RIR
Ts)
Enab
les t
o m
onito
r the
ava
ilabi
lity
of IR
RT
and
the
prep
osition
ing
of e
quip
men
t for
eff
ectiv
e m
anag
emen
t of e
pide
mic
s and
di
sast
ers
Num
erat
or: N
umbe
r of R
DPH
with
multi-
sect
or in
vestigatio
n an
d ra
pid
resp
onse
te
ams i
n a
give
n pe
riod
Deno
min
ator
: Tot
al n
umbe
r of R
DPH
eval
uate
d du
ring
the
sam
e pe
riod
DLM
EP,
DOST
S,
MIN
ATD
repo
rts
Cent
ral
Supe
rvisi
on,
docu
men
t re
view
Ever
y tw
o ye
ars
Stra
tegi
c su
b-ax
is 3.
4 : M
anag
emen
t of disabiliti
esTr
acer
indi
cato
rs
Prop
ortio
n of
cat
arac
t pati
ents
w
hose
sigh
t was
rest
ored
afte
r su
rger
y
Asse
sses
the
leve
l of restoratio
n of
visu
al
impa
irmen
ts
Num
erat
orN
umbe
r of p
atien
ts w
ith
cata
ract
who
se si
ght w
as re
stor
ed afte
r su
rger
y De
nom
inat
or: T
otal
num
ber o
f cat
arac
t ca
ses t
hat b
enefi
tted
from
correctiv
e su
rger
y du
ring
the
sam
e pe
riod
DLM
EP
Repo
rt
Cent
ral
Surv
eyAn
nual
Prop
ortio
n of
RHs
and
CHs
hav
ing
prov
ided
med
ical
man
agem
ent o
f le
ast 7
0% o
f the
cas
es o
f cor
rect
able
m
otor
disa
bilit
y ac
cord
ing
to S
OPs
Eval
uate
s the
capa
city
of t
he sy
stem
to
man
age
corr
ecta
ble
mot
or d
isabi
lity
Num
erat
or: N
umbe
r of
RHs a
nd C
Hs th
at
have
pro
vide
d m
edic
al m
anag
emen
t of a
t le
ast 7
0% o
f the
cas
es o
f cor
rect
able
mot
or
disa
bilit
y ac
cord
ing
to S
OPs
De
nom
inat
or: T
otal
num
ber o
f RHs
ev
alua
ted
DLM
EPCe
ntra
lEvalua
tion
of
prof
essio
nal
practic
es
Ever
y tw
o ye
ars
Prop
ortio
n of
DHs
hav
ing
an
operati
onal
phy
sioth
erap
y w
ard(a
) As
sess
es th
e av
aila
bilit
y of
reha
bilitati
on
serv
ices
N
umer
ator
: Num
ber o
f DHs
with
a
phys
ioth
erap
y w
ard
in a
giv
en p
erio
d
Deno
min
ator
: Tot
al n
umbe
r of d
istric
t ho
spita
ls ev
alua
ted
durin
g th
e sa
me
perio
d
DOST
SCe
ntra
lSu
perv
ision
, do
cum
ent
revi
ew
Ever
y tw
o ye
ars
36
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
RDP
H th
at o
rgan
ized
at le
ast o
ne c
atar
act s
urge
ry
cam
paig
n pe
r yea
r
Eval
uate
s the
capa
city
of t
he sy
stem
to
man
age
cata
ract
N
umer
ator
: Num
ber o
f RDP
H th
at
orga
nize
d at
leas
t one
cat
arac
t sur
gery
ca
mpa
ign
per y
ear
Deno
min
ator
: Tot
al n
umbe
r of
RDPH
eval
uate
d
DLM
EPCe
ntra
lSu
rvey
Ever
y tw
o ye
ars
STRA
TEGI
C AX
IS 4
: ST
REN
GHTE
NIN
G O
F HE
ALTH
SYS
TEM
Trac
er in
dica
tors
Gl
obal
Hea
lth C
are
Avai
labi
lity
Inde
x Th
is in
dex
enab
les t
o as
sess
, mon
itor a
nd
eval
uate
the
functio
nalit
y of
the
hea
lth
syst
em's
pilla
rs
Calc
ulat
ed b
ased
on
a SA
RA su
rvey
SARA
su
rvey
re
port
Cent
ral
Surv
eyEv
ery
5 ye
ars
Stra
tegi
c su
b-ax
is 4.
1 : H
ealth
fina
ncin
g Tr
acer
indi
cato
rs
% o
f hea
lth e
xpen
ditu
re b
orne
by
hous
ehol
ds
Asse
sses
the
burd
en o
f hea
lth
expe
nditu
re b
orne
by
hous
ehol
ds
Num
erat
or: T
otal
am
ount
of h
ealth
ex
pend
iture
bor
ne b
y ho
useh
olds
. De
nom
inat
or: T
otal
am
ount
of h
ealth
ex
pend
iture
NHAs
, WHO
re
port
s Re
gion
alSu
rvey
Annu
al
Prop
ortio
n of
the
popu
latio
n co
vere
d by
hea
lth ri
sk sh
arin
g m
echa
nism
s
Asse
sses
the
popu
latio
n's a
ccep
tanc
e of
he
alth
risk
shar
ing
mec
hani
sms.
Also
en
able
s to estim
ate
the
num
ber o
f pe
rson
s not
liab
le to
out
-of-p
ocke
t pa
ymen
ts
Num
erat
or: P
opulati
on c
over
ed b
y a
heal
th ri
sk sh
arin
g m
echa
nism
De
nom
inat
or: T
arge
t pop
ulati
on
Annu
al
repo
rts :
DP
S,
MIN
TSS,
M
INFI
, M
INEP
AT
Natio
nal
Surv
eyEv
ery
two
year
s
Trac
er in
dica
tors
Prop
ortio
n of
the
natio
nal b
udge
t al
loca
ted
to H
ealth
Sec
tor
Enab
les t
o as
sess
the po
litica
l will
for
solv
ing
popu
latio
n's h
ealth
issu
es
Num
erat
or: S
tate
bud
get a
lloca
ted
to
heal
th
Deno
min
ator
: ov
eral
l Sta
te b
udge
t
Fina
nce
Law
, Settlem
ent
Bill
Cent
ral
Revi
ew o
f re
port
s An
nual
Avai
labi
lity
of a
n ap
prov
edfin
anci
al
inform
ation
ana
lysis
repo
rt
Asse
sses
the
impa
ct o
f the
use
of
finan
cial
reso
urce
s for
a bett
er allo
catio
n of
reso
urce
s in
the
futu
re
DRFP
, HIU
, re
port
s Ce
ntra
lRe
view
of
repo
rts
Annu
al
37
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Avai
labi
lity
of a
fram
ewor
k in
stru
men
t gran
ting
auto
nom
ous
man
agem
ent o
f the
reve
nue
allo
cate
d to
the
HFs o
f the
dev
olve
d le
vel
Asse
sses
the
effectiv
eness
and
leve
l of
dece
ntra
lizati
on in
man
agin
g th
e re
venu
es a
lloca
ted
to H
Fs
Annu
al
repo
rts :
DO
STS,
DR
FP,
DAJC
, TS
/SC-
HSS
Cent
ral
Docu
men
t re
view
An
nual
Avai
labi
lity
of a
repo
rt validati
ng th
e distrib
ution
key
of M
OH
budg
et
amon
g th
e va
rious
pro
gram
mes
Enab
les t
o ap
prec
iate
the
volu
me
of
fund
ing
allo
cate
d to
HSS
prio
rity
interven
tions
DRFP
repo
rtCe
ntra
lDo
cum
ent
revi
ew
Annu
al
Prop
ortio
n of
hea
lth d
istric
ts h
avin
g in
tegr
ated
the
perf
orm
ance
-bas
ed
finan
cing
app
roac
h (P
BF)
Asse
sses
the
leve
l of i
mplem
entatio
n of
PB
F in
Cam
eroo
n N
umer
ator
Num
ber o
f hea
lth d
istric
ts
havi
ng in
tegr
ated
the
perf
orm
ance
-bas
ed
finan
cing
app
roac
h (P
BF) .
Deno
min
ator
: Tot
al n
umbe
r of h
ealth
di
stric
ts
NTC
repo
rtRe
gion
alSu
rvey
s, st
udie
s An
nual
Avai
labi
lity
of a
repo
rt o
n th
e Nati
onal
Hea
lth A
ccou
nts
Asse
sses
the
capa
city
of t
he sy
stem
to
gene
rate
hea
lth in
form
ation
that
can
gu
ide
deci
sions
in h
ealth
pol
icy
NIS
, HIU
Cent
ral
Surv
eys
Ever
y tw
o ye
ars
Stra
tegi
c su
b-ax
is 4.
2 : C
are
and
serv
ice
deliv
ery
Trac
er in
dica
tors
Prop
ortio
n of
HDs
serv
iced
(a)
Enab
les t
o as
sess
the
evoluti
on o
f the
HD
s tow
ards
thei
r aut
onom
y N
umer
ator
: Num
ber o
f HDs
hav
ing
reac
hed
the
auto
nom
ous p
hase
dur
ing
the
asse
ssed
per
iod
Deno
min
ator
: tot
al n
umbe
r of h
ealth
di
stric
ts a
sses
sed
durin
g th
e sa
me
perio
d
DOST
S re
port
s Ce
ntra
lSt
udie
sEv
ery
two
year
s
Avai
labi
lity
of a
nati
onal
in
fras
truc
ture
dev
elop
men
t pla
n (c
onst
ructi
on/r
ehab
ilitatio
n/ex
tens
ion
/ equ
ipm
ent a
nd m
aint
enan
ce)
Asse
sses
the
capa
city
of t
he sy
stem
to
plan
infr
astr
uctu
ral d
evel
opm
ent
(ass
esse
s the
pro
ject
ed m
anag
emen
t of
infr
astr
uctu
re in
the
heal
th sy
stem
)
DEP
Repo
rtCe
ntra
lre
port
s, su
perv
ision
An
nual
38
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Perc
enta
ge o
f the
pop
ulati
on li
ving
w
ithin
a ra
dius
of l
ess t
han
5 km
of a
he
alth
faci
lity
(IHC,
MHC
and
DH)
asse
sses
the
geog
raph
ical
acc
ess t
o he
alth
serv
ices
and
car
e N
umer
ator
: Tot
al p
opulati
on li
ving
with
in a
ra
dius
of 5
km
from
a H
F w
ithin
a g
iven
pe
riod
Deno
min
ator
: tot
al p
opul
ation
of
Cam
eroo
n th
roug
h ou
t the
sam
e pe
riod
DOST
S re
port
s Ce
ntra
lSt
udie
s, su
rvey
s An
nual
Perc
enta
ge o
f IHC
s, M
HCs a
nd D
Hs
cons
truc
ted
acco
rdin
g to
stan
dard
s an
d th
e in
fras
truc
ture
dev
elop
men
t pl
an
Help
s ass
ess t
he q
ualit
y of
infr
astr
uctu
re
of th
e op
erati
onal
leve
l N
umer
ator
: Num
ber o
f IHC
s, M
HCs a
nd
DHs c
onst
ruct
ed a
ccor
ding
to st
anda
rds
and
the
infr
astr
uctu
re d
evel
opm
ent p
lan
over
a g
iven
per
iod
Deno
min
ator
: tot
al n
umbe
r of I
HCs,
MHC
s an
d DH
s who
se c
onst
ructi
on w
as p
lann
ed
durin
g th
e sa
me
perio
d
DEP,
DOST
S re
port
s, ho
spita
l re
form
Cent
ral
Repo
rts
Annu
al
Perc
enta
ge o
f IHC
s, M
HCs a
nd D
Hs
reha
bilit
ated
He
lps a
sses
s the
qua
lity
of in
fras
truc
ture
of
the op
erati
onal
leve
l N
umer
ator
: Num
ber o
f IHC
s, M
HCs a
nd
DHs r
ehab
ilita
ted
for a
giv
en p
erio
d De
nom
inat
or: t
otal
num
ber o
f IHC
s, M
HCs
and
DHs w
hose
reha
bilitati
on w
as p
lann
ed
durin
g th
e sa
me
perio
d
DEP,
DO
STS
repo
rts,
hosp
ital
refo
rm
Cent
ral
Repo
rts
Annu
al
Perc
enta
ge o
f DHs
with
at l
east
two
versati
le a
nd t
rain
ed m
aint
enan
ce
wor
kers
in
th
e fo
llow
ing
fields
:med
ical
bi
olog
y,
elec
tric
ity/r
efrig
erati
on,
plum
bing
, co
mpu
ter s
cien
ces,
furn
iture
Asse
sses
HDs
' cap
acity
to e
nsur
e conti
nuou
s mai
nten
ance
(preventi
on a
nd
repa
ir w
orks
) of t
echn
ical
equ
ipm
ent
Num
erat
or:N
umbe
r of D
Hs w
ith a
t lea
st
two
versati
le a
nd tr
aine
d m
aint
enan
ce
wor
kers
in th
e fo
llow
ing fie
lds :
med
ical
biol
ogy,
electric
ity/refrig
erati
on, p
lum
bing
, co
mpu
ter s
cien
ces,
furn
iture
dur
ing
a gi
ven
perio
d De
nom
inat
or: N
umbe
r of D
Hs e
valu
ated
du
ring
the
sam
e pe
riod
DOST
S re
port
Ce
ntra
lAc
tivity
re
port
s An
nual
39
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
RDP
H th
at si
gned
co
ntra
cts w
ith m
aint
enan
ce
stru
ctur
es in
the
follo
win
g ar
eas:
m
edic
al b
iolo
gy,
elec
tric
ity/r
efrig
erati
on, p
lum
bing
Asse
sses
the
proj
ecte
d m
anag
emen
t of
equi
pmen
t at r
egio
nal l
evel
N
umer
ator
: Nu
mbe
r of R
DPH
that
sig
ned
cont
ract
s with
mai
nten
ance
st
ruct
ures
in th
e fo
llow
ing
area
s:
med
ical
bio
logy
, el
ectr
icity
/ref
rigerati
on, p
lum
bing
at a
gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f RDP
H ev
alua
ted
durin
g th
e sa
me
perio
d
RDPH
re
port
s Re
gion
alAc
tivity
re
port
s An
nual
Perc
enta
ge o
f DHs
equ
ippe
d ac
cord
ing
to st
anda
rds
Enab
les t
o as
sess
the
avai
labi
lity
of
qual
ity e
quip
men
t in
DHs
Num
erat
or:N
umbe
r of D
Hs e
quip
ped
acco
rdin
g to
stan
dard
s and
in a
ccor
danc
e w
ith th
e Nati
onal
Hea
lth In
fras
truc
ture
De
velo
pmen
t Pl
an o
ver t
he p
erio
d as
sess
ed
Deno
min
ator
: Tot
al n
umbe
r of D
Hs
asse
ssed
with
in th
e sa
me
perio
d
DEP
Repo
rtCe
ntra
lAc
tivity
re
port
s An
nual
Prop
ortio
n of
RDP
H w
ith a
n ap
prov
ed re
gion
al b
lood
tran
sfus
ion
stru
ctur
e
Asse
sses
the
avai
labi
lity
of b
lood
tr
ansf
usio
n se
rvic
es a
t the
dev
olve
d le
vel
Num
erat
or:N
umbe
r of R
DPH
with
an
appr
oved
regi
onal
blo
od tr
ansf
usio
n st
ruct
ure
Deno
min
ator
: Tot
al n
umbe
r of R
DPH
in th
e sa
me
perio
d
DLM
EP/D
EP/N
BTP
repo
rt
Cent
ral
Activ
ity
repo
rts
Annu
al
Perc
enta
ge o
f DHs
pro
vidi
ng a
t lea
st
75%
of C
HP in
terv
entio
ns
Enab
les t
o m
onito
r the
ava
ilabi
lity
and
scal
ing-
up o
f com
plem
enta
ry se
rvic
es
and
care
at t
he o
peratio
nal l
evel
Num
erat
or: T
otal
num
ber o
f DHs
that
pr
ovid
e 75
% o
f CHP
inte
rven
tions
in a
gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f DHs
ev
alua
ted
durin
g th
e sa
me
perio
d
Stud
ies,
Audi
ts
Regi
onal
repo
rts
Supe
rvisi
on
Ann
ual
40
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Perc
enta
ge o
f pub
lic IH
Cs a
nd M
HCs
whi
ch p
rovi
de a
t lea
st 8
0% o
f MHP
interven
tions
Asse
sses
the
avai
labi
lity
of p
rimar
y he
alth
se
rvic
es a
nd ca
re d
eliv
ery
at th
e op
erati
onal
leve
l
Num
erat
or:
Num
ber o
f pub
lic IH
Cs a
nd
MHC
s whi
ch p
rovi
de a
t lea
st 8
0% o
f MHP
interven
tions
De
nom
inat
or: T
otal
num
ber o
f IHC
s and
M
HCs a
sses
sed
durin
g th
e sa
me
perio
d
DLM
EP,
DOST
S re
port
s
Ope
ratio
nal
Stud
y,
supe
rvisi
ons
repo
rts
Annu
al
Perc
enta
ge o
f sch
ools
infir
mar
ies
and
Univ
ersit
y he
alth
cent
res w
ith a
fir
st a
id k
it
Asse
sses
the
avai
labi
lity
of c
ase
man
agem
ent s
ervi
ces a
nd c
are
in sc
hool
s an
d un
iver
sities
Num
erat
or:N
umbe
r of s
choo
ls infir
mar
ies
and
Univ
ersit
y he
alth
cent
res w
ith a
firs
t ai
d ki
t in
a g
iven
per
iod
Deno
min
ator
: Tot
al n
umbe
r of s
choo
ls infir
mar
ies a
nd U
nive
rsity
hea
lth c
ente
rs
asse
ssed
dur
ing
the
sam
e pe
riod
MIN
EDUB
, M
INES
EC,
MIN
ESUP
re
port
s
Ope
ratio
nal
Stud
y, fi
eld
visit
repo
rts
Annu
al
Perc
enta
ge o
f HDs
who
se le
vel o
f vi
abili
ty w
as a
sses
sed
Asse
sses
the
leve
l of v
iabi
lity
of H
Ds
Num
erat
or:N
umbe
r of H
Ds w
hose
leve
l of
viab
ility
was
ass
esse
d in
a g
iven
per
iod
Deno
min
ator
: Tot
al n
umbe
r of H
Ds
asse
ssse
d du
ring
the
sam
e pe
riod
DOST
S, T
S-SC
/HSS
Re
gion
alSt
udie
sEv
ery
thre
e ye
ars
Stra
tegi
c su
b-ax
is 4.
3 : D
rugs
and
oth
er p
harm
aceu
tical
pro
duct
sTr
acer
indi
cato
rs
Prop
ortio
n of
blo
od tr
ansf
usio
n ne
eds m
et
Asse
sses
the
avai
labi
lity
of b
lood
pr
oduc
ts (e
spec
ially
blo
od b
ags)
in H
Fs
Num
erat
or:
num
ber o
f pati
ents
who
re
ceiv
ed b
lood
or i
ts d
erivati
ves d
urin
g a
give
n pe
riod
Deno
min
ator
: Tot
al n
umbe
r of p
atien
ts
who
requ
ired
tran
sfus
ion
(Blo
od a
nd it
s de
rivati
ves)
dur
ing
the
sam
e pe
riod
MAR
, Ac
tivity
Re
port
s PN
TS,
DPM
L
Cent
ral
Surv
ey,
stud
y,
docu
men
t re
view
Annu
al
Aver
age
num
ber
of s
tock
-out
day
s of
essen
tial t
race
r dru
gs p
er q
uart
er
in th
e Di
stric
t Hos
pita
l
Asse
sses
the
avai
labi
lity
of e
ssen
tial
drug
s in
HFs
Num
erat
or: A
vera
ge n
umbe
r of s
tock
-out
da
ys o
f essen
tial t
race
r dru
gs in
Dist
rict
Hosp
ital d
urin
g th
e qu
ater
De
nom
inat
or: T
otal
num
ber o
f Dist
rict
hosp
itals
eval
uate
d
DPM
L re
port
s Ce
ntra
lRe
view
of
Drug
M
anag
emen
t To
ols i
n HF
s
Ever
y six
m
onth
s
41
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Trac
er in
dica
tors
Av
aila
bilit
y of
the
upda
ted
Natio
nal
Phar
mac
eutic
al M
aste
r Pla
n (P
MP)
an
d th
e activ
ity re
port
of t
he y
ear
befo
re th
e as
sess
men
t of t
he
impl
emen
tatio
n of
this
plan
Asse
sses
the
avai
labi
lity
of a
n up
date
d pl
an fo
r the
impl
emen
tatio
n of
a nati
onal
dr
ug p
olic
y
Repo
rt
from
DPM
L an
d Ge
nera
l In
spec
tora
te
of
Phar
mac
eut
ical
Ser
vice
s an
d La
bora
torie
s
Cent
ral
Repo
rts
Annu
al
Avai
labi
lity
of a
regu
lato
ry
inst
rum
ent t
o cr
eate
and
org
anize
th
e Na
tiona
l Lab
orat
ory
Netw
ork
and
annu
al re
port
s of d
ata
tran
smiss
ion
activ
ities
Asse
sses
the
insti
tutio
nal f
ram
ewor
k of
th
e Na
tiona
l Lab
orat
ory
Netw
ork
Repo
rt
from
DPM
L an
d Ge
nera
l In
spec
tora
te
of
Phar
mac
eut
ical
Ser
vice
s an
d La
bora
torie
s
Cent
ral
Repo
rts
Annu
al
Prop
ortio
n of
regi
ons t
hat p
rodu
ced
an a
nnua
l acti
vity
repo
rt o
n ph
arm
acov
igila
nce
Asse
sses
the
effici
ency
of t
he
phar
mac
ovig
ilanc
e sy
stem
in C
amer
oon
N
umer
ator
:Num
ber o
f reg
ions
that
subm
itted
a p
harm
acov
igila
nce activ
ity
repo
rt a
nnua
lly d
urin
g a
give
n pe
riod
Deno
min
ator
: Tot
al n
umbe
r of r
egio
ns
asse
ssed
dur
ing
the
sam
e pe
riod
Repo
rt
from
DPM
L an
d Ge
nera
l In
spec
tora
te
of
Phar
mac
eut
ical
Ser
vice
s an
d La
bora
torie
s
Cent
ral
Repo
rts
Annu
al
42
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Perc
enta
ge o
f pha
rmaceu
tical
pr
oduc
ts co
ntro
lled
befo
re a
nd afte
r marketin
g in
pha
rmac
ies a
nd p
ublic
ho
spita
ls
Asse
sses
the
capa
city
of t
he sy
stem
to
ensu
re q
ualit
y co
ntro
l of p
harm
aceu
tical
pr
oduc
ts in
circ
ulati
on in
the
coun
try
Num
erat
or:N
umbe
r of p
harm
aceu
tical
pr
oduc
ts co
ntro
lled
befo
re a
nd afte
r marketin
g in
a g
iven
per
iod
Deno
min
ator
: Tot
al n
umbe
r of l
ots o
f ph
arm
aceu
tical
pro
duct
s im
port
ed a
nd
prod
uced
in th
e co
untr
y du
ring
this
perio
d
Repo
rt
from
DPM
L an
d Ge
nera
l In
spec
tora
te
of
Phar
mac
eut
ical
Ser
vice
s an
d La
bora
torie
s
Cent
ral
Repo
rts
Qua
rter
ly
Aver
age
num
ber o
f sto
ck-o
ut d
ays
of e
ssen
tial t
race
r dru
gs in
RFH
P pe
r qu
arte
r
Asse
sses
the
functio
nality
of th
e su
pply
sy
stem
at t
he d
ecen
tral
ized
leve
l DP
ML
repo
rt
Cent
ral
Use
of d
rug
man
agem
ent
tool
s
Annu
al
Prop
ortio
n of
RDP
H w
hich
org
anize
d se
izure
s and
des
tructio
n of
illic
it dr
ugs a
nnua
lly
Asse
sses
the
capa
city
of t
he h
ealth
sy
stem
to co
mba
t the
use
of i
llici
t dru
gs
and
prod
ucts
Num
erat
or:N
umbe
r of R
DPH
whi
ch
orga
nize
d se
izure
s and
des
tructio
n of
illic
it dr
ugs a
nnua
lly d
urin
g a
give
n pe
riod
Deno
min
ator
s : T
otal
num
ber o
f RDP
H du
ring
the
sam
e pe
riod
DPM
L,
IGSP
L re
port
Cent
ral
Repo
rts o
n th
e de
stru
ction
of
illic
it dr
ugs
Annu
al
Stra
tegi
c su
b-ax
is 4.
4 : H
uman
reso
urce
s for
Hea
lth
Trac
er in
dica
tors
Pe
rcen
tage
of M
HCs,
IHCs
and
DHs
w
ith a
t lea
st 5
0% o
f the
requ
ired
tech
nica
l staff
Asse
sses
the
cove
rage
leve
l of H
HR n
eeds
in
hea
lth st
ruct
ures
at t
he o
peratio
nal
leve
l
Num
erat
or: n
umbe
r of M
HCs,
IHCs
and
DH
s with
at l
east
50%
of t
he re
quire
d te
chni
cal s
taff
durin
g a
give
n pe
riod
Deno
min
ator
: tot
al n
umbe
r of M
HCs,
IHCs
and
DHs
dur
ing
the
sam
e pe
riod
HRD
repo
rtRe
gion
alSt
udie
s, us
e of
su
perv
ision
re
port
Annu
al
43
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Trac
er in
dica
tors
Pe
rcen
tage
of t
arge
ted
RDPH
and
DH
S offi
cials
who
rece
ived
tr
aini
ng/c
apac
ity b
uild
ing
in
man
agem
ent
Asse
sses
the
capa
city
and
skill
s of h
eads
of
hea
lth fa
ciliti
es to
impl
emen
t the
man
agerial p
roce
ss
Num
erat
or: N
umbe
r of R
DPH
and
DHS
officials
who
rece
ived
trai
ning
or c
apac
ity
build
ing
in m
anag
emen
t dur
ing
a gi
ven
perio
d De
nom
inat
ors :
Total
num
ber o
f RDP
H an
d DH
S as
sess
ed d
urin
g th
e sa
me
perio
d
HRD
repo
rtCe
ntral
Stud
ies,
use
of
supe
rvisi
on
repo
rts
Annu
al
Perc
enta
ge o
f MHC
s and
DHs
in
nort
hern
Reg
ions
, Eas
t and
Sou
th
regi
ons w
ith a
t lea
st o
ne m
idw
ife
Asse
sses
the
cove
rage
level o
f mid
wiv
ery
need
s in
MHC
s and
DHs
in re
gion
s with
hi
gh m
aterna
l mor
talit
y ra
tes
Num
erat
or :n
umbe
r of M
HCs a
nd D
Hs in
no
rthe
rn R
egio
ns, E
ast a
nd S
outh
regi
ons
with
at l
east
one
mid
wife
dur
ing
a gi
ven
perio
d De
nom
inat
or: t
he to
tal n
umbe
r of M
HCs
and
DHs i
n th
e aforem
entio
ned
regi
ons
durin
g a
give
n pe
riod
HRD
repo
rtCe
ntral
Stud
ies,
use
of
supe
rvisi
on
repo
rts
Annu
al
Prop
ortio
n of
RD
PH
that
se
nt
consolidat
ed a
nd c
ompl
ete
data
of
the
HRH,
includ
ing
that
of
th
e pr
ivat
e an
d tr
adition
al s
ub-s
ecto
r to
the
DHR
annu
ally
Enab
les y
ou to
ass
ess t
he availabilit
y of
HR
H at
the
oper
ation
al le
vel.
It also
en
able
to a
sses
s the
cap
acity
of R
DPH
to
regu
larly
revi
ew th
e situa
tion
of H
RH in
th
e re
gion
s.
Num
erat
or:N
umbe
r of R
DPH
that
ann
ually
fo
rwar
ded
cons
olid
ated
and
co
mpr
ehen
sive
data
on
HRH
in th
e re
gion
, in
clud
ing
thos
e of
the
priv
ate
and
trad
ition
al su
b-se
ctor
dur
ing
a gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f RDP
H du
ring
the
sam
e pe
riod
RDPH
Re
port
Ce
ntral
Stud
ies,
use
of
supe
rvisi
on
repo
rts
Annu
al
% o
f doc
tors
in M
HCs a
nd D
Hs w
ith
at m
ost f
our y
ears
exp
erie
nce
who
be
nefit
ed fr
om a
t lea
st c
ontin
uous
tr
aini
ng in
the
targ
eted
are
as
(Cem
ON
C, m
ental illn
ess,
diab
etes
, et
c.)
Asse
sses
the
abili
ty o
f the
syst
em to
build
th
e ca
pacitie
s of
you
ng m
edica
l doc
tors
to
hel
p th
em p
rovi
de qua
lity
care
to th
e po
pulatio
n in
prio
rity
dom
ains
Num
erat
or:N
umbe
r of m
edica
l doc
tors
in
MHC
s and
DHs
with
a m
axim
um o
f fou
r ye
ars e
xper
ienc
e an
d w
ho re
ceiv
ed a
t lea
st
a co
ntinu
ing
trai
ning
in p
riorit
y do
mai
ns
Deno
min
ator
: Total
num
ber o
f med
ical
do
ctor
s in
MHC
s and
DHs
with
a m
axim
um
of fo
ur y
ears
exp
erie
nce
DHR
Activ
ities
Re
port
Central
Stud
ies,
use
of
supe
rvisi
on
repo
rts
Ever
y tw
o ye
ars
44
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
RDP
H w
ith IT
tool
for
man
agin
g an
d m
onito
ring
care
er
profi
les (
Regi
onal
SIG
IPES
)
Asse
sses
the
leve
l of d
ecen
tral
izatio
n in
m
anag
ing
HRH
care
ers a
nd th
e functio
nality
of th
e HR
H ca
reer
m
anag
emen
t sys
tem
at t
he d
evol
ved
leve
l
Num
erat
or:N
umbe
r of R
DPH
with
IT to
ols
for m
onito
ring
care
er p
rofil
es.
Deno
min
ator
: Tot
al n
umbe
r of R
DPH
DHR
repo
rtCe
ntra
lUs
e of
RDP
H activ
ity
repo
rts
Annu
al
Prop
ortio
n of
targ
eted
MHC
s and
DH
s with
75%
of staff
usin
g va
lidat
ed p
roto
cols
for t
he
man
agem
ent o
f mat
erna
l and
chi
ld
heal
th co
ndition
s
Asse
sses
the
leve
l of m
astery
and
use
of
prot
ocol
s for
the
man
agem
ent o
f m
ater
nal a
nd ch
ild h
ealth
cond
ition
s
Num
erat
or:P
ropo
rtion
of t
arge
ted
MHC
s an
d DH
s with
75%
of t
echn
ical staff
asse
ssed
usin
g va
lidat
ed p
roto
cols
for t
he
man
agem
ent o
f mat
erna
l and
chi
ld h
ealth
cond
ition
s De
nom
inat
or: T
otal
num
ber o
f MHC
s and
DH
s ass
esse
d du
ring
the
sam
e pe
riod
DSF,
PLM
I Re
port
s, Ge
nera
l In
spec
tora
tes
, DO
STS
Cent
ral
Evalua
tion
of
prof
essio
nal
practic
es
Every
two
years
HRH
Satis
facti
on In
dex
Asse
sses
the
capa
city
of t
he sy
stem
to
mee
t the
nee
ds o
f its
staff
Se
e Ap
pend
ix 7
DHR
repo
rtCe
ntra
lCe
nsus
Annu
al
Perc
enta
ge o
f ins
ecur
ed a
nd
difficult-
to-a
cces
s IHC
s, M
HCs a
nd
DHs
with
at l
east
50%
of h
uman
re
sour
ces o
n du
ty si
nce
3 ye
ars
Asse
sses
equ
ity in
the
dist
ributi
on o
f HRH
an
d th
e im
plem
entatio
n of
rete
ntion
m
echa
nism
s in diffi
cult-
to-a
cces
s hea
lth
faci
lities
Num
erat
or:N
umbe
r of d
ifficu
lt-to
-acc
ess
IHCs
, MHC
s and
DHs
with
at l
east
50%
of
hum
an re
sour
ces f
or h
ealth
on
duty
dur
ing
the
last
3 yea
rs
Deno
min
ator
s : T
otal
num
ber o
f diffi
cult-
to-a
cces
s IHC
s, M
HCs a
nd D
Hs a
sses
sed
DHR
repo
rtCe
ntra
lSt
udy,
survey
Ev
ery
two
years
Stra
tegi
c su
b-ax
is 4.
5 : H
ealth
Inform
ation
and
Hea
lth re
sear
chTr
acer
indi
cato
rs
MAR
pro
mpt
ness
rate
in H
Ds
Enab
les t
o as
sess
the system
's ca
paci
ty to
re
port
on tim
e N
umer
ator
:Num
ber o
f MAR
s for
war
ded
on ti
me
De
nom
inat
or: N
umbe
r of M
AR e
xpec
ted
HIU activ
ity
repo
rt
Cent
ral
Mon
itorin
g an
d
Supe
rvisi
on
Revi
ews
Mon
thly
45
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
MAR
com
plet
enes
s rat
e in
HDs
Enab
les t
o as
sess
the
avai
labi
lity
and
com
plet
enes
s of M
AR tr
ansm
issio
n
Num
erat
or:T
otal
num
ber o
f com
plet
e M
ARs f
orw
arde
d ov
er a
giv
en p
erio
d De
nom
inat
or: N
umbe
r of M
ARs f
orw
arde
d du
ring
the
sam
e pe
riod
HIU activ
ity
repo
rt
Cent
ral
Mon
itorin
g an
d
Supe
rvisi
on
Revi
ews
Mon
thly
Prop
ortio
n of
rese
arch
resu
lts
repo
rted
As
sess
es th
e ca
paci
ty o
f the
syst
em to
sh
are
rese
arch
find
ings
N
umer
ator
:Num
ber o
f aut
horiz
ed
proj
ects
and
who
se re
sults
wer
e restituted
Deno
min
ator
: Tot
al n
umbe
r of a
utho
rized
pr
ojec
ts
DRO
S Ac
tivity
Re
port
, Et
hics
Co
mm
ittee
Cent
ral
Rese
arch
re
view
s, us
e of
acti
vity
re
port
s
Annu
al
Prop
ortio
n of
rese
arch
resu
lts u
sed
for d
ecisi
on-m
akin
g
Asse
sses
the
syst
em's
capa
city
to u
se
fact
ual d
ata
for d
ecisi
on-m
akin
g
Num
erat
or:N
umbe
r of r
esea
rch fin
ding
s us
ed fo
r dec
ision
-mak
ing
in a
giv
en p
erio
d De
nom
inat
or: T
otal
num
ber o
f res
earc
h fin
ding
s val
idat
ed d
urin
g th
e sa
me
perio
d
DRO
S Ac
tivity
Re
port
, Et
hics
Co
mm
ittee
Cent
ral
Stud
ies,
Use
of re
sear
ch
repo
rts
Annu
al
Perc
enta
ge o
f bas
elin
e su
rvey
s ca
rrie
d ou
t to
mon
itor t
he
impl
emen
tatio
n of
the
201
6-20
20
NHD
P
Asse
sses
the
capa
city
of t
he sy
stem
to
ensu
re th
e av
aila
bilit
y of
bas
elin
e da
ta
indi
cato
rs in
ord
er to
ens
ure eff
ectiv
e m
onito
ring
and
eval
uatio
n of
the
NHD
P (a
vaila
bilit
y of
bas
elin
e da
ta in
dica
tors
)
Num
erat
or:N
umbe
r of b
asel
ine
surv
eys
carr
ied
out.
De
nom
inat
or: N
umbe
r of b
asel
ine
surv
eys
plan
ned
Repo
rt
from
TS-
SC/H
SS a
nd
Tech
nica
l De
part
men
ts
Cent
ral
Repo
rts o
n N
HDP
implem
entati
on
mon
itorin
g re
port
s
Annu
al
Prop
ortio
n of
RDP
H offi
cials w
ho
bene
fited
from
cap
acity
bui
ldin
g to
ca
rry
out r
esea
rch
proj
ects
Asse
sses
HRH
cap
acity
to c
arry
out
hea
lth
rese
arch
at t
he ope
ratio
nal l
evel
N
umer
ator
: Num
ber o
f RDP
H offi
cials
trai
ned
in h
ealth
rese
arch
dur
ing
a gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f RDP
H offi
cials
durin
g th
e sa
me
give
n pe
riod
DRO
S, D
HR
repo
rt
Cent
ral
Repo
rts o
n N
HDP
implem
entati
on
mon
itorin
g re
port
s
Annu
al
46
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
STRA
TEGI
C AX
IS 5
: ST
RATE
GIC
GOVE
RNAN
CE &
STE
ERIN
GTr
acer
indi
cato
rs
Achi
evem
ent r
ate
of th
e 20
16-2
020
NHD
P ob
jecti
ves
Asse
sses
the
implem
entatio
n le
vel o
f N
HDP
obje
ctive
s and
, sub
sequ
ently
, the
satisfacti
on le
vel o
f the
pop
ulati
ons
Num
erat
or:N
umbe
r of N
HDP
objecti
ves
reac
hed
De
nom
inat
or: T
otal
num
ber o
f NHD
P ob
jecti
ves
Stee
ring
Com
mittee
, RD
PH, D
MO
Cent
ral
Surv
eys
Annu
al
Stra
tegi
c su
b-ax
is 5.
1 : G
over
nanc
e Tr
acer
indi
cato
rs
Corrup
tion
percep
tion
inde
x in
the
sect
or
It en
able
s to
asse
ss effi
cien
cy in
figh
ting
agai
nst c
orru
ption
in th
e he
alth
sect
or
NAC
CCe
ntra
lSu
rvey
Ever
y tw
o ye
ars
Trac
er in
dica
tors
Av
aila
bilit
y of
an
upda
ted
regu
lato
ry
inst
rum
ent g
over
ning
the
organizatio
n an
d fu
nctio
ning
of
NHD
P st
eerin
g, c
oordinati
on a
nd
M/E
bod
ies a
t all
leve
ls
Enab
les t
o sp
ecify
the
orga
nizatio
n, ro
le
and
miss
ions
of t
he a
ctor
s inv
olve
d in
the
coor
dina
tion
and
M/E
of t
he N
HDP
at a
ll le
vels
of th
e he
alth
pyr
amid
DAJC
, TS-
SC/H
SS
Cent
ral
Docu
men
t re
view
Aft
er tw
elve
ye
ars
Avai
labi
lity
of
upda
ted
lega
l /
regu
lato
ry
text
s go
vern
ing
the
organizatio
n, f
uncti
onin
g of
pub
lic
hosp
itals
and
case
man
agem
ent
Asse
sses
the
implem
entatio
n an
d institutio
nal f
ram
ewor
k pr
oces
s to
build
a
heal
th sy
stem
that
can
mee
t the
nee
ds o
f th
e po
pulatio
ns
DAJC
, DO
STS
repo
rts
Cent
ral
Docu
men
t re
view
Ev
ery
four
ye
ars
Prop
ortio
n of
acc
redi
ted
DHs a
nd
othe
rs ra
nkin
g as
such
( th
at is
, with
ca
re q
ualit
y as
sura
nce
and
hea
lth
serv
ices
syst
em)
Asse
sses
the
capa
city
of H
Fs to
com
ply
with
the
accr
edita
tion
crite
ria d
evel
oped
(a
lso a
sses
ses t
he le
vel o
f im
plem
entatio
n of
qua
lity
care
in H
Fs)
Num
erat
or:N
umbe
r of a
ccre
dita
ted
DHs
that
est
ablis
hed
a ca
re a
nd h
ealth
serv
ice
qual
ity a
ssur
ance
syst
em d
urin
g a
give
n pe
riod
Deno
min
ator
: Tot
al n
umbe
r of a
sses
sed
DHs a
nd o
ther
s ran
king
as s
uch
durin
g th
e sa
me
perio
d
TS/S
C-HS
S,
DOST
S re
port
s
Cent
ral
Evalua
tion
of
prof
essio
nal
practic
es
Annu
al
47
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
RHs
who
se a
nnua
l te
chni
cal a
nd fi
nanc
ial r
epor
ts
valid
ated
by
the
mem
bers
of t
he
Hosp
ital M
anag
emen
t Boa
rd a
re
sent
to th
e RD
PH
Asse
sses
acc
ount
abili
ty, t
rans
pare
ncy
and
parti
cipa
tion
of b
enefi
ciar
ies i
n th
e fin
ancial
and
tech
nica
l man
agem
ent o
f he
alth
faci
lities
Num
erat
or:N
umbe
r RHs
who
se a
nnua
l te
chni
cal a
nd fi
nanc
ial r
epor
ts v
alid
ated
by
the
HMC
mem
bers
are
forw
arde
d De
nom
inat
or: T
otal
num
ber o
f RH
s
Repo
rts
from
te
chni
cal
depa
rtm
ents
Regi
onal
Repo
rts
Annu
al
Prop
ortio
n of
di
spat
chin
g w
hole
sale
rs
and
phar
mac
ies
insp
ecte
d
Asse
sses
the
capa
city
of t
he sy
stem
to
ensu
re th
e qu
ality
of t
he d
rugs
ava
ilabl
e on
the
mar
ket
Num
erat
or:N
umbe
r of w
hole
sale
rs a
nd
phar
mac
ies i
nspe
cted
De
nom
inat
or: T
otal
num
ber o
f tar
gete
d w
hole
sale
rs a
nd p
harm
acie
s
Annu
al
repo
rt o
f M
OH
Gene
ral
Insp
ecto
rate
s
Regi
onal
Asse
ssm
ent
stud
ies o
f pr
ofes
siona
l practic
es
Annu
al
Prop
ortio
n of
GHs
, CHs
and
RHs
that
ha
ve u
nder
gone
an
exte
rnal
aud
it En
able
s to
asse
ss th
e te
chni
cal,
adm
inist
rativ
e an
d fin
ancial
qua
lity
of
man
agem
ent i
n he
alth
faciliti
es
Num
erat
or:N
umbe
r of G
Hs, C
Hs a
nd R
Hs
whi
ch w
ere
audi
ted
by a
n ex
tern
al fi
rm
Deno
min
ator
: Tot
al n
umbe
r of G
Hs, C
Hs
and
RHs
DLM
EP,
gene
ral
insp
ecto
rat
es, D
RFP,
DH
R
Cent
ral
Repo
rts
Annu
al
Prop
ortio
n of
cat
egor
y 1
and
2 ho
spita
ls th
at h
ave
tran
smitt
ed to
M
INSA
NTE
and
/or p
ublis
hed
thei
r te
chni
cal a
ctivi
ty re
port
onl
ine
Asse
sses
the
acco
unta
bilit
y of
hea
lth
faci
lities
N
umer
ator
:num
ber o
f 1st
and
2nd
ca
tego
ry h
ospi
tals
that
pub
lishe
d th
eir
activ
ity re
port
s onl
ine
or fo
rwar
ded
it to
th
e M
OH
durin
g a
give
n pe
riod
Deno
min
ator
: Tot
al n
umbe
r of 1
st a
nd 2
nd
cate
gory
hos
pita
ls ev
alua
ted
durin
g th
e sa
me
perio
d
Hosp
ital
repo
rts
Cent
ral
MO
H w
ebsit
e An
nual
Prop
ortio
n of
Cen
tral
Dep
artm
ents
, He
alth
API
and
RDP
H th
at p
rodu
ced
an a
nnua
l per
form
ance
repo
rt
Asse
sses
the
capa
citie
s of t
he c
entr
al
tech
nica
l str
uctu
res t
o pr
oduc
e do
cum
ents
that
refle
ct th
e pe
rfor
man
ce
achi
eved
Num
erat
or:N
umbe
r of C
entr
al
depa
rtm
ents
, Hea
lth A
PI a
nd R
DPH
whi
ch
prod
uced
an
annu
al p
erfo
rman
ce re
port
du
ring
a gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f Cen
tral
De
part
men
ts, H
ealth
API
and
RDP
H du
ring
the
sam
e pe
riod
Repo
rts
from
Te
chni
cal
Depa
rtm
ents
Cent
ral a
nd
regi
onal
Re
port
sAn
nual
48
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
cat
egor
y 1
to 4
hea
lth
faci
lities
that
impl
emen
t RRI
s As
sess
es th
e actio
ns ta
ken
to c
omba
t corrup
tion
in c
ateg
ory
1 to
4 h
ealth
fa
ciliti
es
Num
erat
or:N
umbe
r of c
ateg
ory
1 to
4
HFs i
mpl
emen
ting
RRI d
urin
g a
give
n pe
riod
Deno
min
ator
: Tot
al n
umbe
r of t
arge
ted
cate
gory
1 to
4 H
Fs d
urin
g th
e sa
me
perio
d
Repo
rts
from
Ge
nera
l In
spec
tora
tes
Cent
ral
Repo
rts
Annu
al
Avai
labi
lity
of a
repo
rt o
n th
e im
plem
entatio
n of
the
activ
ities
of
the
PPBS
cha
in (t
akin
g in
to a
ccou
nt
NHD
P actio
ns in
the
MTE
F,
resp
ectin
g th
e bu
dget
dist
ributi
on
key
as p
roje
cted
in th
e M
TEF,
etc
.)
Asse
sses
the
cohe
renc
e be
twee
n th
e activ
ities
pla
nned
in th
e diffe
rent
el
abor
ated
pla
ns a
nd th
e bu
dget
al
loca
ted
TS/S
C-HS
S re
port
Ce
ntra
lRe
port
sQ
uart
erly
Stra
tegi
c su
b-ax
is 5.
2 : S
trat
egic
stee
ring
Trac
er in
dica
tors
Ex
ecuti
on ra
te o
f RDP
H an
d HD
s in
tegr
ated
supe
rvisi
on m
issio
ns
Asse
sses
the
functio
nality
of th
e m
anag
eria
l pro
cess
and
the
inst
rum
ents
th
at e
nsur
e co
mpl
ianc
e an
d rig
orou
s im
plem
entatio
n of
dire
ctives l
ayed
dow
n by
hie
rarc
hy a
t all
leve
ls
Num
erat
or:N
umbe
r of i
nteg
rate
d su
perv
ision
miss
ions
car
ried
out b
y RD
PH
and
HDs d
urin
g a
give
n pe
riod
Deno
min
ator
: Num
ber o
f RDP
H a
nd H
Ds
inte
grat
ed su
perv
ision
miss
ions
pla
nned
du
ring
the
sam
e pe
riod
TS/S
C-HS
S,
DEP
repo
rt
Regi
onal
Revi
ews,
repo
rts
Ever
y six
m
onth
s
Prop
ortio
n of
the recommen
datio
ns
of
the
coordina
tion
mee
tings
(s
teer
ing
committ
ee
and
wee
kly
coor
dina
tion mee
tings
of M
OH)
that
ha
ve b
een
carr
ied
out
Enab
les t
o as
sess
the
leve
l of
impl
emen
tatio
n of
the
reco
mmen
datio
ns
and
deci
sions
mad
e by
the
coordina
ting
bodi
es to
lift
the
obst
acle
s tha
t ham
per
the
achi
evem
ent o
f the
obj
ectiv
es se
t out
in
the
NHD
P
Num
erat
or:N
umbe
r of r
ecom
men
datio
ns
from
coo
rdin
ation
mee
tings
(ste
erin
g co
mm
ittee
and
MO
H w
eekl
y co
ordina
tion
mee
tings
) im
plem
ente
d du
ring
a gi
ven
perio
d De
nom
inat
or: T
otal
num
ber o
f re
com
men
datio
ns o
f St
eerin
g/Co
ordina
tion
mee
tings
issu
ed
durin
g th
e sa
me
perio
d
TS/S
C-HS
S,
follo
w-u
p Co
mm
ittee
re
port
s
Cent
ral
Revi
ews,
repo
rts
Ever
y six
m
onth
s
49
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Trac
er in
dica
tors
Pr
oportio
n of
HDs
who
se H
DDPs
are
al
igne
d to
the
NHD
P As
sess
es th
e eff
ectiv
eness
of st
rate
gic
alig
nmen
t of H
DDPs
to th
e NH
DP
Num
erat
or:N
umbe
r of H
Ds w
hose
HDD
Ps
are
alig
ned
to th
e NH
DP
Deno
min
ator
: Tot
al n
umbe
r of H
Ds
TS/S
C-HS
S,
DEP
repo
rt
Regi
onal
Docu
men
t review
, su
perv
ision
re
port
Annu
al
Prop
ortio
n of
RD
PH
that
ha
ve
develope
d re
gion
al
cons
olid
ated
he
alth
devel
opm
ent p
lans
alig
ned
to
the
NHDP
201
6-20
20
Asse
sses
the
capa
city
of R
DPH
and
the
devo
lved
leve
l to
plan
hea
lth
developm
ent b
ased
on
the
NHD
P st
rate
gic g
uide
lines
Num
erat
or:N
umbe
r of R
DPH
whi
ch
develope
d a
cons
olid
ated
Reg
iona
l Hea
lth
Plan
and
AW
Ps a
ligne
d to
the
2016
-202
0 N
HDP
Deno
min
ator
: Tot
al n
umbe
r of R
DPH
TS/S
C-HS
S re
port
Ce
ntra
lDo
cum
ent
review
, su
perv
ision
re
port
Annu
al
Avai
labi
lity
of t
he app
rove
d pr
ison
heal
th
polic
y do
cum
ent
and
the
annu
al re
port
s of
hea
lth a
ctivitie
s in
pr
isons
Asse
sses
the
insti
tutio
nal a
nd re
gula
tory
fr
amew
ork
for p
rison
hea
lth
TS/S
C-HS
S,
MIN
JUST
ICE
repo
rt
Cent
ral
Docu
men
t revi
ew
Annu
al
Prop
ortio
n of
hea
lth d
istric
ts a
nd
RDPH
that
have
orga
nize
d at
leas
t 3
mee
tings
to c
oord
inat
e an
d m
onito
r th
e im
plem
entatio
n of
the
ir AW
Ps
and
have
pro
duce
d an
ann
ual r
epor
t
Enab
les t
o as
sess
the
effor
ts to
co
ordi
nate
activitie
s im
plem
ente
d at
the
devo
lved
leve
l and
the
capa
city
of H
Ds
and
RDPH
to invo
lve
all s
take
hold
ers (
civi
l so
ciet
y, p
artn
er m
inist
ries,
TFPs
) in
man
agin
g he
alth
issu
es
Num
erat
or:N
umbe
r of H
Ds a
nd R
DPH
that
pro
duce
d at
leas
t 3 re
port
s of
coor
dina
tion
and
mon
itorin
g mee
tings
for
the
impl
emen
tatio
n of
thei
r AW
P an
d a
cons
isten
t ann
ual r
epor
t with
in th
e ye
ar
Deno
min
ator
: Tot
al n
umbe
r of H
Ds a
nd
RDPH
TS/S
C-HS
S,
DEP/
CPP
repo
rts
Regi
onal
Docu
men
t review
, su
perv
ision
re
port
Annu
al
Prop
ortio
n of
HDs
with
the fin
al
eval
uatio
n re
port
of t
heir
HDDP
As
sess
es th
e ca
paci
ty o
f HDs
to evaluate
the
impl
emen
tatio
n of
the
interven
tions
pl
anne
d a
t the
RDP
H
Num
erat
or:N
umbe
r of H
Ds w
ith th
e fin
al
eval
uatio
n re
port
of t
heir
HDDP
De
nom
inat
or: T
otal
num
ber o
f HDs
TS/S
C-HS
S re
port
Re
gion
alDo
cum
ent
review
, su
perv
ision
re
port
After
4 y
ears
Prop
ortio
n of
RDP
H w
ith th
e fin
al
eval
uatio
n re
port
of t
heir
CRHD
Ps
Asse
sses
the
capa
city
of t
he in
term
edia
te
leve
l to evalua
te th
e im
plem
entatio
n of
th
e pl
anne
d interven
tions
at t
he R
DPH
Num
erat
or:N
umbe
r of R
DPH
with
the
final
eva
luati
on re
port
of t
heir
CRHD
Ps
Deno
min
ator
: Tot
al n
umbe
r of R
DPH
TS/S
C-HS
S re
port
Ce
ntra
lDo
cum
ent
review
, su
perv
ision
re
port
After
4 y
ears
50
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Prop
ortio
n of
HDs
and
RDP
Hs w
ith
at le
ast 8
0% o
f ind
icat
ors i
n th
e Pe
rfor
man
ce T
rack
ing
Dash
boar
d
Asse
ss t
he c
apac
ity o
f he
alth
str
uctu
res
at th
e de
cent
raliz
ed le
vel t
o or
gani
ze th
e m
onito
ring
of th
e NH
DP in
dica
tors
and
to
info
rm th
e le
vel o
f im
plem
entatio
n of
the
plan
ned
inte
rven
tions
in
th
eir
heal
th
deve
lopm
ent p
lan.
Num
erat
or:N
umbe
r of H
Ds a
nd R
DPH
that
fille
d in
the
mon
itorin
g da
shbo
ard
of
the
perf
orm
ance
s pro
ject
ed in
the
NHD
P De
nom
inat
or: T
otal
num
ber o
f RDP
H an
d HD
s
TS/S
C-HS
S,
CPP,
RDP
H re
port
s
Cent
ral
Docu
men
t re
view
, su
perv
ision
re
port
Dece
ntra
lized
m
onito
ring
Half-
year
ly
Leve
l of a
chie
vem
ent o
f tar
gets
pr
ojec
ted
in th
e In
tegr
ated
M
onito
ring
and
Eval
uatio
n Pl
an
(IMEP
)
Avai
labi
lity
of a
n an
nual
repo
rt o
n th
e se
ctor
or t
hem
atic
heal
th re
view
As
sess
es th
e im
plem
entatio
n le
vel o
f the
N
HDP
mon
itorin
g an
d ev
alua
tion
mod
aliti
es
.TS
/SC-
HSS,
DE
P re
port
Ce
ntra
lDo
cum
ent
revi
ew,
supe
rvisi
on
repo
rt
Ever
y tw
o ye
ars
Avai
labi
lity
of m
id-te
rm a
nd fi
nal
repo
rts o
f the
NHD
P As
sess
es th
e ca
paci
ty o
f the
syst
em to
pl
an a
nd a
sses
s the
leve
l of a
chie
vem
ent
of th
e re
sults
pro
ject
ed in
the
NHD
P
Num
erat
or:N
umbe
r of H
Ds a
nd R
DPH
that
hav
e m
id-te
rm N
HDP
eval
uatio
n re
port
De
nom
inat
or: T
otal
num
ber o
f RDP
H an
d HD
s
TS/S
C-HS
S re
port
Ce
ntra
lDo
cum
ent
revi
ew,
supe
rvisi
on
repo
rt
Ever
y 2.
5 ye
ars
Prop
ortio
n of
HDs
and
RDP
H w
ith
mid
-term
an
d fin
al
eval
uatio
n re
port
s of t
he N
HDP
2016
-202
0
Asse
sses
the
capa
city
of t
he sy
stem
to
shar
e an
d di
ssem
inat
e in
form
ation
on
the
M/E
of N
HDP
impl
emen
tatio
n at
the
devo
lved
leve
l
Num
erat
or:N
umbe
r of H
Ds a
nd R
DPH
that
hav
e th
e fin
al N
HDP
eval
uatio
n re
port
De
nom
inat
or: T
otal
num
ber o
f RDP
H an
d HD
s
TS/S
C-HS
S re
port
Re
gion
alDo
cum
ent
revi
ew,
supe
rvisi
on
repo
rt
After
5 y
ears
Avai
labi
lity
of th
e an
nual
stra
tegi
c su
rvei
llanc
e re
port
Asse
sses
the
heal
th sy
stem
's ca
paci
ty to
an
ticip
ate
and
redu
ce th
e ris
ks a
nd
fact
ors o
f the
ach
ieve
men
t of t
he se
t ob
jecti
ves
TS/S
C-HS
S re
port
Ce
ntra
lDo
cum
ent
revi
ew,
supe
rvisi
on
repo
rt
Annu
al
51
Nam
eW
hat d
oes t
his i
ndic
ator
mea
sure
?Ho
w it
is ca
lcul
ated
?Co
llecti
on
sour
ces
Colle
ction
le
vel1
Colle
ction
M
etho
dFr
eque
ncy
Perc
enta
ge o
f agr
eem
ents
sign
ed
and
resp
ecte
d be
twee
n M
OH
and
CBO
s wor
king
in th
e he
alth
sect
or
Asse
sses
the
mas
tery
, use
and
co
mpl
ianc
e of
the
NHDP
(the
onl
y
refe
renc
e fr
amew
ork)
by
acto
rs in
the
heal
th sy
stem
Num
erat
or:N
umbe
r of s
igne
d ag
reem
ents
w
hose
obj
ectiv
es w
ere
achi
eved
De
nom
inat
or: t
otal
num
ber o
f agr
eem
ents
sig
ned
Repo
rts
from
DC
OO
P,
Tech
nica
l De
part
men
ts
Cent
ral
Repo
rts
Annu
al
Achi
evem
ent
rate
of
the
Natio
nal
Com
pact
obj
ectiv
es
Appr
ecia
tes
the
perf
orm
ance
of
th
e pa
rtne
rshi
p in
the
impl
emen
tatio
n of
the
PNDS
, in
the
mob
ilizatio
n an
d us
e of
re
sour
ces.
Num
erat
or:N
umbe
r of o
bjectiv
es
proj
ecte
d by
the
Natio
nal C
ompa
ct
Deno
min
ator
: Num
ber o
f obj
ectiv
es
achi
eved
Repo
rts
from
Ge
nera
l In
spec
tora
tes
, DCO
OP,
Te
chni
cal
Depa
rtm
ents
Cent
ral
Docu
men
t re
view
, su
perv
ision
re
port
Annu
al
(a)
See
appe
ndix
3 fo
r the
defi
nitio
n
52
44..22.. PPEERRFFOORRMMAANNCCEE FFRRAAMMEEWWOORRKK
Given the limited resources and institutional capacities, a list of 41 key indicators, tracers of
the health system was validated by the stakeholders. These indicators will enable, on the
one hand, to monitor progress made by strategic axes on a periodical basis and on the other
hand, to assess the level of performance or achievement of the NHDP objectives. The
following performance framework presents the baseline value for each indicator when data
is available and projects the progress of performance.
53
Tabl
e 2
: Per
form
ance
Fra
mew
ork
of th
e N
HDP
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
STRA
TEG
IC A
XIS
1 : H
EALT
H PR
OM
OTI
ON
HSS
perf
orm
ance
indi
cato
rs
% o
f hou
seho
ld m
embe
rs u
sing
indi
vidu
al im
prov
ed
toile
ts34
.9%
20
14
MIC
S 5
37%
Prev
alen
ce o
f obe
sity
in u
rban
are
as
(Per
cent
age
of u
rban
pop
ulati
on w
hose
bod
y m
ass
inde
x is
grea
ter t
han
or e
qual
to 3
0kg/
m2 )
23.5
0%
2015
Ki
ngue
et a
l.
22
.5%
Perc
enta
ge o
f tar
gete
d co
mpa
nies
that
app
ly h
ealth
an
d oc
cupa
tiona
l saf
ety
prin
cipl
esN
A
40
%
Chro
nic
mal
nutr
ition
in c
hild
ren
belo
w 5
yea
rs o
f age
14.8
%
2014
M
ICS
5
10
%
Stra
tegi
c su
b-ax
is 1.
1 : Instituti
onal
, com
mun
ity a
nd c
oordinati
on c
apac
ities
in h
ealth
pro
moti
on
Prop
ortio
n of
HDs
with
functio
nal D
HC
65%
20
15
2015
Roa
d m
apan
d 20
13-2
015
MTE
F 70
%
75%
80
%
85%
90
%
Stra
tegi
c su
b-ax
is 1.
2 : L
ivin
g en
viro
nmen
t of t
he p
opulati
on
Perc
enta
ge o
f hou
seho
lds
usin
g so
lid fu
el a
s fir
st s
ourc
e of
dom
estic
ene
rgy
used
for c
ooki
ng
80.4
%
2015
M
ICS
5 78
%
76.5
%
75%
72
.5%
70
%
Perc
enta
ge o
f hou
seho
lds w
ith a
cces
s to
pota
ble
wat
er72
.9%
20
15
MIC
S 5
73.5
%
74%
75
%
76.5
%
78%
Stra
tegi
c su
b-ax
is 1.
3 : S
tren
gthe
ning
of h
ealth
y be
havi
ours
of i
ndiv
idua
ls an
d commun
ities
Prev
alen
ce o
f pre
gnan
cies
am
ong
adol
esce
nt g
irls
25.2
%
2014
M
ICS
5 24
%
22%
19
%
17%
14
%
Prev
alen
ce o
f sm
okin
g in
per
sons
age
d 15
and
abo
ve6%
20
13
GATS
6%
5.
5 %
5.
5 %
5.
5 %
5%
54
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Stra
tegi
c su
b-ax
is 1.
4 : E
ssen
tial f
amily
pra
ctice
s, fa
mily
pla
nnin
g, a
dole
scen
t hea
lth a
nd p
ost a
bortion
car
e M
oder
n co
ntracepti
ve p
reva
lenc
e ra
te i
n w
omen
of
child
bear
ing
age
21%
20
14
MIC
S 5
22%
24
%
25%
27
%
30%
Prop
otion
of u
nmet
need
s in
FP
18%
20
14
MIC
S 5
16%
14%
ST
RATE
GIC
AXI
S 2
: DIS
EASE
PRE
VEN
TIO
N
HSS
perf
orm
ance
indi
cato
rs
Prevalence
of H
yper
tens
ion
(HPT
) in
adu
lts a
ged
15
year
s and
abo
ve in
urb
an a
reas
29
%
2015
Ki
ngue
et a
l.
28
%
Stra
tegi
c su
b-ax
is 2.
1 : P
reventi
on o
f Com
mun
icab
le D
iseas
es
Inci
denc
e of
HIV
45
499
new
ca
ses
2015
2015
repo
rt o
n HI
V an
d AI
DS
estim
ates
and
projectio
ns in
Ca
mer
oon
45,0
76
42,1
41
40,2
67
38,0
87
3592
9
HIV
preval
ence
4.
3%
2011
(D
HS-M
ICS
2011
) 4
.1%
3.70
%
3.
3%
Prevalen
ce o
f Vira
l hep
atitis
B
11.9
0%
2015
CPC
da
ta
11
%
9%
3.50
%
Coverage
of o
ncho
cerc
iasis
preve
ntive
che
mot
hera
py
(CDT
I cov
erag
e)
80%
20
15
2015
NTD
s Ac
tivity
repo
rt
84%
85
%
86%
87
%
90%
Inci
denc
e of
smea
r-po
sitive
pul
mon
ary
tube
rcul
osis
(PTB
+)
117
new
ca
ses p
er
100
000
inha
bita
nts
2015
20
16-2
017
TB/H
IV jo
int
conc
ept n
ote
102.
5 88
73
.5
59
45
Stra
tegi
c su
b-ax
is 2.
2 : E
PDs a
nd p
ublic
hea
lth events.
Surve
illan
ce a
nd re
spon
se to
EPD
s, zo
onos
es a
nd p
ublic
hea
lth events
Prop
ortio
n of
HDs
with
con
firm
ed m
easle
s out
brea
ks
whi
ch o
rgan
ized
resp
onse
acc
ordi
ng to
nati
onal
gu
idel
ines
34%
20
14
2014
DLM
EP
Repo
rt
70%
80
%
90%
95
%
95%
55
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Prop
ortio
n of
mea
sles o
utbr
eak
repo
rted
and
investigated
50%
20
14
2014
DLM
EP
Repo
rt
70%
80
%
90%
95
%
95%
Stra
tegi
c su
b-ax
is 2.
3 : R
MN
CAH
and
PMTC
T Im
mun
izatio
n cov
erage
with
the
refe
renc
e an
tigen
(P
enta
3)84
.50%
20
15
2015
EPI
, MO
H re
port
85
%
86%
88
%
90%
92
%
ANC
cove
rage
rate
458
.8%
20
14
MIC
S5
62%
65%
68%
71%
74%
Mea
sles’
Immun
izatio
n co
verage
in /r
ubel
la v
acci
ne80
%
2014
M
ICS
5 81
%82
%
83%
85%
86%
Prop
ortio
n of
HIV
-infe
cted
pregn
ant w
omen
on
ART
84.4
%20
15N
ACC
Repo
rt
85%
86%
86.5
%87
%88
%
Prop
ortio
n of
chi
ldre
n ag
ed 0
-5 sl
eepi
ng u
nder
an
LLIN
54.8
0%
2014
M
ICS
5 85
%
86%
88
%
89%
90
%
Mot
her-
to-c
hild
tra
nsm
issio
n ra
te o
f HI
V (p
erce
ntag
e of
HI
V- e
xpos
ed c
hild
ren)
6.
5%
2014
20
14 N
ACC
repo
rt
6%
5.5%
5%
4.
5%
4%
Prop
ortio
n of
new
born
with
low
birt
h weigh
t (b
elow
2.
500 gram
mes
) 9%
20
14
MIC
S5
7%
7%
6%
6%
6%
Prop
ortio
n of
pregn
ant w
omen
hav
ing
rece
ived
at l
east
3
dose
s of I
PT d
uring
preg
nanc
y (%
IPT3
)
26%
20
14
MIC
S 5
35%
40
%
45%
50
%
55%
Stra
tegi
c su
b-ax
is 2.
4 : P
reventi
on o
f Non
-com
mun
icab
le D
iseas
es
Prev
alen
ce o
f Di
abet
es ty
pe 2
am
ong
adul
ts aged
at
leas
t 18
year
s in
urba
n ar
eas
6.
60%
20
15
King
ue e
t al.
6%
5.
8%
STRA
TEG
IC A
XIS
3 : M
ANAG
EMEN
T O
F CA
SES
HSS
perf
orm
ance
indi
cato
rs
Peri-
oper
ative
mor
talit
y in
1st
, 2nd
, 3rd
and
4th
catego
ry
hosp
itals
NA
2015
15%
dec
reas
e by
the
dead
line
56
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Spec
ific
mal
aria
mor
talit
y ra
te in
chi
ldre
n be
low
5 y
ears
of
age
45
%
NM
CP
repo
rt
2015
38
%
31
%
Intr
a ho
spita
l dire
ct o
bste
tric
al le
thal
ity ra
te
1.50
%
2015
Em
ON
C Su
rvey
1.
13%
0.75
%
Mat
erna
l mor
talit
y ratio
782/
100,
000
2011
DH
S- M
ICS
74
0 70
0 66
6 62
6 58
0
Neo
nata
l mor
talit
y ra
te28
/100
0
2014
M
ICS
5 27
26
25
24
23
Child
mor
talit
y ra
te60
/1,0
00
2014
M
ICS
5 58
56
54
51
48
Child
and
infa
nt m
orta
lity
rate
10
3/10
00
20
14
DHS-
MIC
S 99
95
91
87
83
Stra
tegi
c su
b-ax
is 3.
1 : C
urati
ve m
anag
emen
t of c
omm
unic
able
and
non
com
mun
icab
le d
iseas
es
Trea
tmen
t suc
cess
rate
for s
mea
r-po
sitive
tube
rcul
osis
patie
nts
84%
2013
20
13 c
ohor
t, N
TBCP
repo
rt
85%
85
.5%
86
%
86.5
%
87%
Prop
ortio
n of
cas
es o
f Bur
uli u
lcer
cur
ed w
ithou
t complicati
ons
80%
20
15
NTD
s Acti
vity
re
port
82%
84
%
86%
88
%
90%
Stra
tegi
c su
b-ax
is 3.
2 : M
ater
nal,
neon
atal
, inf
ant,
child
and
ado
lesc
ent h
ealth
con
ditio
ns
Rate
of d
eliv
erie
s in
a he
alth
faci
lity
61
.3%
20
14
MIC
S 5
65%
66
%
67%
68
%
70%
Prop
ortio
n of
cas
es o
f obs
tetr
ic fi
stul
a re
paire
d N
A
75
% in
crea
se b
y de
adlin
e
Rate
of C
aesa
rean
secti
ons
2.4%
20
14
MIC
S 5
3%
4%
5%
6%
8%
57
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Stra
tegi
c su
b-ax
is 3.
3 : E
mer
genc
ies a
nd p
ublic
hea
lth e
vent
s Pr
oportio
n of
targ
eted
DHs
hav
ing
man
aged
at l
east
80%
of
med
ical
and
surg
ical
em
erge
ncie
s acc
ordi
ng to
SO
Ps in
th
e pa
st 6
mon
ths
NA
13%
40
%
53%
10
0%
100%
Stra
tegi
c su
b-ax
is 3.
4 : M
anag
emen
t of disabiliti
es
Prop
ortio
n of
cat
arac
t pati
ents
who
se si
ght w
as re
stor
ed
after
surg
ery
NA
25%
50
%
85%
85
%
90%
STRA
TEG
IC A
XIS
3 : H
EALT
H SY
STEM
STR
ENG
HEN
ING
Stra
tegi
c su
b-ax
is 4.
1 : H
ealth
fina
ncin
g
HSS
perf
orm
ance
indi
cato
rs
Glob
al H
ealth
Car
e Av
aila
bilit
y In
dex
NA
30%
% o
f hea
lth e
xpen
ditu
re b
orne
by
hous
ehol
ds
70.6
%
2012
20
12 N
HA
69%
67
%
65%
63
%
60%
Prop
ortio
n of
the
popu
latio
n co
vere
d by
hea
lth ri
sk
shar
ing
mec
hani
sms
3%
20
11
2011
DHS
MIC
S 5%
7%
10
%
15%
20
%
Stra
tegi
c su
b-ax
is 4.
2 : C
are
and
serv
ice
deliv
ery
Prop
ortio
n of
HDs
serv
iced
NA
20
%
25%
30
%
35%
Stra
tegi
c su
b-ax
is 4.
3 : D
rugs
and
oth
er p
harm
aceu
tical
pro
duct
s Pr
oportio
n of
blo
od tr
ansf
usio
n ne
eds m
et
18%
20
15
WHO
20
%
30%
40
%
50%
60
%
58
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Aver
age
num
ber
of s
tock
-out
day
s of
ess
entia
l tr
acer
dr
ugs p
er q
uart
er in
the
Dist
rict H
ospi
tal
6 da
ys
2015
M
OH
Repo
rt
5.5
days
5
days
4
days
3
days
2
days
Stra
tegi
c su
b-ax
is 4
Hum
an R
esou
rces
for H
ealth
Perc
enta
ge o
f MHC
s, IH
Cs a
nd D
Hs w
ith a
t lea
st 5
0% o
f th
e re
quire
d te
chni
cal staff
40%
20
13
Annu
al H
RDP
impl
emen
tatio
n re
port
s, H
RH
Cens
us
42%
43
%
45%
48
%
50%
Stra
tegi
c su
b-ax
is 4.
5 : H
ealth
Inform
ation
and
rese
arch
in h
ealth
M
AR p
rom
ptne
ss ra
te in
HDs
0%
20
15
NHI
S 75
%
75%
75
%
80%
80
%
MAR
com
plet
enes
s rat
e in
HDs
0%
20
15
NHI
S 10
0%
100%
10
0%
100%
10
0%
Prop
ortio
n of
rese
arch
resu
lts re
port
ed
NA
5%
5%
10%
15
%
30%
Prop
ortio
n of
rese
arch
resu
lts u
sed
for d
ecisi
on-m
akin
g N
A5%
5%10
%15
%20
%
STRA
TEG
IC A
XIS
5 : S
TRAT
EGIC
GO
VERN
ANCE
& S
TEER
ING
HSS
perf
orm
ance
indi
cato
rs
Achi
evem
ent r
ate
of th
e 20
16-2
020
NHD
P ob
jecti
ves
0%
2015
70
%
100%
Stra
tegi
c su
b-ax
is 5.
1 : G
over
nanc
e Co
rrup
tion
percep
tion
inde
x in
the
sect
or
7.56
%20
10Nati
onal
anti
-corrup
tion
plan
7%
6%
Stra
tegi
c su
b-ax
is 5.
2 : S
trat
egic
stee
ring
Exec
ution
rate
of R
DPH
and
HDs i
nteg
rate
d su
perv
ision
m
issio
ns
NA
20%
25
%
30%
40
%
50%
Prop
ortio
n of
the
recom
men
datio
ns o
f the
coo
rdinati
on
mee
tings
(st
eerin
g committ
ee a
nd w
eekl
y coordina
tion
mee
tings
of M
OH)
that
hav
e be
en c
arrie
d ou
t 75
%
2015
TS
/SC-
HSS
annu
al re
port
s
75%
75
%
100%
10
0%
59
44..33.. MMOONNIITTOORRIINNGG OOFF DDIIRREECCTT AACCHHIIEEVVEEMMEENNTT IINNDDIICCAATTOORRSS
Direct achievement indicators were selected based on a principle of feasibility
(relevance, availability, sustainability and periodicity of sources) in to their
relevance in to the main direc ves of the NHDP. These indicators will be monitored
at all levels of the health pyramid using a dashboard.
Indeed, the dashboard is a tool that will provide the manager with an overview of the status
and trends of the indicators (see Appendices 3, 4 and 5). He will be informed on the level of
achievement of the projected targets and will be able to make decisions subsequently. In
other words, the dashboard will provide answers to the following 2 key What has
been done so far? What are our prospects?
60
Tabl
e 3:
Mon
itorin
g in
dica
tors
IMEP
1
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
STRA
TEG
IC A
XIS
1: H
EALT
H PR
OM
OTI
ON
St
rate
gic
sub-
axis
1.1:
Institutio
nal, commun
ity a
nd coo
rdin
ation
cap
aciti
es in
hea
lth p
romoti
on
Trac
er in
dica
tors
Pe
rcen
tage
of
the
MO
H bu
dget
allo
cate
d to
hea
lthprom
otion
inte
rven
tions
N
D
6%
7%
7%
7%
7%
Prop
ortio
n of
Hea
lth D
istric
ts h
avin
g at
leas
t 3
CSO
affi
liate
d to
the
reg
iona
l CS
O p
latfo
rm a
nd h
ave
contrib
uted
in
the
implem
entatio
n of
the
Ann
ual
Work
Plan
(AW
P)
ND
30%
incr
ease
by
dead
line
Perc
enta
ge of H
Ds h
avin
g at
leas
t 3 pol
yval
ent C
HWs
trai
ned for t
he p
rovisio
n of
com
mun
ity M
HP
1%
2015
Ro
utine
dat
a DO
STS
Equa
ls to
50%
by de
adlin
e
Availabilit
y of
up
date
d regu
lato
ry
inst
rumen
t go
vern
ing
commun
ity
parti
cipa
tion
in
heat
h interven
tions
0
2015
DA
JC re
port
1
Goal
achievemen
t ra
te o
f th
e multia
nnua
l he
alth
prom
otion
pla
n 0
50%
75
%
75%
75
%
75%
Prop
ortio
n of
hea
lth d
istric
ts w
here
at le
ast
50%
of
second
ary
scho
ols
implem
ent
heal
th prom
otion
activ
ities
N
D
50
%
60%
70
%
75%
75
%
Prop
ortio
n of
Health
Dist
ricts
hav
ing
implem
ente
d at
leas
t 50%
of t
he a
ctivitie
s sta
ted
in th
eir A
nnua
l Work
Plan
(AW
P)76
%
2015
Prog
ramme
Activ
ity R
eport
40%
50
%
60%
70
%
80%
Stra
tegi
c su
b-ax
is 1.
2: L
ivin
g cond
ition
s of t
he pop
ulati
on
Trac
er in
dica
tors
Pe
rcen
tage
of
the
MO
H bu
dget
allo
cate
d to
hea
lthprom
otion
inte
rven
tions
22
- 2
%
2012
DP
S repo
rt
26%
30
%
34%
38
%
40%
61
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Prop
ortio
n of
Hea
lth D
istric
ts h
avin
g at
leas
t 3
CSO
affi
liate
d to
the
reg
iona
l CS
O p
latfo
rm a
nd h
ave
cont
ribut
ed i
n th
e im
plem
entatio
n of
the
Ann
ual
Wor
k Pl
an (A
WP)
ND
Equa
ls to
50%
by
dead
line
Perc
enta
ge o
f HDs
hav
ing
at le
ast 3
pol
yval
ent C
HWs
trai
ned
for t
he p
rovi
sion
of com
mun
ity M
HP
ND
75%
75
%
75%
75
%
75%
Stra
tegi
c su
b-ax
is 1.
3: S
tren
gthe
ning
hea
lthy
beha
viou
rs o
f ind
ivid
uals
and
comm
uniti
es
Trac
er in
dica
tors
Pe
rcen
tage
of
HD
s ha
ving
an
in
tegr
ated
Commun
icati
on
plan
fo
r he
alth
pr
omoti
on
and
dise
ase
prev
entio
n N
D
20
%
40%
60
%
70%
80
%
Annu
al num
ber o
f con
tra
band
food
pro
duct
s se
ized
ND
11
11
1
Prop
ortio
n of
HDs
hav
ing
commun
ity t
eam
s tr
aine
d in
firs
t aid
N
D
10
/189
50
/189
10
0/18
9 18
9/18
9 18
9/18
9
Num
ber
of v
ictim
s (in
jure
d or
dea
d) o
f in
ter
urba
nro
ad a
ccid
ents
3,
071
20
13
CON
ARO
UTE
re
port
0
0 0
0 0
Prop
ortio
n of
lo
cal
coun
cils/
heal
th
dist
ricts
w
ith
conv
entio
nal d
evel
oped
site
s fo
r sp
orts
and
phy
sical
activ
ities
N
D
5%
10
%
20%
30
%
40%
Perc
enta
ge
of
appr
oved
ce
ntre
s fo
r sp
orts
an
d ph
ysic
al acti
vitie
s hav
ing
a tr
aine
d sp
orts
inst
ruct
or
ND
10%
15
%
20%
25
%
30%
% o
f ch
ildre
n ag
ed 6
to
23 m
onths
havi
ng r
ecei
ved
food
from
at
leas
t fo
ur f
ood
grou
ps in
the
pre
viou
s da
y
ND
25%
incr
ease
by
dead
line
Prev
alen
ce o
f den
tal d
ecay
in p
rimary
scho
ol p
upils
ND
4%
re
ducti
on
5%
redu
ction
7%
re
ducti
on
9%
redu
ction
62
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Stra
tegi
c su
b-ax
is 1.
4: E
ssen
tial f
amily
pra
ctice
s, fa
mily
pla
nnin
g, p
rom
otion
of a
dole
scen
t hea
lth, a
nd p
ost-ab
ortio
n ca
re
Trac
er in
dica
tors
Pr
oportio
n of
DH
s ha
ving
a
tech
nica
l pe
rson
nel
trai
ned
in E
FP(a
) N
D
Equa
ls to
50%
by
dead
line
Perc
enta
ge o
f ho
useh
olds
implem
entin
g at
lea
st 7
ou
t of 1
5 es
senti
al fa
mily
pra
ctices(a
) N
D
15%
20
%
25%
30
%
STRA
TEG
IC A
XIS
2: D
isea
se Preventi
on
Stra
tegi
c su
b-ax
is 2.
1: P
reve
ntion
of c
omm
unic
able
dise
ases
Tr
acer
indi
cato
rs
Perc
enta
ge o
f HDs
hav
ing
carr
ied
out a
nd
docu
men
ted
at le
ast 7
5% o
f IEC
/C4D
acti
vitie
s in
clud
ed in
thei
r Int
egra
ted
Commun
icati
on P
lan
ND
80%
80
%
80%
80
%
80%
Perc
enta
ge
of
inm
ates
aged
15
-49
year
sha
ving
sc
reen
ed f
or
HIV
in t
he l
ast
12 m
onth
s an
d w
ho
colle
cted
thei
r res
ults
ND
80
%
82%
85
%
90%
Perc
enta
ge
of
peop
le
aged
15
-49
year
s ha
ving
sc
reen
ed fo
r HI
V in
the
last
12
mon
ths a
nd c
olle
cted
th
eir r
esul
ts
W:2
5,1%
M
: 22.
5%
2014
M
ICS
5 W
: 26.
1%;
M:2
3.4%
W:
27.1
%;
M:2
4.3
%
W: 2
8.1%
; M
:25.
2%
W: 2
9.1%
; M
:26.
1%
W: 3
0.1%
M
: 27%
Prop
ortio
n of
hou
seho
lds w
ith a
n LL
IN fo
r 2
pers
ons
37.4
%
2014
M
ICS
5 40
%
50%
60
%
80%
95
%
Prop
ortio
n of
chi
ldre
n be
low
5 y
ears
of a
ge o
f the
N
orth
and
the
Far N
orth
Reg
ions
who
rece
ived
pr
even
tive
trea
tmen
t for
seas
onal
mal
aria
N
D
25
%
30%
40
%
60%
85
%
63
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Stra
tegi
c su
b-ax
is 2.
2: E
PDs a
nd p
ublic
hea
lth e
vent
s, S
urve
illan
ce a
nd re
spon
se to
epi
dem
ic-p
rone
dise
ases
, zoo
nose
s and
pub
lic h
ealth
eve
nts
Trac
er in
dica
tors
Pr
oportio
n of
CER
PLE
(Reg
iona
l epi
dem
ics
preven
tion
and
cont
rol c
entr
es) w
ith m
inim
al
operati
onal
cap
acity
requ
ired
to m
onito
r EP
Ds/p
ublic
hea
lth e
vent
s and
resp
onse
(a)
ND
50%
60
%
75%
10
0%
100%
Prop
ortio
n of
RDP
H w
ith re
fere
nce
labo
rato
ries
oper
ating
in a
n EP
D su
rvei
llanc
e ne
twor
kN
D
60
%
65%
70
%
75%
80
%
Prop
ortio
n of
RDP
H w
ith a
n up
date
d an
nual
ep
idem
ic ri
sk m
appi
ng a
nd o
peratio
nal r
espo
nse
plan
sN
D
100%
to d
eadl
ine
Num
ber o
f chi
ldre
n left
out d
urin
g routi
neim
mun
izatio
n N
D
Year
ly in
crea
se o
f 10%
Prop
ortio
n of
HDs
whi
ch h
ave
inpu
ts fo
r res
pons
e to
the
othe
r EPD
s not
cov
ered
by
the
EPI o
ver t
he
last
thre
e m
onth
s N
D
50%
50
%
50%
75
%
100%
Stra
tegi
c su
b-ax
is 2.
3: R
MN
CAH
and
PMTC
T Tr
acer
indi
cato
rs
Prop
ortio
n of
Dist
rict H
ospi
tals
with
at l
east
one
staff
tr
aine
d in
the
del
iver
y of
hig
h im
pact
inte
rven
tions
in
mot
her a
nd c
hild
hea
lth
61%
20
15
EmO
NC
surv
eys
65%
70
%
80%
90
%
95%
Prop
ortio
n of
HDs
that
del
iver
CEm
ON
C ac
cord
ing
to st
anda
rds (
9 functio
ns)(a
) 61
.3%
20
14
MIC
S 5
66%
70%
Prop
ortio
n of
chi
ldre
n w
ho att
ende
d PN
C se
rvic
es
with
in 4
8 ho
urs f
ollo
win
g de
liver
y.
68.5
%
2014
M
ICS
5 70
%
75%
80
%
85%
90
%
64
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Stra
tegi
c su
b-ax
is 2.
4: P
reve
ntion
of n
on-com
mun
icab
le d
iseas
es
Trac
er in
dica
tors
Prop
ortio
n of
RDP
H w
hich
org
anize
d at
leas
t one
an
nual
NCD
(hyp
ertension,
diabe
tes,
can
cers, e
tc.)
preven
tion
and
scre
enin
g campa
ign
ND
25%
50
%
90%
10
0%
100%
Prop
ortio
n of
RDP
H w
hich
org
anize
d at
leas
t one
aw
aren
ess a
nd sc
reen
ing
campa
ign for s
ickl
e ce
ll di
seas
eN
D
25
%
50%
90
%
100%
10
0%
STRA
TEG
IC A
XIS
3: C
ASE
MAN
AGEM
ENT
Stra
tegi
c su
b-ax
is 3.
1: Curati
ve m
anag
emen
t of com
mun
icab
le a
nd non
-com
mun
icab
le d
iseas
es
Trac
er in
dica
tors
Satisfa
ction
inde
x of
ben
efici
arie
s of h
ealth
serv
ices
an
d ca
re
67%
20
10
PETS
2-20
10
68%
70
%
75%
80
%
85%
Prop
ortio
n of
targ
eted
hospi
tals
in th
e 4t
h, 5
th a
nd
6th
catego
ries w
ith 7
5% of t
he te
chni
cal s
taff
follo
win
g protocols for
com
mun
icab
le d
iseas
es
case
man
agem
ent (
Mal
aria, A
IDS,
TB)
ND
30%
40
%
60%
65
%
75%
Prop
ortio
n of
targ
eted
DHs
of w
hich
75%
of t
he
tech
nica
l staff
impl
emen
t protocols for t
he
man
agem
ent o
f the
mai
n N
CDs (
Buru
li ul
cer,
leprosy)
ND
30%
40
%
60%
65
%
75%
% of t
arge
ted
MHC
s and
DHs
of w
hich
75%
of t
he
tech
nica
l staff
impl
emen
t gui
delin
es fo
r tas
k shifting
in th
e m
anag
emen
t of h
yper
tensio
n an
d di
abet
es
ND
30%
40
%
60%
65
%
75%
Prop
ortio
n of
RDP
H th
at h
ave organized
at le
ast o
ne
annu
al
scre
enin
g an
d aw
aren
ess
campa
ign
for
hype
rten
sion
/ di
abet
es ou
t of
he
alth
faci
lities,
incl
udin
g Wor
ld D
ays for
the
fight
aga
inst
the
se
dise
ases
ND
40%
incr
ease
by
dead
line
65
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
% o
f tar
gete
d M
HCs a
nd D
Hs o
f whi
ch 7
5% o
f the
te
chni
cal p
erso
nnel
use
stan
dard
s/pr
otoc
ols
for
the
man
agem
ent o
f maj
or n
on-c
omm
unic
able
di
seas
es (d
iabe
tes,
men
tal h
ealth
, Hyp
erte
nsio
n)N
D
40
%
50%
60
%
% o
f tar
gete
d IH
Cs a
nd M
HCs w
hich
man
aged
at
leas
t 80%
of c
hild
ren
belo
w 5
yea
rs o
f age
suffe
ring
from
dia
rrhe
a/AR
I with
the
IMCI
app
roac
h31
%
2012
WHO
Ca
mer
oon
Annu
al 2
010
repo
rt q
uote
d by
the
2012
RA
SS
32%
33
%
34%
35
%
40%
Perc
enta
ge o
f ass
esse
d Di
stric
t and
Reg
iona
l Hos
pita
l staff
who
use
val
id palliativ
e tr
eatm
ent p
roto
cols
ND
30%
40
%
60%
65
%
75%
Stra
tegi
c su
b-ax
is 3.
2: M
ater
nal,
new
born
, chi
ld a
nd a
dole
scen
t con
ditio
ns
Trac
er in
dica
tors
Pr
oportio
n of
IHCs
whi
ch c
ompl
eted
at l
east
hal
f of
the
plan
ned
outr
each
/mob
ile st
rate
gies
ND
75%
75
%
100%
10
0%
100%
Perc
enta
ge o
f DHs
with
at l
east
1 h
ealth
pro
vide
r tr
aine
d in
clin
ical
IMCI
31%
20
15
DPS
repo
rt
31.5
0%
32%
32
.50%
33
%
35%
Prop
ortio
n of
targ
eted
MHC
s and
DHs
with
75%
of
tech
nica
l staff
usin
g va
lidat
ed p
roto
cols
for t
he
man
agem
ent o
f mat
erna
l and
chi
ld h
ealth
con
ditio
ns
ND
75%
by
dead
line
Prop
ortio
n of
DHs
with
use
r-fr
iend
ly se
rvic
es fo
r the
m
anag
emen
t of a
dole
scen
t hea
lth c
onditio
ns
ND
20%
incr
ease
ove
r the
per
iod
2016
-202
0
Prop
ortio
n of
chi
ldre
n bo
rn to
HIV
pos
itive
mot
hers
an
d pu
t on
ART
34%
20
15
PMTC
T, N
ACC
Prog
ress
repo
rt
50%
70
%
80%
90
%
90%
66
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Stra
tegi
c su
b-ax
is 3.
3: E
mer
genc
ies a
nd p
ublic
hea
lth e
vent
s Tr
acer
indi
cato
rs
Avai
labi
lity
of a
bud
gete
d na
tiona
l pu
blic
hea
lth
even
ts m
anag
emen
t pl
an a
nd c
orre
spon
ding
ann
ual
impl
emen
tatio
n re
port
s
0 20
15
1
1
Prop
ortio
n of
Dist
rict
Hosp
itals
with
med
icin
es /
co
nsum
able
s fo
r eff
ectiv
e m
anag
emen
t of
the
mos
t co
mm
on m
edic
al a
nd su
rgic
al e
mer
genc
ies
ND
50%
10
0%
100%
10
0%
100%
Prop
ortio
n of
RDP
H th
at c
ondu
cted
at l
east
one
em
erge
ncy
simul
ation
exe
rcise
per
yea
r
2/10
20
15
DLM
EP re
port
5/
10
7/10
10
/10
10/1
0 10
/10
Perc
enta
ge o
f RD
PH w
ith R
apid
Int
erve
ntion
and
Resp
onse
Tea
ms (
RIRT
s)
ND
5/10
7/
10
10/1
0 10
/10
10/1
0
Stra
tegi
c su
b-ax
is 3.
4: M
anag
emen
t of d
isabiliti
es
Trac
er in
dica
tors
Pr
oportio
n of
RHs
and
CHs
hav
ing
prov
ided
med
ical
m
anag
emen
t of l
east
70%
of t
he c
ases
of c
orre
ctab
le
mot
or d
isabi
lity
acco
rdin
g to
SO
P s
ND
75%
by
dead
line
Prop
ortio
n of
DHs
hav
ing
an ope
ratio
nal
phys
ioth
erap
y w
ard
N
D
75
% b
y de
adlin
e
Prop
ortio
n of
RDP
H th
at o
rgan
ized
at le
ast o
ne
cata
ract
surg
ery
cam
paig
n pe
r yea
r
ND
75%
by
dead
line
67
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
STRA
TEG
IC A
XIS
4: S
TREN
GTH
ENIN
G TH
E HE
ALTH
SYS
TEM
St
rate
gic
sub-
axis
4.1:
Hea
lth fina
ncin
g Tr
acer
indi
cato
rs
Prop
ortio
n of
the na
tiona
l bud
get a
llocated
to
Heal
th S
ecto
r 5.
5%
2015
Fina
nce
Law
6.
50%
8%
Avai
labi
lity
of an
ap
prov
ed fin
ancial
info
rmati
on
analysis
repo
rt
2 20
15
NHA
201
2 1
1 1
1 1
Avai
labi
lity
of a
fram
ewor
k in
stru
men
t gr
antin
g au
tono
mou
s man
agem
ent o
f the
revenu
e allocated
to th
e HF
s of t
he d
evolved
leve
l 0
2015
DA
JC re
port
1
Avai
labi
lity
of a
repo
rt validati
ng th
e di
strib
ution
key
of
MO
H bu
dget
amon
g th
e va
rious
pro
gram
mes
0
2015
DR
FP re
port
1 1
1 1
Prop
ortio
n of
hea
lth distric
ts having inte
grated
the
perf
orm
ance
-bas
ed fina
ncin
g ap
proa
ch (P
BF)
13.6
%
2015
PB
F re
port
15
%
20%
70
%
80%
10
0%
Avai
labi
lity
of a
repo
rt on
the Nati
onal
Hea
lth
Acco
unts
1
2012
N
HA 2
012
1
1
Stra
tegi
c su
b-ax
is 4.
2: H
ealth
care
and
serv
ices
pro
visio
n Tr
acer
indi
cato
rs
Avai
labi
lity
of an
upda
ted
lega
l/reg
ulat
ory
instrumen
t governing
the
organizatio
n an
d op
erati
on o
f pub
lic h
ospi
tals
(H
ospi
tal r
efor
m)
0 20
15
DOST
S M
OH
repo
rt
1
Percen
tage
of t
he p
opul
ation
living
with
in a
radius
of
less
than
5 k
m fr
om a
hea
lth fa
cilit
y (IH
C, M
HC and
DH
) 80
.6%
20
07
ECAM
3
81.5
%
83%
85
%
88%
90
%
Percen
tage
of I
HCs,
MHC
s and
DHs
con
stru
cted
ac
cording
to stan
dard
s and
in a
ccorda
nce
with
the
infrastructure
develop
men
t plan
1%
2015
DE
P M
OH
repo
rt
2%
5%
10%
20
%
30%
68
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Perc
enta
ge o
f IHC
s, M
HCs a
nd D
Hs re
habi
litat
ed
1%
2015
DE
P M
OH
repo
rt
2%
5%
10%
20
%
30%
Perc
enta
ge
of
DHs
with
at
le
ast
two
versati
le
mai
nten
ance
age
nts
trai
ned
in t
he f
ollo
win
g fie
lds
(bio
med
ical
, el
ectr
icity
/ref
riger
ation
, pl
umbi
ng,
IT,
carp
entr
y)
ND
DR
H M
OH
repo
rt
8%
26%
53
%
100%
10
0%
Prop
ortio
n of
RDP
H th
at si
gned
con
trac
ts w
ith
biom
edic
al, e
lect
ricity
/ref
riger
ation
and
plu
mbi
ng
mai
nten
ance
stru
ctur
es
0 20
15
DEP
MO
H re
port
8%
26
%
53%
10
0%
100%
Perc
enta
ge o
f DHs
equ
ippe
d ba
sed
on st
anda
rds a
nd
in a
ccor
danc
e w
ith th
e Nati
onal
Hea
lth
Infr
astr
uctu
re D
evel
opm
ent P
lan
ND
DE
P M
OH
repo
rt
40
%
45%
45
%
50%
Prop
ortio
n of
RDP
H w
ith a
n ap
prov
ed re
gion
al b
lood
tr
ansf
usio
n st
ruct
ure
0/10
20
15
NBT
P M
OH
repo
rt
1/10
3/
10
5/10
Perc
enta
ge o
f DHs
pro
vidi
ng a
t lea
st 7
5% o
f CHP
interven
tions
10
%
2015
20
15 C
EmO
NC
Surv
ey
15%
25
%
50%
75
%
80%
Perc
enta
ge o
f pu
blic
IHC
s an
d M
HCs
prov
idin
g at
le
ast 8
0% o
f MHP
interven
tions
N
D
70
%
75
%
Perc
enta
ge o
f sch
ool i
nfirm
arie
s/un
iver
sity
heal
th
cent
res w
ith a
firs
t-ai
d ki
t N
D
20
%
25%
50
%
75%
75
%
Perc
enta
ge o
f HDs
who
se le
vel o
f dev
elop
men
t was
as
sess
ed
ND
50
%
100%
10
0%
100%
Stra
tegi
c su
b-ax
is 4.
3: D
rugs
and
oth
er p
harm
aceu
tical
pro
duct
s Tr
acer
indi
cato
rs
Avai
labi
lity
of th
e up
date
d N
ation
al P
harm
aceu
tical
M
aste
r Pla
n (P
MP)
and
the
activ
ity re
port
of t
he y
ear
befo
re th
e as
sess
men
t of t
he im
plem
entatio
n of
this
plan
0 20
15
DPM
L M
OH
repo
rt
1
69
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Avai
labi
lity
of a
regu
lato
ry in
stru
men
t to
crea
te a
nd
orga
nize
the
Nati
onal
Lab
orat
ory
Net
wor
k an
d an
nual
repo
rts o
f dat
a tr
ansm
issio
n activ
ities
0
2015
DP
ML
MO
H re
port
1
1
Prop
ortio
n of
regi
ons t
hat p
rodu
ced
an a
nnua
l activ
ity re
port
on
phar
mac
ovig
ilanc
e N
D
DPM
L M
OH
repo
rt
50%
75
%
100%
10
0%
100%
Perc
enta
ge o
f pha
rmaceu
tical
pro
duct
s con
trol
led
befo
re a
nd afte
r marketin
g in
pha
rmac
ies a
nd p
ublic
ho
spita
ls N
D
DPM
L M
OH
repo
rt
Equa
ls to
25%
by
dead
line
Aver
age
num
ber o
f sto
ck-o
ut d
ays o
f ess
entia
l tra
cer
drug
s in
RFHP
per
qua
ter
6 da
ys
2016
20
15 D
PML
repo
rt
5.5
days
5
days
4
days
4
days
2
day
s
Prop
ortio
n of
RDP
H w
hich
org
anize
d se
izure
s and
de
stru
ction
of i
llici
t dru
gs a
nnua
lly
ND
10
0%
100%
10
0%
100%
Stra
tegi
c su
b-ax
is 4.
4: H
uman
Res
ourc
es fo
r Hea
lth
Trac
er in
dica
tors
Perc
enta
ge o
f tar
gete
d RD
PH a
nd D
HS offi
cial
s w
ho
rece
ived
trai
ning
/cap
acity
bui
ldin
g in
man
agem
ent
ND
Equa
ls to
100
% o
f DM
Os t
rain
ed b
y de
adlin
e
Perc
enta
ge o
f MHC
s and
DHs
in n
orth
ern
Regi
ons,
Ea
st a
nd S
outh
regi
ons w
ith a
t lea
st o
ne m
idw
ife
ND
Equa
ls to
50%
by
dead
line
Prop
ortio
n of
RD
PH
that
se
nt
cons
olid
ated
an
d co
mpl
ete
data
of
the
HRH,
inc
ludi
ng t
hat
of t
he
priv
ate
and
trad
ition
al
sub-
sect
or
to
the
DHR
annu
ally
ND
50%
10
0%
100%
10
0%
100%
% o
f doc
tors
in M
HCs a
nd D
Hs w
ith a
t mos
t fou
r ye
ars e
xper
ienc
e w
ho b
enefi
ted
from
at l
east
conti
nuou
s tra
inin
g in
the
targ
eted
are
as (C
emO
NC,
m
enta
l illn
ess,
dia
bete
s, e
tc.)
ND
5%
10%
15
%
20%
30
%
Prop
ortio
n of
RDP
H w
ith IT
tool
for m
anag
ing
and
mon
itorin
g ca
reer
profil
es (R
egio
nal S
IGIP
ES)
0 20
15
Heal
th
Inform
ation
U
nit
5/
10
8/10
10
/10
10/1
0
70
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Prop
ortio
n of
targ
eted
MHC
s and
DHs
with
75%
of
staff
that
app
ly a
ppro
ved
prot
ocol
s for
the
man
agem
ent o
f mat
erna
l and
chi
ld h
ealth
con
ditio
nsN
D
80
% re
ache
d by
dea
dlin
e
HRH
Satis
facti
on In
dex
ND
30%
incr
ease
by
dead
line
Perc
enta
ge o
f ins
ecur
ed a
nd diffi
cult-
to-a
cces
s IHC
s,
MHC
s and
DHs
with
at l
east
50%
of h
uman
re
sour
ces o
n du
ty si
nce
3 ye
ars
ND
20%
incr
ease
by
dead
line
Stra
tegi
c su
b-ax
is 4.
5: H
ealth
Inform
ation
and
Res
earc
h in
Hea
lth
Trac
er in
dica
tors
Perc
enta
ge o
f bas
elin
e su
rvey
s car
ried
out f
or
mon
itorin
g th
e im
plem
entatio
n of
the
2016
-202
0 N
HDP
ND
10
0%
Prop
ortio
n of
RDP
H offi
cials
who
ben
efited
from
ca
paci
ty b
uild
ing
to c
arry
out
rese
arch
pro
ject
s
N
D
100%
10
0%
100%
10
0%
STRA
TEG
IC A
XIS
5: G
OVE
RNAN
CE &
STR
ATEG
IC S
TEER
ING
Stra
tegi
c su
b-ax
is 5.
1: G
over
nanc
e Tr
acer
indi
cato
rs
Avai
labi
lity
of a
n up
date
d re
gula
tory
inst
rum
ent
gove
rnin
g th
e organizatio
n an
d fu
nctio
ning
of N
HDP
stee
ring,
coo
rdinati
on a
nd M
/E b
odie
s at a
ll le
vels
0
DAJC
repo
rt
1
Avai
labi
lity
of
upda
ted
lega
l /
regu
lato
ry
text
s go
vern
ing
the
orga
nizatio
n, f
uncti
onin
g of
pub
lic
hosp
itals
and
case
man
agem
ent
0 20
15
Rapp
ort D
OST
S M
INSA
NTE
1
Prop
ortio
n of
acc
redi
ted
DHs a
nd th
ose
rank
ing
as
such
(with
a q
ualit
y as
sura
nce
syst
em fo
r hea
lthca
re
and
serv
ices
) 0%
30
%
50%
70
%
71
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Prop
ortio
n of
RHs
who
se a
nnua
l tec
hnic
al a
nd
finan
cial
repo
rts v
alid
ated
by
the
mem
bers
of t
he
Hosp
ital M
anag
emen
t Boa
rd a
re se
nt to
the
RDPH
N
D
100%
10
0%
100%
10
0%
Prop
ortio
n of
di
spat
chin
g w
hole
sale
rs
and
phar
mac
ies i
nspe
cted
N
D
25
%
30%
40
%
Prop
ortio
n of
GHs
, CHs
and
RHs
that
hav
e un
derg
one
an e
xter
nal a
udit
ND
/
40%
of G
Hs, C
Hs a
nd R
Hs a
udite
d by
202
0
Prop
ortio
n of
cat
egor
y 1
and
2 ho
spita
ls th
at h
ave
tran
smitted
to M
INSA
NTE
and
/or p
ublis
hed
thei
r te
chni
cal a
ctivi
ty re
port
onl
ine
ND
100%
eac
h ye
ar
Prop
ortio
n of
Cen
tral
Dep
artm
ents
, Adm
inistrativ
e an
d Pu
blic
Institutio
ns (A
PI) i
n he
alth
and
RDP
H th
at
prod
uced
an
annu
al p
erfo
rman
ce re
port
N
D
10
0% e
ach
year
Prop
ortio
n of
cat
egor
y 1
to 4
hea
lth fa
ciliti
es th
at
impl
emen
t RRI
s N
D
20%
incr
ease
per
yea
r
Avai
labi
lity
of a
repo
rt o
n th
e im
plem
entatio
n of
the
PPBS
cha
in a
ctivitie
s (in
terg
ratio
n of
NHD
P interven
tions
in th
e M
TEF,
resp
ect o
f the
bud
get
distrib
ution
key
as p
er th
e M
TEF,
etc
.)
0 20
15
TS/S
C-HS
S Re
port
1
repo
rt p
er y
ear
Stra
tegi
c su
b-ax
is 5.
2: S
trat
egic
stee
ring
Trac
er in
dica
tors
Pr
oportio
n of
HDs
who
se H
DDPs
are
alig
ned
to th
e N
HDP
ND
TS
/SC-
HSS
annu
al R
epor
t 10
0%
100%
10
0%
100%
10
0%
Prop
ortio
n of
RDP
H th
at h
ave
deve
lope
d re
gion
al
cons
olid
ated
hea
lth d
evel
opm
ent
plan
s al
igne
d to
th
e N
HDP
2016
-202
0
0%
2015
TS
/SC-
HSS
annu
al R
epor
t
100%
10
0%
100%
10
0%
Avai
labi
lity
of t
he a
ppro
ved
priso
n he
alth
pol
icy
docu
men
t and
the
annu
al re
port
s of
hea
lth a
ctivitie
s in
pris
ons
0 20
15
TS/S
C-HS
S an
nual
Rep
ort
1
72
Indi
cato
r Ba
selin
e Ta
rget
s
Valu
e Ye
ar
Refe
renc
e 20
16
2017
20
18
2019
20
20
Prop
ortio
n of
hea
lth d
istric
ts a
nd R
DPH
that
hav
e or
gani
zed
at l
east
3 m
eetin
gs t
o co
ordi
nate
and
m
onito
r the
impl
emen
tatio
n of
thei
r AW
Ps a
nd h
ave
prod
uced
an
annu
al re
port
ND
50
%
75%
75
%
75%
Prop
ortio
n of
HDs
with
the fin
al e
valu
ation
repo
rt o
f th
eir H
DDP
0 20
15
Repo
rt T
S/SC
-HSS
10
0%
Prop
ortio
n of
RDP
H w
ith th
e fin
al e
valu
ation
repo
rt
of th
eir C
RHDP
s 0
2015
Re
port
TS/
SC-H
SS
100%
Prop
ortio
n of
HDs
and
RDP
Hs w
ith a
t lea
st 8
0% o
f in
dica
tors
in th
e Pe
rfor
man
ce T
rack
ing
Dash
boar
d 0%
TS/S
C-HS
S an
nual
Rep
ort
10
0%
100%
10
0%
100%
Leve
l of a
chie
vem
ent o
f tar
gets
pro
ject
ed in
the
Inte
grat
ed M
onito
ring
and
Evalua
tion
Plan
(IM
EP)
25%
50
%
75%
10
0%
Avai
labi
lity
of a
n an
nual
repo
rt o
f the
sect
or o
r th
emati
c he
alth
revi
ew
1 20
13
TS/S
C-HS
S an
nual
Rep
ort
1 1
1
Avai
labi
lity
of m
id-t
erm
and
fina
l rep
orts
of t
he
NHD
P 0%
TS/S
C-HS
S an
nual
Rep
ort
100%
Prop
ortio
n of
HDs
and
RDP
H w
ith m
id-t
erm
and
fina
l ev
alua
tion
repo
rts o
f the
NHD
P 20
16-2
020
0%
TS
/SC-
HSS
annu
al R
epor
t
10
0%
Avai
labi
lity
of th
e an
nual
stra
tegi
c su
rvei
llanc
e re
port
0
TS/S
C-HS
S Re
port
1
1 1
1 1
Perc
enta
ge o
f agr
eem
ents
sign
ed a
nd re
spec
ted
betw
een
the
MO
H an
d CS
Os w
orki
ng in
the
heal
th
sect
or
ND
100%
10
0%
100%
10
0%
100%
Achi
evem
ent r
ate
of th
e N
ation
al C
ompa
ct
objecti
ves
0%
2015
TS
/SC-
HSS
Repo
rt
25%
50
%
75%
85
%
100%
73
CHAPTER 5: ORGANISATIONAL FRAMEWORK OF MONITORING/EVALUATION
55..11 OOPPEERRAATTIIOONNAALL OORRGGAANNIISSAATTIIOONN OOFF MM&&EE
The performance of NHDP monitoring depends on the functioning of the NHIS, which will be
the main data source for its M&E. In the long run, a single multi-sector and M&E
coordination body will be established at all the levels of the health pyramid, to replace the
plethora of focal points of health priority programmes and thematic sub-committees.
Regarding MOH indicators included in the IMEP, only the most relevant of the three vertical
and the two cross-cutting components approved by all stakeholders were included in the
NHDP multi-sector monitoring dashboard. Indicators of partner ministries will be regularly
monitored like those of the MOH.
The monitoring and evaluation of the implementation of the 2016-2020 health development
plan will therefore be participatory and multi-sector (see Table 4).
Three major points need to be considered to give the best chances of success to the
implementation of the 2016-2020 IMEP. These are: (i) setting up the IMEP monitoring and
evaluation bodies at all levels of the health pyramid; (ii) defining roles, responsibilities and
procedures for monitoring the NHDP; (iii) mobilizing high quality financial and human
resources for effective monitoring.
74
Table 4: Overall summary of the NHDP implementation steering, coordination and
monitoring bodies
BODIES MEMBERS ROLE/FREQUENCY OF MEETINGS
Steering and monitoring Committee of the HSS implementation
CHAIRPERSON : Minister of Public Health, MEMBERS : A representative of the PM’s office; A senior official from partner ministries (MINTSS, MINAS, MINPROFF, MINEDUB, MINESEC, MINESUP, MINADER, MINEPIA, MINEE, MINEPDED, MINJEC, MINCOM) Official in charge of health at MINDEF, MINJUSTICE, DGSN, MINFI The President of the Cameroon Medical Association, The President of the Association of Paramedical Staff, President of the Pharmaceutical Society of Cameroon, the representative of GICAM, UCCC and CSOs, the leader of bilateral and multilateral TFPs in the health sector
STEERING AND MONITORING/EVALUATION OF THE HSS IMPLEMENTATION: Formulation of guidelines for an effective implementation, monitoring and evaluation of the HSS: Final validation of the strategic documents developed (health financing strategy, HSS, NHDP, 2001- 2015 HSS evaluation reports, etc.); Continuous advocacy to increase financial resources for the health sector (Seeking sustainable solutions to health financing) Bi-annual meetings and as need arises.
Technical Committee of the Monitoring Evaluation of the HSS Implementation
CHAIRPERSON : SG of the MOH MEMBRES: the person in charge of planning the PBSS chain of the MOH and partner ministries; Health focal points in partner ministries (MINDEF, DGSN, MINJUSTICE etc.); the Coordinator of the Technical Secretariat of the Steering Committee; head of the monitoring/evaluation unit; heads of the priority health programmes of the MOH, representatives of the TFPs; the (10) Regional Delegates for Public Health (RDPH).
STRATEGIC COORDINATION of the HSS Implementation: Review and approval of (i) performance reports and M/E on HSS implementation, (ii) strategic documents presented by the Technical Secretariat before submission to the Steering Committee; Technical management of cross-cutting issues in the various ministries involved in the HSS M/E (Financing, M&E modalities, planning, etc.) ; Proposals of corrective measures to remove the bottlenecks that impede the achievement of the NHDP objectives; Coordinating health actions included in the various plans of partner ministries; Meetings every 4 months or as need arises.
Technical Secretariat of the Steering and Monitoring Committee of the HSS implementation
Coordinator: Preferably a public health doctor Technical Staff (i) a statistician; (ii) an accountant; (iii) an expert in planning, monitoring/evaluation (iv) Computer Engineer, (v) experts in health economics (vi) public finance expert (vii) two public health doctors ( epidemiology / health system)
OPERATIONAL COORDINATION OF HSS/NHDP MONITORING AND IMPLEMENTATION: Follow-up interventions (actions and programmes) executed by the health sector administrations quarterly and proposal of corrective measures for low performances noted; Quarterly/annual evaluation of the level of achievement of results per strategic axis of programmes/actions; Mid-term and final evaluation of the HSS; Development of a new HSS; Logistical support for the operation of thematic groups and multi-sector sub-committees. ; Prepare minutes of meetings and performance
75
BODIES MEMBERS ROLE/FREQUENCY OF MEETINGS reports;Update M/E tools of HSS implementation and technical support to RDPH/HDs for M/E of the implementation of their plans; Support all levels of the health pyramid for the production of sector statistics; Organize thematic or sector reviews; Keep physical or electronic archives; Draft minutes of meetings.
Regional Committee of the Coordination and Monitoring/Evaluation of the HSS Implementation
CHAIRPERSON : Governor (Representative of the MOH) Technical Secretariat: RDPH, MEMBERS : Regional Delegates of partner ministries, (MINAS, MINPROFF, MINEDUB, MINESEC, MINESUP, MINADER, MINEPIA, MINEE, MINEPDED, MINJEC, MINCOM) the head of the prison infirmary at the regional level; manager of the RFHP; representative of the CSO regional platform
Coordination and monitoring/evaluation of the HSS implementation and the NHDP at the regional level and other tasks that will be assigned by the TS/SC-HSS Quarterly meetings and as need arises
Operational Committee of the Coordination and Monitoring/Evaluation of the HSS Implementation
CHAIRPERSON : SDO/DO TECHNICAL SECRETARIAT: District Medical Officer; MEMBERS : (i) President of DHC; (ii) Divisional delegates of partner ministries; (iii) members of the District core team; (iv) heads of RLAs and civil society organizations affiliated to the regional CSO platform
Coordination and monitoring /evaluation of the HSS implementation and the NHDP at the operational level and other tasks that will be assigned by the TS/SC-HSS Quarterly meetings and as need arises.
55..22.. RROOLLEESS AANNDD RREESSPPOONNSSIIBBIILLIITTIIEESS OOFF KKEEYY SSTTAAKKEEHHOOLLDDEERRSS ((SSEEEE CCHHAAPPTTEERR 33))
The monitoring of the implementation of the 2016-2020 NHDP will be under the institutional
responsibility of the Steering Committee (SC). This Steering Committee will have a Technical
Monitoring Committee and a Technical Secretariat at the central level, then regional and
operational branches to assist the central level in its tasks. The Steering Committee (SC) will
also be responsible for ensuring the synergy of activities contributing to the development of
health. This synergy of activities is led by the MOH and partner ministries involved in the
implementation of health actions.
76
55..33 DDAATTAA MMAANNAAGGEEMMEENNTT TTOOOOLLSS
• HFs registries and monthly data collection forms (MAR)
Harmonized HFs registries shall be the main source of data collection for the 2016-2020
NHDP. The harmonized Monthly Activity Report (MAR) of the NHIS will be the tool for
summarizing and transmitting HF data to Health Districts. However, in rural Health Districts
with limited geographical access, HF heads in Health Areas will forward their MAR to the
head of the main HF of the Health Area after the analysis of their performances. The head of
the main HF will, in turn, ensure the transmission of the MAR to the HD in charge of their
compilation and feedback. In other Health Districts, HFs will collect and analyse their data
prior to their transmission to HDs.
Under the coordination of the HIU in collaboration with the TS/SC-HSS and those responsible
for priority health programmes, the content of the MARs will be reviewed periodically for
approval of the NHDP monitoring and evaluation indicators to be provided.
• The central data bank of the NHIS: the DHIS-2
NHIS data collected in HFs will be directly entered and analysed in the DHIS-2 currently being
used. At various levels of the health pyramid, access to the data bank will be granted by the
HIU to the various stakeholders for efficient management and optimal use of available
information.
• Multi-sector dashboard
The 2016-2020 IMEP multi-sector dashboard is a second-level collection tool that is
developed from the NHDP performance framework. This tool, properly completed by all
stakeholders in the sector, systematically and instantaneously assesses the performances of
each Health District and RDPH. The analysis of bottlenecks that could be the cause of the
poor performance observed will provide appropriate solutions to identified monitoring
problems.
For other data not collected by the NHIS standard circuit, particularly those from the partner
ministries, specific tools for primary data collection will be developed to be analysed during
multi-sector coordination meetings.
77
55..44.. TTYYPPEE,, SSIITTEE,, FFRREEQQUUEENNCCYY OOFF CCOOLLLLEECCTTIIOONN AANNDD MMEETTHHOODD OOFF CCAALLCCUULLAATTIINNGG IINNDDIICCAATTOORRSS
IMEP indicators matrix specifies the type, site, frequency and the method of calculating each
indicator.
55..55 PPRROOCCEEDDUURREESS FFOORR DDAATTAA PPRROOCCEESSSSIINNGG AANNDD AANNAALLYYSSIISS
Operationally, the tasks of HFs will be as follows: collection, compilation and analysis of
data, subsequent decision-making and transmission of data collected to Health Districts to
be entered into the DHIS-2.
At each level of the health pyramid, calculated indicators will be analysed and discussed at
the steering committee meetings and also during the coordination and monitoring meetings
at the devolved level. During these meetings, performances will be analysed, corrective
measures to be undertaken will be recommended and dashboards filled in by all the
stakeholders. Particular emphasis will be laid on feedback to data producing structures.
55..66.. DDAATTAA TTRRAANNSSMMIISSSSIIOONN PPRROOCCEEDDUURREESS
55..66..11.. BBaacckkggrroouunndd
As a reminder, data collected in the HFs will be transmitted periodically (weekly, monthly,
quarterly, annually) to Health Districts. Health Districts will enter data into DHIS-2, analyse
and produce performance indicators per Health Area. Once approved by the districts with
their access rights to the DHIS-2, data will be transmitted to the RDPH, to be analysed before
compilation and transmission to the central level.
In addition to HFs data, those from partner ministries will also be compiled at the Health
District level and taken into account in the analysis of its performance. The report resulting
from this analysis will be forwarded to the Technical Secretariat of the Coordination and
Monitoring Committee of the HSS implementation and to the RDPH. Once evaluated, the
Committee will forward its report to the Technical Secretariat of the Health Sector Strategy
of the Steering Committee for exploitation, summary and feedback first to the various
Regions and then to the CPP.
55..66..22.. DDaattaa ttrraannssmmiissssiioonn ffrreeqquueennccyy
Health data of all HFs in Health Areas as well as those of partner ministries will be forwarded
to the Health District by the 5th of the month. These data must be entered, approved and
analysed by Health Districts by the 10th of the month. Feedback from the HD to HFs is
78
imperative. RDPH will have to analyse the performance of the HD by the 15th of the month.
Lastly, the HIU, the NPHO and the TS/SC-HSS, various central technical structures with regard
to their missions will be responsible for exploiting the health information available for
strategic decision-making and feedback to RDPH by the 28th of the month. Information will
also be made available to other key stakeholders in the health system (central level health
structures, TFPs, NGOs, CSOs etc.).
55..66..33 DDaattaa qquuaalliittyy ccoonnttrrooll
The control of quality of collected data will be done at all the levels of the health pyramid.
This will involve reviewing data and audits, verifying the traceability, relevance,
completeness and accuracy of data available. This requires archiving (soft and hard copy) of
data and a good keeping of statistics and reports at all levels, mainly in HFs and Health
Districts. A copy of the HF report will be forwarded to the Health District and another kept in
the HF.
55..77 SSUUPPEERRVVIISSIIOONN OOFF MM&&EE DDAATTAA MMAANNAAGGEEMMEENNTT
55..77..11.. JJooiinntt SSuuppeerrvviissiioonnss
Joint supervisions with development partners will be organized once a year to address
harmonization, coordination and advocacy issues and to accelerate the mobilization of
resources to achieve the objectives set out in the NHDP.
55..77..22.. FFaacciilliittaattiinngg ssuuppeerrvviissiioonn
Facilitating supervision will focus on coaching actors at all levels of the system. It will be
necessary for them to master IMEP and its tools, namely: the matrix of indicators, the
performance framework and the dashboard. This supervision will also involve bringing
health facilities at all levels of the health pyramid to achieve M&E and develop a culture of
accountability and resilience. These supervisions will equally assess the level of achievement
of the objectives and the implementation of the recommendations of the previous
supervision.
55..77..33.. DDiissttaanntt ssuuppeerrvviissiioonnss
In order to implement the HSS successfully, distant supervisions will also be carried out after
the results of the dashboards of Health Areas, Districts and Regions have been used.
79
55..88.. DDAATTAA SSHHAARRIINNGG AANNDD DDIISSSSEEMMIINNAATTIIOONN
As a reminder, information on the M&E of the NHDP will be shared with all stakeholders
involved in the performance achieved in the sector (TFP, Technical Departments, Health
Programmes, CSOs, CBOs, DCT, RCT) through:
- The regional quarterly coordination meetings (HSS Regional Coordination and
implementation):
- Periodic review of data;
- The steering committee statutory meeting at the central level;
- Statistical yearbooks of each Health District and Region.
80
CHAPTER 6 : MONITORING-EVALUATION MECHANISM
66..11.. MMOONNIITTOORRIINNGG OOFF TTHHEE NNHHDDPP
66..11..11.. AAtt tthhee cceennttrraall lleevveell
Monitoring of the NHDP implementation will be in line with the projected progress of the
2016-2027 HSS performance framework. Under the supervision of the Steering Committee
and the Technical Monitoring Committee, the TS/SC-HSS will coordinate the monitoring-
evaluation of the NHDP implementation at all the levels of the health pyramid through the
following interventions:
- Supervision (Joint, Thematic, General);
- The bi-annual/annual sector or thematic review;
- Technical and logistical support to sub-committees and thematic groups.
The purpose of the joint supervision mission is to monitor the NHDP implementation process
in the field. It will involve TS/SCP-HSS experts, MOH experts, Technical and Financial Partners
and possibly partner ministries as need arises. This supervision will focus on indicators of
direct achievement. At the end of the supervision, a plan to monitor the implementation of
the operational recommendations adopted will be developed in a participatory manner. The
implementation of this plan will be monitored by CORECSES with the use of an appropriate
software.
Calculated indicators will be analysed and discussed during the sector or thematic reviews
organized by the TS/SC-HSS. During these reviews, performances will be analysed and the
dashboards filled in. Problems, weaknesses, bottlenecks will be identified and corrective
measures will be recommended.
The strategic support of the multi-sector thematic groups and sub-committees will consist in
assisting actors of the thematic groups in monitoring the NHDP implementation.
66..11..22.. MMoonniittoorriinngg NNHHDDPP aatt tthhee rreeggiioonnaall lleevveell
At the regional level, the NHDP implementation will be carried out through: (i) routine
coordination of regional activities, multi-sector coordination of the regional TS/SC-HSS; (ii)
decentralized monitoring in Health Districts; (iii) joint supervision; (iv) quarterly review and
81
data validation from Health Districts, regional hospitals and others ranking as such; (v)
supervision of interventions.
66..11..33.. AAtt tthhee ooppeerraattiioonnaall lleevveell
The COCSES will be chaired by the Divisional Officer and under the technical leadership of
the CMO. Its members will include the Chairperson of the DHC, the members of the District
Core Team, RLA officials and civil society organizations affiliated to the regional CSO
platform, and Divisional Delegates from partner ministries. They will be involved in
monitoring the NHDP implementation through the following main interventions:
- Integrated supervision;
- Decentralized monitoring;
- Coordination and monitoring meetings on the implementation of interventions
(multi-sector coordination).
Monitoring of the NHDP at the operational level will focus mainly on monitoring the
HDDP/AWP implementation. At the end of supervision, a monitoring plan of the
recommendations will be developed in a participatory manner.
66..22.. PPRROOCCEESSSS FFOORR EEVVAALLUUAATTIINNGG TTHHEE NNHHDDPP IIMMPPLLEEMMEENNTTAATTIIOONN
In accordance with its missions, the TS/SC-HSS will carry out the evaluation process of the
National Health Development Plan under the supervision of the Steering Committee and
with the participation of other stakeholders in the health sector.
The NHDP evaluation will focus on quantitative and qualitative aspects and will be carried
out through an iterative process and through three interventions (Figure 1):
- Monitoring interventions;
- Mid-term evaluation;
- Final evaluation
82
Figure 1: NHDP assessment methods
66..22..11 EEvvaalluuaattiioonn tteeaamm
The NHDP implementa will be evaluated by experts of the HSS Technical Monitoring
under the coordina n of the Technical Secretariat of the Steering
of the HSS that will mobilize the group of experts for baseline surveys, monitoring of
mid-term and final They will work under the supervision of the
Secretary General of the MOH and under the technical of the Technical
Secretariat of the Steering ee of the Health Sector Strategy.
66..22..22 NNHHDDPP aasssseessssmmeenntt mmeetthhooddss
The evalua on of the NHDP implem is made up of 3 parts: (I) monitoring progress in
the NHDP implementa (ii) mid-term evalua and (iii) final
- Monitoring progress in the NHDP implementa on
Monitoring progress in the NHDP implementa is a method of interve
that will assess the monitoring process in the NHDP implementa this will give the
possibility to possible problems or and to refocus the 2016-2020
NHDP on the projected progress set by the 2016-2027 HSS performance
framework.
This will assess the level of achievement of the 2016-2020 NHDP process indicators per
component, sub-component and The results will be discussed during HSS
2018
SURVEILLANCE OF INTERVENTIONSSURVEILLANCE OFINPLEMENTATIONINTERVENTIONS
Mid-termevaluation
Final evaluation2021 Final evaluation
2018 Mid-term evaluation
TS-SC/HSS NHDP mid-termreport
TS-SC/HSS, HIU, DRPS, techn-Dep, pro-the, TFP, NGO, CSO, CBO
Every 6 monthsImplementation report every 6
months
TS/SC-HSS, HIU, RDPH, Techn,Dep, pro-the, TFP, NGO, CSO, CBO
TS-SC/HSS
83
steering committee meetings. Specific monitoring tools will be developed by the TS-SC/HSS
based on the IMEP performance framework.
NOTE: Several basic IMEP data could not be provided. To this end, rapid surveys and
appropriate studies will be carried out at the beginning of the cycle to obtain the basic data
necessary for an NHDP optimal evaluation.
Mid-term evaluation
A mid-term evaluation will be carried out by the multi-sector and multidisciplinary technical
team in 2018 (see 6.2.1 evaluation team) under the general supervision of the MOH and the
coordination of the MOH SG. The objective of the mid-term evaluation prepared by the
TS/SC-HSS will be submitted to the Steering Committee for approval. The technical working
group set up for this purpose will assess the level of expectation of the specific objectives set
out in the NHDP and will organize the follow-up of recommendations made to ensure the
achievement of the NHDP final objectives. This team will also identify opportunities to be
taken to proceed effectively towards the NHDP strategic objectives.
At mid-term, this evaluation will enable to assess progress made in improving the health
conditions of the population and to analyse them. The evaluation team will identify
weaknesses and major trends that created bottlenecks and opportunities for the
achievement of the NHDP targets in the NHDP and, to this end, propose concrete and
relevant actions. Results of the mid-term evaluation will help to reorientate the use of
resources mobilized and reframe the action of stakeholders involved in the NHDP
implementation at all levels.
Final evaluation of the NHDP implementation
The final evaluation of the NHDP implementation will be done in early 2021. This will be a
global and national evaluation done by experts of the technical team set up by the HSS
Steering Committee (see section 6.2.1). It will also exploit results of the large-scale surveys
(DHS, ECAM and MICS) that will be carried out. This evaluation will assess the NHDP impact
on the system and the health of the population. The observed performance will help in
identifying the gaps which the TS/SC-HSS can use to review the development of NHDP 2
(2021-2027). It will be necessary to assess the performance rate of the health system in
general. More specifically, this evaluation will assess the viability of Health Districts and the
analysis of impact indicators to assess the level of achievement of the objectives. It will also
84
involve analysing the changes obtained, learning lessons, bringing out what is left to be done
and agreeing on the new strategic orientations for planning the second cycle of the 2020-
2027 HSS.
85
66..22..
33.. EE
vvaalluu
aattiioo
nn sscc
hheedduu
llee
Tabl
e 5:
Evaluati
on sc
hedu
le
Eval
uatio
n cr
iteria
Fr
eque
ncy
Year
Da
ta so
urce
Co
llecti
on si
te
Mon
itorin
g Ev
ery
six m
onth
s 20
16, 2
017,
201
8,
2019
, 202
0 Ra
pid
surv
ey, s
tudi
es a
nd b
asel
ine
surv
eys,
De
cent
ralis
ed m
onito
ring,
routi
ne
coordina
tion,
multi-
sect
or
coordina
tion
Dist
rict,
Regi
on, t
hemati
c pr
ogra
mm
e,
tech
nica
l dep
artm
ent,
part
ner
min
istrie
s
Annu
al e
valu
ation
ye
arly
20
16, 2
017,
201
8,
2019
, 202
0 Ra
pid
surv
ey, s
tudi
es a
nd b
asel
ine
surv
eys,
six-
mon
th re
view
s,
sequ
entia
l evaluati
on,
multi-
sect
or c
oordinati
on
Supe
rvisi
on a
nd m
onito
ring
Cent
ral
Dist
rict,
Regi
on, t
hemati
c pr
ogra
mm
e,
tech
nica
l dep
artm
ent,
part
ner
min
istrie
s
Mid
-ter
m
eval
uatio
n Aft
er 3
0 m
onth
s 20
18
Nati
onal
surv
ey: E
CAM
, DHS
, MIC
S Ce
ntra
l
Fina
l eva
luati
on
After
60
mon
ths
2021
Nati
onal
surv
ey:
ECAM
, DHS
, MIC
S Ce
ntra
l
86
CHAPTER 7: BUDGET OF THE INTEGRATED MONITORING/EVALUATION PLAN
77..11.. IIMMPPLLEEMMEENNTTAATTIIOONN CCOOSSTT OOFF TTHHEE 22001166--22002200 IIMMEEPP
The implementation cost of the 2016-2020 IMEP is FCFA 9,084,800,000, that is, an annual
average of FCFA 1.5 billion. It is important to note that these costs have already been taken
into account when estimating the overall cost of the 2016-2020 NHDP and therefore does
not represent an additional cost to its implementation.
77..11..11.. BBrreeaakkddoowwnn ooff ccoossttss ppeerr yyeeaarr
Apart from 2016 which marks the finalization and adoption of strategic planning documents
by the government, IMEP funding remains relatively stable, with a maximum of FCFA 2.27
billion in 2017. Indeed, the year 2017 marks the beginning of the implementation of IMEP
with the development and implementation of the planning and monitoring-evaluation tools
(HDDP, CRHDP, AWP, Dashboard, etc.). The year 2020, year of the NHDP evaluation, equally
shows a higher cost with FCFA 2.14 billion.
Figure 2 : Breakdown of IMEP costs from 2016-2020
87
77..11..22.. BBrreeaakkddoowwnn ooff ccoossttss ppeerr lleevveell ooff tthhee hheeaalltthh ppyyrraammiidd
The graph below shows the propor n of the budget to be allocated to each level of the
health pyramid. Budgets allocated at the central, regional and levels represent
41%, 16% and 43% respec vely. Consequently, the largest propor n of the budget will be
allocated at the level (Health District). This reflects the will of the MOH to
strengthen at this level, which mostly accounts for the improvement
of key indicators in the health system.
Figure 3: Breakdown of IMEP costs per level of the health pyramid
41%
43%
16%
Central Level
Operationnal Level
Regional Level
Distribution of cost per level of the healthpyramid
88
77..22..
DDEETT
AAIILLEE
DD BBUU
DDGGEETT
PPEERR
IINNTTEE
RRVVEENN
TTIIOO
NN
Tabl
e 6:
Det
aile
d bu
dget
per
inte
rven
tion
per y
ear
Le
vel
of
the
pyra
mid
In
terv
entio
ns /
Acti
vité
s 2
016
2
017
2
018
201
9 2
020
Cent
ral l
evel
Su
ppor
t to
the
dev
elop
men
t an
d m
onito
ring-
eval
uatio
n of
the
AW
P/HD
DP,
CRHD
P at
the
devo
lved
leve
l 24
800
000
57
8 00
0 00
0
124
800
000
124
800
000
124
800
000
Te
chni
cal a
nd logistical s
uppo
rt to
the
7 th
emati
c gr
oups
10
000
000
56
000
000
56
000
000
56 0
00 0
00
56 0
00 0
00
St
udy
and
base
line
surv
ey
250
000
000
2
50 0
00 0
00
250
000
000
250
000
000
250
000
000
Coordina
tion
mee
ting
of th
e St
eerin
g Co
mmittee
10 0
00 0
00
20 0
00 0
00
20 0
00 0
00
20 0
00 0
00
20 0
00 0
00
Fo
llow
-up
mee
ting
on re
form
s and
stat
utor
y in
stru
men
ts10
200
000
10
200
000
10
200
00 0
10 2
00 0
00
10
200
000
Data
revi
ew a
nd v
alid
ation
45
000
000
45
000
000
45
000
000
45
000
000
90
000
000
Sect
or re
view
80
000
000
90
000
000
Them
atic
revi
ew35
000
000
35
000
000
35
000
000
35
000
000
70 0
00 0
00
M
onito
ring
the
AWP
and
PPA im
plem
entatio
n
60 0
00 0
00
60 0
00 0
00
60 0
00 0
00
60 0
00 0
00
Jo
int g
ener
al su
perv
ision
40
000
000
40
000
000
40
000
000
40
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4
0 00
0 00
0
Tota
l at t
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ntra
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el42
5 00
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1 0
94 2
00 0
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721
000
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641
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811
000
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Ré
gion
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Regi
onal
coo
rdinati
on m
eetin
g (d
ata
revi
ew a
nd v
alid
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)78
952
000
78
952
000
78
952
000
78 9
52 0
00
78
952
000
Regi
onal
sect
or re
view
150
000
000
150
000
000
Re
gion
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70 0
00 0
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70 0
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70 0
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70 0
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M
onito
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the
AWP
and
PPA im
plem
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80
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80
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8
0 00
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n at
the
regi
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7 80
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116
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416
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266
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ratio
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378
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37
8 00
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0 37
8 00
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78 0
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Di
stric
t coo
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on m
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revi
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)26
6 68
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168
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000
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8 54
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000
Mon
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P an
d PP
A im
plem
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istric
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lth A
rea)
18
9 00
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189
000
000
189
000
000
189
000
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Gene
ral s
uper
visio
n of
Hea
lth A
reas
and
the
Dist
rict H
ospi
tal
17
5 00
000
0
175
000
000
175
000
000
175
000
000
To
tal a
t the
ope
ratio
nal l
evel
266
680
000
910
540
000
91
0 54
0 00
0
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540
000
910
540
000
O
vera
ll to
tal
80
8 43
2 00
0 2
271
492
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2
048
292
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1 81
8 29
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0
2 13
8 29
2 00
0
89
APPENDICES APPENDIX 1: viability criteria of HDs
Assessing the viability of HDs will be based on the following three variables:
- Technical and operational viability
- Institutional viability
- Financial viability
Each variable will be broken down into criteria; and each criterion will have a weighing score
based on the modalities that will be defined later. This will help assess the level of
development of each variable whose weighted average will enable to obtain a value to
classify HDs.
Each HD will belong to one of the following classes depending on the score obtained:
- Health District at the start-up /operationalization phase;
- Health District at the consolidation/functional phase;
- Health District at the automous/viability phase.
The tool for assessing viability will be developed from the following elements: VARIABLES CRITERIA DEVELOPMENT ELEMENTS Technical and operational viability
InfrastructureEquipment-logistic-technologyHuman resourcesManagement processPartnership for healthGovernance
Institutional viability
RegulationsStandardizationStandard operating procedures
Financial viability
Community financing, (indirect or renewable) Institutional funding
90
APPENDIX 2: Rapid evaluation criteria of the viability level of a DH
Component Criteria Min score
Max score
Technical viability
Availability of technical human resources
DHS staff 0 2 0: No Medical Doctor at the HD 1: 1 Medical Doctor at HD + 1 CBS + 1 CBAF 2: Full team in accordance with the organizational chart of the MOH
Technical staff in IHCs
0 2 0: Number of staff required < 50 % 1: Number of staff required ≥ 50 % or < 75% 2: Number of staff required ≥ 75 %
Technical staff at the DH
1 2 Rural DH:
1 Minimum requirements:
Major sub criteria: 1 Medical Doctor +1 Anaesth + 2 Lab Tech + 1 X-Ray Tech + 5 nurses2 Minor sub criteria: 1 nutritionist + 1 physiotherapist
2 Desired requirements:
Major sub criteria: 2 Medical doctors +1 Anaesth + 2 Lab Tech + 1 X-Ray Tech + 5 nurses Minor sub criteria: 1 nutritionist, + 1 physiotherapist
Technical staff at the DH
1 2 Urban DH 1. Minimum requirements:
Major sub criteria: At least 5 Medical doctors +1 Anaesth + 5 Lab Tech + 2 X-Ray Tech + 10 nurses Minor sub criteria: 1 nutritionist + 1 physiotherapist 2. Desired requirements:
Major sub criteria at least 10 medical doctors +1 Anaesth + 10 Lab Tech + 4 X-Ray Tech + 15 nurses Minor sub criteria : 1 nutritionist + 1 physiotherapist
Packages of care and service provision
Availability of MHP in (IHCs/MHCs)
1 41 The IHC/MHC provides less than 50% of MHP
interventions
2 The IHC/MHC provides between 50% and 75% of MHP interventions
3 The IHC/MHC provides between 75% and 85% of MHP interventions
4 The IHC/MHC provides more than 85% of MHP interventions
Availability of CHP
1 4 1 The DH provides less than 50% of CHP interventions
2 The DH provides between 50% and 75% of CHP interventions
2 The score should be given to the HD assessed even in the absence of two minor sub criteria
91
Component Criteria Min score
Max score
3 The DH provides between 75% and 85% of CHP interventions
4 The DH provides more than 85% of CHP interventions
Infrastructure
Availability of a quality infrastructure in IHCs/MHCs
1 3 1 IHC/MHC with a fence and a leak proof roof
2 IHC/MHC with a fence, a leak proof roof, clean walls, clean toilets and a potable water point
3 IHC/MHC upgraded to infrastructure standards
Availability of a quality infrastructure in the DH
1 3 1. DH with a fence and a leak proof roof
2. DH with a fence, a leak proof roof, clean walls, clean toilets and tap water
3. DH upgraded to infrastructure standards,
Health coverage
1 3 1. Less than 25% of HAs with an IHC
2. Between 25% and 50% of HAs with at least an IHC
3. Less than 50% of HAs with at least an IHC
Equipment
minimum equipment in IHCs
0 3 At least: 1 functional microscope + 1 functional tensiometer + sterilizer + delivery kit + delivery table + isothermal box + complete minor surgery box + 4 observation beds + 1 solar energy source (electric) + scale +1 functional refrigerator
0: Less than 50% of IHCs with the aforementioned equipment, 1: 25 ≤ 50% of IHCs; 2: 50 ≤ 80% of IHCs; 3: 80% and more in IHCs/MHCs with the aforementioned equipment
Minimum equipment in DHs
0 3 At least 10 services are available (paediatrics, surgery, internal medicine, gynaecology, maternity, IEC and demonstration rooms, outpatient clinics and functional operating room, laboratory with 4 functional services (parasitology, biochemistry, bacteriology, immunology), functional radiology service, mortuary, pharmacy, 5 services offering at least 75% of the health package 0: Less than 25% of available services and equipment; 2: 25 ≤ 75 % of available services and equipment 3: More than 80% of available services and equipment
Maintenance of infrastructure and equipment
Availability of two versatile and maintenance workers trained in biomedical, electricity/refrigeration, plumbing, computer and furniture maintenance
0 3 1: Lack of versatile technicians to maintain equipment and infrastructure at the HD (irregular maintenance of infrastructure) 1: Presence of only one of the two versatile technicians required to maintain the HD equipment and infrastructure 2: Presence of the two versatile technicians required to maintain the HD equipment and infrastructure 3: Availability of a depreciation plan for infrastructure and equipment and presence the two versatile technicians required to maintain the HD equipment and infrastructure
Logistics Availability of a 4x4 vehicle in
0 2 0: HD without a 4x4 vehicle in good condition for supervision2: HD with a 4x4 vehicle in good condition for supervision
92
Component Criteria Min score
Max score
good condition
Availability of at least one motorcycle in good condition for the implementation
of strategies in each HA to carry out the outreach and mobile strategies
1 3 1: less than 50% of HAs have a motorbike in good condition2: less than 75% of HAs have a motorbike in good condition 3: more than 75% of HAs have a motorbike in good condition
Drugs, reagents and essential medical devices
Availability of essential drugs in IHCs/MHCs/DHs
0 2 0: IHCs/MHCs/DHs with stock-outs of essential drugs for more than 7 days in the past 3 months 1: IHCs/MHCs/DHs with stock-outs of essential drugs for less than 7 days in the past 3 months 2: IHCs/MHCs/DHs without stock-outs of essential drugs for the past 3 months
Promoting the use of generic drugs in DHs
1 2 1: Less than 50% medical doctors in DHs prescribe generic drugs
2. More than 50% medical doctors in DHs prescribe generic drugs
Standard operating procedures
Availability of standard operating procedures to provide quality care and services in HFs at the operational level
1 3 1:At least 50% of operational level HFs have standard operatingprocedures and updated protocols for case management
2:At least 75% of operational level HFs have standard operating procedures and updated protocols for case management
3:All operational level HFs have standard operating procedures and updated protocols for case management
Governance
Regulation Respect of regulation in health facilities at the operational level
1 2 1: Existence of internal regulations in health facilities at the operational level 2: Availability of the latest six-month report on compliance with provisions of these internal regulations by health facilities staff at the operational level
Fight against corruption at the operational
level
1 3 1: Existence of a suggestion box in all HFs at the operational level 2: Existence of a suggestion box and a report on the collection of concerns of HF users signed by all the stakeholders. 3: Availability of a survey report on the satisfaction of HF users of the HD
Training and research
Continuing training
1 4 1 Availability of a statement of needs in continuous training in the IHC/MHC/DH 2: Availability of a statement of needs in continuous training in IHCs/MHCs with a request for capacity building for healthcare and service providers in the hospital and in the District health service
93
Component Criteria Min score
Max score
3: At least 30% of the staff identified in IHCs/MHCs have benefitted from capacity building 4: At least 50% of the staff identified in IHCs/MHCs have benefitted from capacity building in the areas targeted by the HF.
Operational research
0 2 0: No research carried out1: Availability of a research protocol 2: Availability of a research protocol with at least one research report submitted to the RDPH
Funding Community and institutional funding
1 3 1:HFs with 25% to 49% of the funding needed for the implementation of the agreed AWP
2:HFs with 50% to 74 % of the funding for the implementation of the agreed AWP
3:HFs with 75% to 100% of the funding available for the implementation of the agreed AWP
Functional DHC
0 2 0: Non-functional DHC 2: Functional DHC
Functional HMC
0 2 0: Non-functional HMC 2: Functional HMC
Functional HC 0 2 0: Not all the HAs have a functional HC 1: 50% of HAs with a functional Health Committee 2: At least 75% of HAs with a functional Health Committee
Management process
Health viability plan and/or AWP
0 4 0: No plan is available throughout the period evaluated 1: Existing plan but not aligned to the NHDP 2: Existing plan aligned to the NHDP 4: Existing plan aligned to the NHDP and developed by all key stakeholders of the HD
M/E 0 4 0: No available dashboard to follow up AWP of HD 1: Existing M/E plan but not aligned with the IMEP of the NHDP 2: Dashboard of the integrated follow-up of available performances 3: HD M/E plan aligned to the IMEP and multisector dashboard for the monitoring of the available performances 4: Availability of the HD M/E plan in line with the IMEP and a multi-sector dashboard for the monitoring of performances; used for the M/E of performances.
IHCs/MHCs supervision
1 3 1: Less than 50% of IHCs/MHCs were supervised at least once in the previous year 2: 75 % of IHCs/MHCs were supervised at least twice in the previous year 3: 100% of IHCs/MHCs were supervised at least twice in the previous year. Same for the district hospital healthcare and service providers.
Performance achieved
Use of curative care (NC/inhabitant/year)
1 3 1 : if utilization rate is below 1; 2: if utilization rate is above 1 but below 2; 3: if utilization rate >2
ANC coverage (%)
0 3 0: < 25%; 1: 25 ≤ 50%;
94
Component Criteria Min score
Max score
2: 50 ≤ 80%; 3: ≥ 80%
TB cure rate (%)
0 3 0: < 25%;1: 25 ≤ 50%; 2: 50 ≤ 80%; 3: ≥ 80%
ANC coverage (%)
0 3 0: < 25%; 1: 25 ≤ 50%; 2: 50 ≤ 80%; 3: ≥ 80%
Assisted deliveries (%)
0 3 0: < 25%; 1: 25 ≤ 50%; 2: 50 ≤ 80%; 3: ≥ 80%
DTC3 coverage (%)
0 3 0: < 25%; 1: 25 ≤ 50%; 2: 50 ≤ 80%; 3: ≥ 80%
Patients referred among hospitalized patients
0 3 0: if referral rate is < 25%; 1: if referral rate is below 25% and 50%, 2 if referral rate is between 50% and 80%; 3: 50 ≤ 80%; 3: if referral rate ≥80%
Hospitalization rate in the DH (%)
0 3 0 :<1%; 1: 1≤3%, 2: 3 ≤ 5%; 3: 5 - 10%
Caesarean sections (%)
0 3 0: rate < 1%; 1: rate between 4% and 5% 2: rate between 6% and 9%; 3: rate between 10% and 15%
Overall Total 18 85
HD classification grid
- HD in start-up/operationalization phase: performance between 18 and 25 points.- HD in consolidation/functional phase: performance between 26 and 75- HD in automous/viability phase: performance between 76 and 80
95
APPENDIX 3: Operational definitions of concepts used in the NHDP
1. Standard on the number of versatile CHWs: one CHW/1,000 inhabitants (rural area) and 1 CHW/2,50inhabitants 0 (urban area). To date, this number is not accurately known; during the timeframe covered bythis NHDP, it should be ensured that each district has at least 3 CHWs; and gradually, to ensure that thestandard for the number of CHWs per district is respected.
2. Functional DHC: DHC that has a specific activity framework drawn from the AWP of the HD and hasdocumented at least 50% of the activities carried out during the period evaluated.
3. HDs implementing CLTS: HDs in which at least the following conditions are met: (I) each household has animproved toilet (no open air defecation); (ii) availability of a water point at the toilet entrance forhandwashing.
4. Minimum intervention capacities of a CERPLE: 1) Meeting room for the coordination of public healthinterventions; 2) office, IT and communication equipment (computer, telephone, etc.); 3) adapted vehiclefor case investigation and organization of responses; 4) prepositioning drug for response; 5) appropriateprofile for the person in charge of CERPLE: CAFETP (Cameroon Field Epidemiology) or public healthgraduate; 6) availability of a budget line or an emergency management support fund.
5. Essential Family Practices: 1) exclusive breastfeeding, 2) preventive child care (e.g.: vaccination, IMAI, etc.),3) use of a mosquito net, 4) hand washing with soap, 5) nutritional supplement after 6 months,rehydration of the child with ORS in case of diarrhoea, 7) consultation at the health centre in case ofillness, 8) promotion of modern family planning methods in WCBA.
6. IHCs/MHCs/DHs implementing task shifting in the management of Hypertension and diabetes: Thedevelopment of the task shifting management approach as well as the creation of ambulatory medicalcentres are strategies to improve the availability of quality health care and services to beneficiaries. It hasas prerequisite: (1) developing operational management procedures and their dissemination at all levels ofthe health pyramid, (2) strengthening control, monitoring and supervision of stakeholders at devolvedlevel, (3) institutional and community-based providers at the devolved level.
7. Minimum technical platform for the management of medical and surgical emergencies in a District Hospital:emergency services with at least 1) a functional ambulance, 2) a complete tensiometer, 3) a small surgerybox , (4) steam and heat sterilization equipment, (5) oxygen, (6) emergency drugs, (7) personnel capable ofmanaging Hypertension and diabetes complications, 8) staff trained in EmONC/CEmOC.
8. Accredited DHs: Health facilities with quality assurance system and health services. FP, EmONC/CEmOC,PAC, emergency obstetric surgery, management of HIV/AIDS, malaria, Tuberculosis, Hypertension,Diabetes, RANC.
9. Nine CEmOC functions: 1) administration of AB/general route, 2) parenteral administration of uterotonics,3) parenteral administration of anticonvulsants, 4) evacuation of the conception product, 5) artificialdelivery (MVA), 6) Instrument-assisted breech delivery (suction cup, forceps), 7) newborn resuscitation, 8)blood transfusion and caesarean section, 9) caesarean section. The HF must offer these 9 functions toqualify as a complete EmONC HF.
10. CSOs from HDs affiliated to the regional CSO platform that contributed to the implementation of the AWPof the HD were those that conducted at least 2 interventions in the AWP during the period evaluated.
11. A health facility will be considered as applying the principles of occupational safety and health places if itcomplies with at least four of the following ten principles:
1. Existence of an occupational medical service;
2. Existence of a functional SHC (Safety and Hygiene Committee);
3. Existence of a system for reporting occupational risks (occupational diseases and occupational accidents);
4. Regular production of an annual activity report by the occupational health service;
96
5. Existence of individual prevention methods (providing workers with personal protective equipment, where appropriate *, etc.);
6. Existence of collective prevention methods (alarm, safety nets, light signals), where appropriate*
97
APPENDIX 4: IMEP dashboard at the central level
INDICATEUR MOYENNE NATIONALE AD ES CE LI EN NO NW OU SU SW
Indicateur 1 69 100 67 100 33 50 87 89 75 20 67
Indicateur 2 55 10 90 10 80 50 81 82 70 12 67
Indicateur 3 34 40 60 50 60 50 10 25 10 15 20
… 46 60 35 25 20 50 87 30 60 70 25
Indicateur N 81 90 85 100 40 50 87 90 100 75 94
REPUBLIQUE DU CAMEROUN MINISTERE DE LA SANTE PUBLIQUE
SUIVI DES PROGRES DU PLAN NATIONAL DE DEVELOPPEMENT
SANITAIRE (PNDS 2016- 2020)TABLEAU DE BORD *Année N*
Niveau Central
Légende des couleurs
Bonne performance
Performance Moyenne
Mauvaise performance
MOYENNE NATIONALE
100806040200
Indicateur1
Indicateur2
Indicateur3
IndicateurN
...
98
APPENDIX 5: IMEP dashboard at the intermediate level
INDICATEUR Moyenne Régionale DS1 DS2 DS3 DS4 DS5 DS6 DS7 . . . DS N
Indicateur 1 52 10 25 35 45 100 10 100 90
Indicateur 2 47 0 10 100 55 30 30 95 55
Indicateur 3 58 20 35 80 80 90 20 98 40
… 82 100 80 90 90 80 50 66 100
Indicateur N 55 40 55 20 100 20 68 55 80
REPUBLIQUE DU CAMEROUN MINISTERE DE LA SANTE PUBLIQUE
SUIVI DES PROGRES DU PLAN NATIONAL DE DEVELOPPEMENT
SANITAIRE (PNDS 2016- 2020)TABLEAU DE BORD *Année N*
Niveau Régional
Légende des couleurs
Bonne performance
Performance Moyenne
Mauvaise performance
908070605040302010-
Indicateur 1 Indicateur 2 Indicateur 3 Indicateur N...
MOYENNE REGIONALE
99
APPENDIX 6: IMEP dashboard at the operational level
INDICATEUR Moyenne Du District FOSA 1 FOSA 2 FOSA 3 FOSA 4
… FOSA N
Indicateur 1 100 10 90 100 100
Indicateur 2 50 20 50 90 90
… 20 50 50 85 80
Indicateur N 0 100 20 35 100
REPUBLIQUE DU CAMEROUN MINISTERE DE LA SANTE PUBLIQUE
SUIVI DES PROGRES DU PLAN NATIONAL DE DEVELOPPEMENT
SANITAIRE (PNDS 2016- 2020)TABLEAU DE BORD *Année N*
Niveau Opérationnel
Légende des couleurs
Bonne performance Performance Moyenne Mauvaise performance
100
APPENDIX 7: CONSTRUCTION METHODOLOGY OF THE SATISFACTION INDEX 3
Multiple Correspondence Analysis The aim of the MCA is to study the existing associations between the various criteria of the variables or to look for groups of individuals that look alike in a given metric. This method exclusively uses categorical variables and falls within the set of factor analysis methods. It is a combination of two other factor analysis methods: Factor Analysis of Correspondences (FAC) and Principal Component Analysis (PCA). A FAC is performed on the Burt table (from the complete disjunctive table) and two PCAs are performed on the marginal profiles columns and marginal profiles rows of this table. These profiles, from the FAC, are characterized by their factorial coordinates. The interpretation tools in MCA are the quality of representation of an individual or variable point (assessed by the square cosine) and the contribution of a point to the formation of a factorial axis. An individual or variable point that has a square cosine “close” to zero along a factorial axis is very poorly represented by this axis and well represented if the cos2 is “close” to one. The relative contribution of a point to the formation of an axis is the part of the inertia of this axis explained by the point. The clarity of the factor analysis is improved by adding points with a “strong” contribution. Factorial coordinates are data which define the position of the points projected on the plan generated by the factorial axes. Construction of the indicator The construction of the indicator of satisfaction of beneficiaries of health services is based on a multidimensional approach and aims at defining a composite indicator for each beneficiary of the sample. A preliminary MCA is carried out and at the end of this, variables with a “poor” quality of representation are recoded while individuals are in extra. The final variables contributing to the construction of the indicator are thus selected. A final MCA is performed to obtain the weighting coefficients that are the scores standardized on the first factorial axis.
The functional form of the indicator for a beneficiary b is defined as follows:
where is the weighting coefficient of the modality j and the variable k for beneficiary b, that is, the value of the score (coordinate) obtained in the MCA and standardized by the first proper value; the indicator of the modality j of the variable k for the beneficiary b and K the number of the categorical indicator (variables). After obtaining the coordinates of the individual points on the factorial axes after the application of the MCA, a Hierarchical Ascending Classification (HAC) is performed on the individuals with all the factorial coordinates. HAC is a technique that aims at classifying individuals on the basis of a number of resemblances so that two individuals belonging to the same class regroup at most and differ from two others belonging to two different classes.
3Survey on monitoring public expenditure and the level of satisfaction of beneficiaries in the education and health sectors in Cameroon (PETS2)
101
LIST OF CONTRIBUTORS The Minister of Public Health thanks his collaborators, TFPs and experts who, in one way or the other, contributed to the development of this document, especially:
Names INSTITUTION/STRUCTURE
Part
ner M
inis
trie
s
Prof. MONEBENIMP Francisca MINESUP Dr. NDI Norbert Francis MINJUSTICE Mr. IHONG III Prime Minister’s Office Mr. ATOUNGA Paul MINPROFF Mr. MBAKWA TAYONG Thomas MINAS Mrs. HANDJOU Chantal MINPROFF Mr. NGUETSE TEGOUM Pierre MINEPAT Mr. KWADJIO Hervé MINEPAT Mr. EFFILA NDZEMENA François MINFI Mr. DASSI Nicholas MINTSS Dr. NDTOUNGOU SCHOUAME DGSN Mr. DASSI Nicholas MINTSS Mrs. MPENEKOUL née AZO’O NLOM
MINADER
Mr. AKEUM Pierre Marie MINPROFF Mr. EBAL MINYE Edmond MINSEP Mrs. TOUBIOU Anne MINJEC Mr. ENGOLA ELONO T. Bertrand MINJEC Mrs. TSAMA Valery MINEPDED Mr. OMBALA Dieudonné MINEE Mr. AKEUM Pierre MINPROFF Mr. DJONG Christian MINEE Mr. OROK Samuel OTANG MINAS Dr. NDTOUNGOU SCHOUAME DGSN Mr. ATANGANA MINCOM Mr. GUETSOP Paul Molière NIS
Tech
nica
l and
Fin
anci
al P
artn
ers
a
nd e
xper
ts
Dr. MBAM Léonard (WHO) WHO Dr. ACHU Dorothy CHAI Mrs ALICE Raymond CHAI Mrs. Caroline COMITI France/Amb. Mr. TCHETMI Thomas ONUSIDA Dr. NNOMZO’O Etienne WHO Dr. MBAM Léonard (WHO) WHO Mr. KÖECHER Dieter GIZ Mr. ALIOUNE Diallo WHO Dr. MAMADOU SAMBA WHO Mr. AMADOU NOUHOU WHO Dr. NKWEUSHEU Armand EXPERT Dr. NGUM Belyse UNICEF
102
Mrs. Arrey Catherine TAKOR Order of nurses Dr. BIDZOGO ATANGANA AD Ludcem Dr. NGALLY NZIE Isaac CLINIQUE BON BERGER Dr. Grégoire KANANDA UNICEF Dr. DSAMOU Micheline CHAMBER OF COMMERCE Dr. Irène EMAH WHO Mrs. Arrey Catherine TAKOR ORDER OF NURSES Dr. BIDZOGO ATANGANA AD LUDCEM Mr. KONDJI Dominique ACASAP Mr. Girault Duvalier NDAMCHEU NGO PRESSE JEUNE DÉVELOPPEMENT Dr. BASSONG MANKOLLO Olga EXPERT Dr. PEYOU NDI Marlyse RIRCO Mr. BESSALA Protais CARLETAS Mr. NYIAMA Tiburce EXPERT Dr. NZIMA Valery EXPERT Mr. BIDZOGO ONGUENE Protais EXPERT
MO
H ST
AFF
Dr. LOUDANG Marlyse General Inspector for Pharmaceutical Services and Laboratories
Mr. BAHANAG Alexandre General Inspector for Administrative Services Prof. BIWOLE SIDA Magloire General Inspector for Medical and Paramedical
Services Prof. NKOA Marie Thérèse Technical Advisor No. 2; Prof. KINGUE Samuel Technical Advisor No. 3; Prof. ONDOBO ANDZE Gervais Inspector of Services/IGSMP Dr. NDJITOYAP NDAM Pauline Inspector of Services/IGSPL Mr. DIKANDA Pierre Charles Department of Human Resources Mr. ANDEGUE Luc Florent Department of Financial Resources and Equipment Prof. Robinson MBU Director of Family Health Dr. CHEUMAGA Bernard Director of Health Promotion Dr. ATEBA ETOUNDI Aristide Otto Director of Pharmacy, Drug and Laboratories
Dr. ETOUNDI MBALLA Georges Director of Diseases, Epidemics and Pandemics Control;
Dr. ZOA NNANGA Yves Director of Healthcare Organization and Health Technology
Prof. ZOUNG-KANYI BISSEK Anne Head of the Division of Health Operational Research, M. MAINA DJOULDE Emmanuel Head of the Cooperation Division Mr. AWONO MVOGO Sylvain Head of the Studies and Projects Division Dr. YAMBA BEYAS Regional Delegate for Health Partnership/Littoral Dr. NDIFORCHU AFANWI Victor Coordinator of the National Technical
Committee/PBF Prof. ONGOLO Pierre Director of the Centre for the Development of Best
Practices in Health/HCY Dr. MACHE Patrice DRH M. NGUEDE Samuel Head of the Planning and Programming Unit/DEP
103
Dr. MOLUH SEIDOU Sub-Director of Reproductive Health; Mr. ZINGA Séverin Sub-Director of Salaries and Pensions/DRH Mr. MENDOGO NKODO Sub-Director of Property /DRFP Mr. BANDOLO OBOUH FEGUE Sub-Director of Budget and Financing Dr. NTONE ENYIME Félicien Deputy General Manager/CHU Dr. OWONO LONGANG Virginie Sub-Director of Prevention and Community Action
/DPS Mr. OKALA Georges Sub-Director of Food and Nutrition/DPS Dr. BITHA BEYIDI T. Rose-Claire Deputy National Coordinator of the National
Technical Committee/PBF Dr. AKWE Samuel Sub-Director of Primary Health Care /DOSTS
Dr. SEUKAP PENA Elise Claudine Sub-Director of Diseases, Epidemics and Pandemics Control;
Dr. NKO’O AYISSI Georges Sub-Director of Malaria and Neglected Tropical Diseases Control /DLMEP;
Dr. MANGA Engelbert Head of the International Partnership Unit (CPI)/DCOOP
Dr. EYONG EFOBI John Head of the National Partnership Unit (CPN)/DCOOP Mr. EVEGA MVOGO Head of the Follow-up Unit Dr. FEZEU Maurice Head of the Health Information Unit Dr. ABENA FOE Jean Louis Permanent Secretary/PNL Tuberculosis Dr. NOAH OWONA Appolonie Permanent Secretary/NBTP Dr. FONDJO Etienne Permanent Secretariat/PNLP Dr. ELAT NFETAM Jean Bosco Permanent Secretary/CNLS Dr. KOBELA Marie Louise Permanent Secretary of the EPI Dr. NOLNA Désiré Deputy Permanent Secretary/EPI Dr. OKALLA ABODO Coordinator/UCPC Dr. Martina BAYE LUKONG Coordinator of the TS-PNLMMNI Mr. ENANDJOUM BWANGA Coordinator of PAISS Dr. FIFEN ALASSA Coordinator/ONSP
Mr. FONKOUA Eric Jackson Assistant Research Officer/CPN/DCOOP Mr. EKANI NDONGO Guy Assistant Research Officer/CIS Mr. MESSANGA Patrice Assistant Research Officer/CI Dr. NGOMBA Armelle Expert in Public Health/EPI Dr. AKONO EMANE Jean Claude Expert in Public Health/DRH Dr. KEUGOUNG Basile Expert in Public Health/DRH Mr. BELA Achille Christian Expert in HR/GIZ Dr. DEMPOUO Lucienne Head of service/DLMEP Dr. FOUAKENG Flaubert Head of Social Mobilization Service. Mrs. NGUEJO Aurelia Nicole Head of Translation Unit Mr. OMGBA Yves Alain Unit Head in charge of EPI Data Management and
Information Technology Dr. ZE KAKANOU Sub-Department of HIV/AIDS and Sexually
Transmitted Infections and Tuberculosis
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Control/DLMEP Mrs. TIWODA Christie Executive/DLMP Mr. KANA Paul Executive/CNLD Dr .AMESSE François Regional Delegate of Public Health for the South; Dr. VAILLAM Joseph Director of CENAME Dr. NGONO ABONDO Director of LANACOME Mr. NDOUGSA ETOUNDI Guy Executive/TS-SC-HSS Mr. MBIDA Hervé Executive/RDPH-Centre Mr. TALLA FONGANG Cyrille Research Officer/CIS Mr. MFOUAPON Hénock Expert of the National Technical Committee/PBF Mr. NZANGUE Ernest Computer Engineer/HCY Mr. YOPNDOI Charles Executive/Secretariat General Mr. BANGUE Bernard Executive/PAISS Mr. EFFA Salomon Executive/RDPH-Centre Dr. KAMGA OLEN Psychiatrist/HJY Dr. EBENE Blandine Expert in Public Health/DLMEP Dr. BIHOLONG PS-PNLO
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REFERENCES
1. Institut National de la Statistique (INS) et ICF. International. 2012. Enquête Démographique et deSanté et à Indicateurs Multiples du Cameroun 2011. Calverton, Maryland, USA : INS and ICFInternational.
2. Institut National de la Statistique, 2e enquête sur le suivi des dépenses publiques et le niveau desatisfaction des bénéficiaires dans les secteurs de l’éducation et de la santé au Cameroun (PETS 2) :Rapport principal, volet santé. 2010.
3. Institut National de la Statistique, 5e Enquête a indicateurs multiples (MICS 5) : Preliminary Report.2015.
4. MINSANTE, Enquête Rapide du SNIS dans la région de l’Extrême Nord (ERSEN). 2014.5. MINSANTE, Plan National de Développement Sanitaire 2011-2015.6. MINSANTE, Plan National de Développement Sanitaire 2016-2020.7. 2001-2015 Heath sector strategy, MOH.8. 2016-2027 Heath sector strategy, MOH.
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