Appendix 1 List of PBF indicators for Primary Health Facilities and Hospitals.pdf

Appendix 1 List of PBF indicators for Primary Health Facilities and Hospitals

Appendix 1.1 List of PBF outputs and data sources - Primary Health Care Facilities

Indicator’s primary-level health facilities

Description targets of primary-level indicators

Operational definition Means of verification Data Source

# of new OPD consultation Population / 12 *80%*85% Number of new curative consultations attended by nurse, midwife, or physician assistant, doctor in health facility

• Count total new curative consultation during period.

Ledgers must contain last name, first name, age, sex, location, contact, symptoms, diagnosis, treatment, address, telephone.

Secondary: sample of patient A case should have all the recommended column headers filled in.

• A case that doesn’t meet the minimum criteria above cannot be claimed as they cannot be validated.

Exclude all chronic cases unless they present with a new conditioning chart (5%)

Primary Data Source

• OPD Register:

Explanation:

80% of new consultations will be seen at the PHC level of which up to 85% are not indigents

Secondary Data Source

• Original prescription for drugs dispensed kept at the pharmacy which includes cost of drugs. Drugs register and stock cards conform.

Explanation:

Population / 12 months x 1 OPD consultation nurse, PA, midwife, medical doctor x 15% vulnerable

# of patients receiving consultations on selected NCD conditions (diabetes, hypertension)

(Population / 12 months) * 80%*10%

All new consultations of selected NCD conditions (diabetes and hypertension) attended by trained service provider (with basic NCD case management training)

Count total new curative consultations with selected NCD (diabetes and hypertension) problems during the period.

Secondary: sample of patient chart (5%)

Include all chronic cases unless they

OPD Register:

NCD ledger is being printed

OPD consultation specialized nurse or doctor x 10%

Secondary Data Source:

Original prescription for drugs dispensed kept at the pharmacy which includes cost of drugs. Drugs register and stock cards conform.

# Of patients receiving consultation on selected mental health conditions

(Population / 12 months) * 80%*10%

All new consultations for NCD or mental health conditions by trained service provider (with basic mental health case management training)

Count total new curative consultations with mental health problems during the period.

Primary Data Source

(Depression, Anxiety, Epilepsy, Psychosis) health

OPD consultation specialized nurse or doctor x 10%

Secondary: sample of patient chart (5%)

Include all chronic cases unless they

Secondary Data Source:

Original prescription for drugs dispensed kept at the pharmacy which includes cost of drugs. Drugs register and stock cards conform.

# of cases of referrals reported with a referral feedback from the hospital obtained

(Pop/12) * 1%*85%

Referrals in this case applies to only referrals that can be validated against signed referral forms.

Total number of referred patients who were received at the referral hospital.

Count all referrals recorded in Hospital Ledger (TBD) for the referenced period. Review signed referral forms returned to the facility. Review hospital record of counter referrals

(Only referrals for which there is feedback will be validated)

Primary Data Source: Consultation Ledgers. All referred patients found in the referral register of the hospital and counter referral slips or slips acknowledging receipt of the patient at the General hospital.

Explanation:

Population / 12 months x 1% of the population, who need a referral x 85%

Secondary Data Source: slip available at the General Hospital.

Referred patient registered in the outpatient’s department register of the hospital

# Of children under 2 years of age fully immunized => IPV.

BCG. OPV 0. OPV 1-3. Polio 1-3.

PCV 1-3. Pneumonia 1-2. Rota 1-2. Measles (1&2) and Yellow Fever before their first birthday

(Population / 12) *4% children 0-23 months

Children between 0 to 23 months receiving all recommended doses of (=> IPV. BCG. OPV 0. OPV 1-3. Polio 1-

3. PCV 1-3. Pneumonia 1-2. Rota 1-2.

(Measles 1 & 2 ) and Yellow Fever) before second birthday

Check the number of children between the ages of 0 – 23 months who received all recommend vaccines before their second birthday. (Minimum interval must be respected).

Primary Data Source: Under 2 yr.

immunization Ledger.

Explanation: Population / 12 x 4% children 0-11 months

Secondary Data Source: Tally sheet

Under-five card with vaccination records, held by the mother.

# of pregnant women receiving three doses sulfadoxine-pyrimethamine (S) for of intermittent preventive treatment (IPT) of malaria in pregnant women (IPTp3)

(Pop/12) *4.5%*90%

The third dose of SP (IPT), according to the protocol, during the past month.

All pregnant women who received the third dose of SP as per national protocol (one month after the first dose which is taken after the 16th week)

Primary Data Source: ANC Ledger, IPT3 Sulfadoxine-pyrimethamine

(SP)

Explanation: Intermittent preventive treatment of malaria in pregnant women.

Population x pregnant women = 4.5% / 12 months

Secondary Data Source: Tally sheet

Under-five card with vaccination records, held by the mother.

Number of confirmed cases treated with ACT according to national guidelines

Count total new diagnosis and treatment for malaria during period. Ledgers must contain diagnosis by RDT and MS and treatment according to protocol.

Net distribution to mother upon delivery

(Pop/12) *4.5%

# of mothers who received insecticide treated bed nets upon delivery

Count the number women who received the net after delivery in the delivery and postpartum ledgers

Delivery and Postpartum Ledger

# of pregnant women tetanus toxoid vaccine who received two doses of TT1 and TT2

(Pop/12) *4.5%

# of pregnant women who have received either 2nd dose of TT vaccine

Count the number of pregnant women who receive 2nd dose of tetanus toxoid vaccine during the month and correctly recorded in the Immunization Ledger as per national protocols (minimum interval must be respected).

Primary Data Source: From Immunization Ledger

Explanation: Pregnant women (4.5%) / 12 months TT 1, TT2 x 70% at primary level

Secondary Data Source: Tally sheet

ANC card held by the mother

Vaccination register

# of children 6-59 months receiving VIT A

(Pop/12) *2*16.5 Nbr of children between 6 to 59 months who receive vitamin A supplementation (i.e children aged 6- 11 months who received Vit A (100,000 i.u) + # of children aged 12-59 months who received Vit A (200,000 i.u))

Count the # of children aged 6-11 months who received Vit A (100,000 i.u) and of children aged 12-59 months who received Vit A (200,000 i.u)

Primary Data Source: From Nutrition Ledger:

Explanation:

Children 6-59 months (= 16.5%) who receive Vit A / 12 months x 2

Secondary Data Source: Tally sheet

Under-five card with vaccination records, held by the mother.

Trend declining from 74,062% in 2016 to 68251 % in 2020

Indicator should be enrolled in the first year

# of children 6-59 months being dewormed

Children 6-59 months (= 16.5%) dewormed / 12 months x 2

Nbr of children aged 12-59 months receiving deworming tablet

Count the number of children aged 12-59 month receiving deworming tablet

Primary Data Source: From Nutrition Ledger:

Secondary Data Source: Tally sheet

Under-five card with vaccination records, held by the mother.

# of women receiving ANC 4 (Pop/12) *4.5%*90%

Any standard visit according to the focused antenatal care visit schedule and approach.

Verify in the ANC register all new ANC that took place in the months for the current pregnancy with at least one visit per quarter.

First Visit 0-20 weeks

Primary Data Source: ANC Ledger:

# of pregnant women (= 4.5%) attending ANC / 12 months - 90% primary level

Secondary Data Source: Tally sheet

Second visit between 24-28 weeks;

third visit at 32 weeks and the fourth visit at 36 weeks.

ANC card held by the mother.

# of normal deliveries in HF conducted by skilled personnel providing basic obstetric care

(Pop/12) *4.5%*80%*85%

Childbirth without tools during expulsion and without oxytocin induced labor

A delivery attended by a skilled attendant (as defined by the policy) at the health facility during the past month.

Primary Data Source: Birth Ledger

Population x 4% (= total deliveries per year) / 12 months

- 80% at primary level x 85% normal

Secondary Data Source:

Partogram;

# of assisted or complicated delivery in HF conducted by skilled personnel

(Pop/12) *4.5%*80%*15% Including instrumental deliveries;

oxytocin. assisted breech deliveries and multiple births.

All difficult and asisited deliveries that took place at the Hospital in the past month and conducted by a midwife and doctor recorded in the delivery register

Primary Data Source: Birth Ledger

Population x 4% (= total deliveries per year) / 12 months

- 80% at primary level x 15% complicated

Secondary Data Source:

Partogram;

Women reproductive age = 23% / 12 months x 5% x 90% primary-level HF

Secondary Data Source: Individual FP card kept at the HF

# of postnatal consultation (day 6-8 & week 6-8)

(Pop/12) *23%*5%*80%

Number of women of reproductive age who visited the health facility for postnatal care after delivery within 6-8 days as well as 6-8 weeks

- Payment for each visit

From the Postnatal Ledger, count all postnatal care visit.

Primary Data Source: Postnatal Ledger

Explanation: After childbirth (= 4%) woman receives postnatal consultations (6-8 days & 6-8 weeks) - 80% primary level / 12 months

Secondary Data Source: Individual chart kept by the health facility

# of new or old acceptance for pills or injectable - Family Planning

(Pop/12) *23%*25%*90%

Any new or existing user of injectable contraceptive or oral contraceptive pills, during the past month. An injection represents three month’s protection and a FP visit for Oral Contraceptive Pills (OCP) should provide three months’ worth of pills.

From the FP register count all the new users of pills and injectable in the past month.

Then count all the old pills and injectable who come for refill or renewal in the last month.

NOTE:

Long term methods like IUDs and implants are not considered.

Condoms are not considered.

Primary Data Source: Family Planning Ledger

Explanation: Women reproductive age = 23% / 12 months x 15% of all women reproductive age who use pill or injectable (= target) x 4 contacts per year x 90% first level

Secondary Data Source: Individual FP card kept at the HF

# of Intra-Uterine Device or Implant - Family Planning

Women reproductive age = 23% / 12 months x 4% of all women reproductive age who apply the IUD or implant x 90% first level Any new user of implant or IUCD, during the quarter under review

From the Family Planning Ledger, count all new users of IUCD or implant during a quarter under review

Primary Data Source: Family Planning Ledger

Secondary Data Source: Eventual drugs and medical consumables dispensed through the prescriptions kept at the pharmacy;

drugs register, and stock cards conform.

# of persons tested for HIV / AIDS, including pregnant women

(Pop/12) *10%*70%

Any new VCT including pregnant women and PIT test carried out during the past month.

From the VCT register, count all the clients who were counselled and tested for HIV in the last month including pregnant women.

All the columns of the VCT register must be completely and well filled in for it to be claimed and validated.

Each year 10% of the population is screened (4.5% pregnant women). 70% primary HF level / 12 months and who collected the result

Secondary Data Source: Laboratory register; stock records

-HCT and ANC registrar

# Of HIV+ pregnant woman put on ARV prophylaxis protocol

(Pop/12) *4%*1%*50%

Any new HIV+ pregnant women put on ARV treated according to the PMTCT protocol, during the past month.

From the PMTCT register count all the HIV positive pregnant women who have been placed on ARV for the first time during the current pregnancy.

NOTE:

The positive pregnant women on ARV can only be counted once in the pregnancy.

Pregnant women = 4.5% x 1% are tested for HIV + and receive ARVs / 12 months x 50% primary-level HF

Secondary Data Source: Laboratory register; stock records

# of newborns receiving prophylaxis from HIV+ mother

(Pop/12) *4%*1%*50%

Any newborn baby from an HIV+ mother treated according to the PMTCT protocol, during the past

Count all newborn babies from HIV positive mothers to whom ARV treatment was administered at delivery in the last month.

NOTE:

The positive pregnant women on ARV can only be counted once in the pregnancy.

Primary Data Source: HIV Ledger

Newborns born to pregnant women (= 4% of the population per year) x 1% who are HIV + and require ARVs / 12 months x 50% primary-level HF

Secondary Data Source: Laboratory register; stock records

-Labour and delivery registrar

1% of the entire population is HIV + - 30% need for treatment

HIV Ledger. UNAIDS => around

50.000 people living with HIV AIDS =

Primary Data Source: HIV Ledger

-ART enrolment registrar

# of people living with HIV receiving ARV therapy during 3 months x 4 contacts per year x 50% at primary level / 12 months

1% of total population of 5.18 million

Secondary Data Source: Laboratory register; stock records

# of home visits following protocol with 1 qualified staff

Each year two visits per home /12 months / 6 people per home

A household visit by qualified team as per protocol

Home visit registrar following protocol of the community Health Worker program

# of cases referred by community and arrived in HF (appr. 5% of population per year)

Pop x 5% / 12 months for: (a) Pregnant women referred for delivery; (b) Mother referred for postnatal cons; (c) new FP referred; (d) nutrition; (e) TB cases

Community referrals registrar

# of dropouts recovered (appr.

3% of population)

Population x 3% / 12 months:

(a) EPI children 0-11 months;

(b) ANC; (c) cases of SAM; (d) AAFB+ PTB treatment; (e) ARV

Dropout recovered Ledger

# of children 6-59 months treated for moderate acute malnutrition (MAM)

Children 6-59 months (= 16.5%) / 12 months - 6% require standard treatment for moderate acute malnutrition MAM x 6 visits

Number of children 6-59 months who MUAC is greater than 11.5 cm and less than 12.5 as well as Z-score (WHZ) is -

From the Nutrition Ledger, count all children 6-59 months whose MUAC is greater than 11.5 cm and less than 12.5 as well as Z-score (WHZ) is -2

Nutrition Ledger

# of children 6-59 months treated for severe acute malnutrition (SAM)

Children 6-59 months (= 16.5%) / 12 months - 1% requires standard treatment for severe acute malnutrition (SAM) x 12 visits per year

Number of children 6-59 months who MUAC is 11.5 cm with Edema and Z-score (WHZ) is -3

From the nutrition ledger, count all children 6-59 months who MUAC is

11.5 cm with Edema and Z-score (WHZ) is -3

Nutrition Ledger

# of quality improvement bonus-primary-level

Population / 5.000 x 1 QIBs per month at primary-level health facilities

QIB ledger - indices management tool

Appendix 1.2 List of PBF outputs and data sources - Secondary Health Care Facilities (Hospitals)

Hospital indicators Description of hospital indicators Operational Definition Means of verification Data Source

# of new outpatient consultations – doctor / physician assistant

15% of the population on average see a doctor per year / 12 months 85% fee paying

Number of new curative consultations attended by doctor/physician assistant in hospital

• Count total new curative consultation during period. Ledgers must contain last name, first name, age, sex, location, contact, symptoms, diagnosis, treatment, address, telephone.

Secondary: sample of patient A case should have all the recommended column headers filled in.

• A case that doesn’t meet the minimum criteria above cannot be claimed as they cannot be validated.

Exclude all chronic cases unless they present with a new conditioning chart

Secondary Data Source

Original prescription for drugs dispensed kept at the pharmacy which includes cost of drugs. Drugs register and stock cards conform.

# of patients receiving services on selected NCD (diabetes, hypertension) consultation

Population / 12 months x 1 OPD consultation specialized nurse or doctor x 10% x 50% hospital

All consultations for NCD conditions attended to by trained service provider (with basic NCD case management training)

Count total new curative consultations with NCD problems during the period.

Secondary: sample of patient chart (5%)

Include all chronic cases unless they present with a new conditioning chart

There is a form at the hospital for capturing hypertension and diabetes

Original prescription for drugs dispensed kept at the pharmacy which includes cost of drugs. Drugs register and stock cards conform.

3 # of in-patient days 1000 people occupy at any time 0.5 hospital beds x 30 days to calculate the monthly target 85% fee-paying

Admission in this context applies to targeted care, excluding admission for delivery, for patients requiring brief hospitalization and dischargeable as soon as clinical conditions are resolved

Count the total number of nights spent by all the patient during the episode of an illness. Add up individual patient days to have a cumulative total.

Hospitalization Ledger. We count each night

Maximum of 4 days per patient per episode of illness.

Postpartum mothers are included in the indicator “delivery” and do not qualify for this indicator.

# of children treated of 6- 59 months with severe acute malnutrition and complications

1000 inhabitants occupy at any time

0.5 hospital bed x 30 days to calculate the monthly target x 16.5% of children 6-59 months of which 1% requires hospitalization for SAM

Number of children 6-59 months who MUAC is 11.5 cm with Edema and Z-score (WHZ) is -3

From the nutrition ledger, count all children 6-59 months who MUAC is 11.5 cm with Edema and Z-score (WHZ) is -3

Nutrition Ledger

5 Counter referral slips returned to health facilities

Population / 12 months x 2% of the population who need to be referred

Hospital returns counter referral letter with feedback on the referred patient to the referring health center.

The counter referral letter is completed in triplicate, with one also given to the patient, and one retained by hospital.

# referral cases reported to higher level HFs or back to PHCs with free transport provided for vulnerable patients

Population / 12 months x 1% of the population who need to be referred x 15% who require extra support

# of new pulmonary TB patients with Acid-Fast Bacillus (AFB)

TB incidence = 308 / 100,000 screened positive with tuberculosis patient management (TPM) x 50% at hospital level / 12 months

Tuberculosis Ledger. Number of patients with positive AFB lab diagnosis

Tuberculosis Ledger

8 # of pulmonary PTB cases finishing treatment cure

TB incidence = 308 / 100,000 x 50% at hospital level x 6 contacts per treatment of 6 months / 12 months.

Tuberculosis Ledger

# of major surgeries (excluding CS, including major trauma)

Any surgery in which the patient must be put under general spinal/anesthesia and given respiratory assistance. Major surgery in the case of this package of services is defined as any of the following:

Herniarraphy, Appendectomy, Myomectomy, Sleenectomy, Any surgery in which the patient must be put under general spinal/anesthesia and given respiratory assistance. Major surgery in the case of this package of services is defined as any of the following:

Herniarraphy, Appendectomy, Myomectomy, Splenectomy, From the operation theatre ledger, count all surgery in which the patient must be put under general spinal/anesthesia and given respiratory assistance. Major surgery in the case of this package of services is defined as any of the following:

Herniarraphy, Appendectomy, Myomectomy, Splenectomy, OT Ledger

Salpingectomy, Hysterectomy, Thyrodectomy, Mastectomy.

Salpingectomy, Hysterectomy, Thyroidectomy, and Mastectomy.

Salpingectomy, Hysterectomy, Thyroidectomy, and Mastectomy.

# of major surgeries (excl CS, incl major trauma) -vulnerable

On average, 0.5% of the population requires major surgery each year / 12 months x 15% vulnerable

Any surgery in which the patient must be put under general spinal/anesthesia and given respiratory assistance. Major surgery in the case of this package of services is defined as any of the following:

Herniarraphy, Appendectomy, Myomectomy, Splenectomy, Salpingectomy, Hysterectomy, Thyroidectomy, and Mastectomy.

From the operation theatre ledger, count all surgery in which the patient must be put under general spinal/anesthesia and given respiratory assistance. Major surgery in the case of this package of services is defined as any of the following:

Herniarraphy, Appendectomy, Myomectomy, Splenectomy, Salpingectomy, Hysterectomy, Thyroidectomy, and Mastectomy.

OT Ledger

# of minor surgeries conducted Abscess drainage, circumcision, sutures, wounds, excision of a lipoma, extraction of ingrown toenails, non-cast immobilization, 1st dressing in a patient referred by hospital

On average, 7% of the population requires minor surgery (= does not involve general/spinal anesthesia or respiratory assistance) each year / 12 months x 10% at the hospital level - 85% fee-paying.

Any surgical procedure that does not involve general anesthesia or respiratory assistance

From the Minor surgery Ledger, count all surgery that does not involve general anesthesia or respiratory assistance

Minor surgery Ledger

12 # of blood transfusions On average 0.5% of population each year requires a transfusion in a hospital

From the surgery , hospitalization and blood transfusion registered count each transfusion done (each pine of blood transfused)

Blood transfusion Ledger

13 # of postnatal consultation (day 6-8 & week 6-8)

After childbirth (= 4%) woman has 2 post-natal consultations - 20% hospital level / 12 months

Number of women of reproductive age who visited the health facility for postnatal care after delivery within 6- 8 days as well as 6-8 weeks

- Payment for each visit

From the Postnatal Ledger, count all postnatal care visit.

Primary Data Source:

Postnatal Ledger

Individual chart kept by the health facility

# of normal deliveries in HF conducted by skilled personnel providing basic obstetric care

4% birth rate / 12 months x 20% of all births take place in hospitals.

Among them 40% are normal and 60% complicated

Childbirth without tools during expulsion and without oxytocin induced labour. A delivery attended by a skilled attendant (as defined by the policy) at the health facility during the quarter.

Count all delivery from the maternity Ledger conducted by skilled personnel without tool during expulsion and oxytocin included labour

Maternity Inpatient & Delivery Register

15 # of caesarean sections

4% birth rate / 12 x 20% at hospitals Among them 40% are normal and 60% complicated among 60% complicated, 40% are CS and 60% other (non-CS)

From the operation theatre ledger, count all CS exclusing other forms of surgery

OT Ledger

# of assisted or complicated delivery in HF conducted by skilled personnel

4% birth rate / 12 x 20% at hospitals Among them 40% are normal and 60% complicated among 60% complicated, 40% are CS and 60% other (non-CS)

Any labor that is made more difficult or complex by a deviation from the normal procedure. Complicated delivery is defined as: assisted vaginal deliveries (vacuum extraction or forceps), Csection, episiotomy and other procedures.

Maternity Inpatient & Delivery Register

# of new or old acceptance pills or injectable Family Planning

Women reproductive age = 23% / 12 months x 15% of reproductive women use pills and injectable x 4 contacts / year x 10% hospital level

Any new or existing user of injectable contraceptive or oral contraceptive pills, during the past month. An injection represents three month’s protection and a FP visit for Oral Contraceptive Pills (OCP) should provide three months’ worth of pills.

From the FP register count all the new users of pills and injectable in the past

Then count all the old pills and injectable who come for refill or renewal in the last month.

NOTE:

Long term methods like IUDs and implants are not considered. Condoms are not considered.

Family planning Ledger

18 # of implants or IUDs Family Planning

Women reproductive age = 23% / 12 months x 4% of women reproductive age using IUD or implant x 10% hospital level

Any new user of implant or IUCD, during the quarter under review

From the Family Planning Ledger, count all new users of IUCD or implant during a quarter under review

Family Planning Ledger

# of permanent methods-vasectomy or tubal ligation

- Family Planning

23% of the population are couples / 12 months x 0.5% of couples using vasectomy or tubal ligation each year (= target)

Maternity Ledger

# of manual vacuum aspiration (MVA) after spontaneous abortion

All pregnancies (= 4.5% of the population per year) x 10% which ends in abortion / 12 months x 50% requiring MVA x 30% at hospital level

Maternity Ledger

21 # of emergency care contraception -

Women reproductive age = 23% / 12 months x 10% of reproductive women x 10% hospital level

Number of women of reproductive age who received emergency contraceptive (Levo-norgestrel) pills

From the FP register count all emergency contraception pills and injectable in the past month.

Family Planning Ledger

Levonorgestrel pill within 3 days after contact and injectable within 3 days after contact

# of women receiving ANC 1 or ANC 2 or ANC 4 or ANC 4 or ANC 5, 6, 7, etc

# of pregnant women (= 4.5%) attending ANC / 12 months - 10% hospital level

Any standard visit according to the focused antenatal care visit schedule and approach.

Verify in the ANC register all new ANC that took place in the months for the current pregnancy with at least one visit per quarter.

First Visit 0-20 weeks

Second visit between 24-28 weeks; third visit at 32 weeks and the fourth visit at 36 weeks.

ANC Ledger

# of pregnant women tetanus toxoid vaccine who received two doses of TT1 and TT2

Pregnant women (4.5%) / 12 months TT 1, TT2 x 30% at hospital level

Count the number of pregnant women who received the first and second dose of TT vaccine during the month and corrected recorded in the immunization register as per national protocol

Immunization ledger

# of persons testing and counselling for HIV / AIDS, including pregnant women

Each year 10% of the population is screened (4.5% pregnant women).

30% hospital level / 12 months and who collected the result

Any new VCT including pregnant women and PIT test carried out during the past month.

From the VCT register, count all the clients who were counselled and tested for HIV in the last month including pregnant women.

All the columns of the VCT register must be completely and well filled in for it to be claimed and validated.

HIV Ledger

# of HIV+ pregnant woman put on ARV prophylaxis protocol

Pregnant women = 4.5% x 1% are tested HIV+ and received ARV / 12 months x 30% hospital level

Any new HIV+ pregnant women put on ARV treated according to the PMTCT protocol, during the past month.

From the PMTCT register count all the HIV positive pregnant women who have been placed on ARV for the first time during the current pregnancy.

NOTE:

The positive pregnant women on ARV can only be counted once in the pregnancy.

HIV Ledger

# of newborn receiving prophylaxis from HIV+ mother

Newborns born to pregnant women (= 4% of the population per year) x 1% who are HIV + and require ARVs / 12 months x 50% hospital level

Any newborn baby from an HIV+ mother treated according to the PMTCT protocol, during the past

Count all newborn babies from HIV positive mothers to whom ARV treatment

HIV Ledger was administered at delivery in the last

NOTE:

The positive pregnant women on ARV can only be counted once in the pregnancy.

# of people living with HIV receiving ARV therapy during 3 months

1% of the entire population is HIV + - 50% need for treatment x 4 contacts per year x 50% at hospital level / 12 months

HIV Ledger

28 # of quality improvement bonus - hospital

Population / 15.000 per year x 2 QIB of $ 2500

QIB ledger