LHW Systems Review - Oxford Policy Management

LHWP – Systems ReviewTable C.1KPI coverageStrategic Plan KPIs for the expansion of coverage, and theirmeasuresLHW provide services to 50% of the poor100,000 LHWs by 2005Programmesource ofinformationPIHS surveyProgramme payrolland M&E systemsExternalevaluationsInformationcollected byMIS?LHW fulfil selection criteria Programme M&E √ YesAll registered households regularly visited by the LHW Programme M&E √ YesYesTable C.2KPIs on improving qualityStrategic Plan KPIs for improving quality of services, and theirmeasuresProgrammesource ofinformationExternalevaluationsInformationcollected byMIS?90% of LHWs score over 80% in the Knowledge Test Programme M&E √ YesNo medicines/contraceptives out of stock for more thantwo months for 90% of the LHWsNot indicated Yes 9390% of LHWs paid full salary in previous month Programme M&E √ Yes 94All LHWs have supervisors Programme M&E √ YesAll LHSs have full-time access to a vehicle Programme M&E √ YesAll PPIUs and DPIUs have a Strategic Plan Programme M&E √ YesAll PPIUs and DPIUs are following agreed procedures Programme M&E √ Yes 9575% of Health Committees are fully functional Not indicated Yes 96Table C.3Strategic Plan KPIs for expanding the scope and mix of LHWservices, and their measuresKPIs on expanding the scope and mix of servicesprovided by the LHWProgramme sourceof informationExternalevaluationsInformationcollectedby MIS?Clear guidelines on clinical priorities and efficacy Not indicated No 97% of LHWs providing ‘new’ services Programme M&E √ No% of LHWs providing services guided by other nationalprogrammesProgramme M&E √ Yes 98% of LHW households covered by EPI, TB DOTS andFP servicesNot indicated Yes 9993External evaluation.94The Programme does have information on whether or not salary is paid. There is the possibility of some payments beingmade directly at the district level not being paid in full. The Programme is then dependent on complaints being made by thebeneficiaries.95From interviews of Programme managers, the evaluation team found they were very knowledgeable of when agreedprocedures were not being followed. They did not always have the authority, ability, or willingness to impose sanctions.96External evaluation.97The committee that would have provided the oversight for such guidelines, the Programme Review Committee, did not meetduring the period 2003–08.98The DPIU would know how many LHWs and LHSs, and how many vehicles were involved in Polio days. The FPIU does nothave summary data for this indicator. It is provided by the external evaluation. Information on the involvement of LHWs in TBDots and Family Planning (working in collaboration with the Ministry of Population and Welfare) is collected both by externalevaluation and, in the latter case, by the PDHS.99External evaluation.86