hondurashonduras health facility performance indicators success stories honduras baseline 18-month...
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Health facilities with zinc available on the day of survey
Honduras health facility performance indicators
Success stories
HONDURASBaseline 18-month follow-up
Baseline
CESAMO
CESAR
CMI
18-month follow-up
7060 selected input
7035 selected equipment
BASELINE FOLLOW-UP
7030 7035 7050 7060 7070*
Study design
Hospitals with availability of equipment necessary for neonatal and obstetric emergencies
Baseline facilities (N=6)
www.healthdata.org/salud-mesoamérica-2015-initiative
1 2 3
Facilities Facilities
90 602,008 2,971 1,533
BASELINE 18-MONTH FOLLOW-UP
Not observed Observed
*new intervention, not evaluated at baseline
18-month follow-up facilities (N=6)
Salud Mesoamérica 2015 regionsInterventionControl
Medicalrecords
MedicalrecordsHouseholds Facilities
Pediatric / neonatal stethoscopePinard stethoscope / portable Doppler
Autoclave / dry heat sterilizerAnesthesia kit
MVA kitLaryngoscope
Neonatal resuscitation bagResuscitation bag for adults
Oxygen tankStethoscope
Sphygmomanometer
100
80
60
40
20
0
7030 emergency obstetric and neonatal care in maternity clinics, 7035 emergency obstetric and neonatal care in hospitals, 7050 family planning, 7060 treatment of diarrhea and pneumonia, 7070 micronutrient powder availability
% of facilities
Source: SM2015 Health Facility Observation Checklist Survey
Activity flowchart Total data collected
Censuses
Households
Women
Children
Students
Health facilities
Medical records
69,273 21,260
15,584 4,641
20,796 3,818
17,780 5,225
924 –
Intervention Control
365 114 379Intervention InterventionControl
18-monthBaseline
6,735 2,365
Study and survey design
(IHME)
Data collection (in-country agencies &
IHME)
Analysis(IHME)
• Fact-finding visits
• Instrument design
• Training and pilots
• Sampling
• Computer-assisted personal interview
• Community census
• Household survey
• Health facility survey
• Supervision by IHME
• Real-time data quality checks
• Estimation of initiative indicators for baseline and follow-up surveys with 95% CI
• One-sided proportion tests to compare indicator estimates vs. the targets proposed
• Detailed analysis of indicator components to identify items that may be driving the value of the indicator
Data from facilities eligible for baseline and 18-month performance indicatorsRegional success stories from SM2015 interventions
Baseline 18-month follow-up
Availability of pharmacy inputs: oral rehydration salts
Belize El Salvador Guatemala Honduras Mexico Nicaragua Panama
100
80
60
40
20
0
Availability of functional equipment: stethoscope for child care
Belize El Salvador Guatemala Honduras Mexico Nicaragua Panama
100
80
60
40
20
0
Availability of pharmacy inputs: albendazole / mebendazole
Belize El Salvador* Guatemala Honduras Mexico Nicaragua Panama
100
80
60
40
20
0
Availability of functional equipment: standing scale
Belize El Salvador Guatemala Honduras Mexico Nicaragua Panama
100
80
60
40
20
0
Availability of functional equipment: lamp for pelvic exam
Health facility surveys
Household and school surveys – baseline only
Belize El Salvador Guatemala Honduras Mexico Nicaragua Panama
100
80
60
40
20
0
Perce
nt (%
)Pe
rcent
(%)
Perce
nt (%
)
Perce
nt (%
)Pe
rcent
(%)
Perce
nt (%
)
Modern family planning methods available on the day of the survey*
Belize El Salvador Guatemala Honduras Mexico Nicaragua Panama
100
80
60
40
20
0
All data from direct observations on the day of the survey.
11,273
* Condom, pill, injectable, and IUD
* Baseline value for El Salvador considers only albendazole