ranking of districts on the basis of program review...

RANKING OF DISTRICTS ON THE BASIS OF PROGRAM REVIEW

INDICATORS

Apr - Jul 2015

OBJECTIVE

• The objective of the analysis is to rank districts based

on their performance

• Performance is measured using set of input and

output indicators used for program reviews by

GoUP

Variables Mean Std. Dev. Min Max

% change in OPD from last year 16.1 23.9 -29.4 103.9

% change in IPD from last year 17.8 55.8 -51.9 228.9

Bed occupancy rate 18.3 16.4 0.0 99.5

% change in pathology investigation from last year 63.4 74.6 -50.9 411.6

% Institutional deliveries 37.2 10.8 11.0 71.3

% of beneficiaries received JSY 81.3 81.5 21.6 754.3

% % Institutional deliveries ASHA received JSY

benefits 52.1 18.7 12.2 112.8

% of C-section deliveries 3.3 4.3 0.0 24.1

% fully immunized children 79.8 15.1 46.7 154.1

dropout children from BCG to Measles -6.9 12.2 -61.0 18.9

% of Sterilization to total workload 2.2 2.4 0.0 12.9

% of IUCD insertion to total workload 10.5 5.1 2.4 24.2

% of PPIUCD insertion to total IUCD inserted 9.1 10.7 0.0 70.0

% Cataract Operation against target 2.2 3.0 0.0 16.0

% facilities uploaded HMIS data on or before 5th 87.4 18.9 14.8 100.0

% of estimated preg women registered in MCTS 48.8 13.2 22.5 85.8

% of estimated children registered in MCTS 24.7 10.3 8.7 45.9

% of Budget utilized RCH flexi pool 26.3 9.5 8.0 63.5

% of Budget utilized Mission flexi pool 8.8 5.1 1.6 29.6

% of Budget utilized RI 8.2 9.2 0.0 65.8

% of Budget utilized NUHM 15.2 10.6 0.0 48.3

% of Budget utilized National programme 17.0 11.5 0.0 57.0

% of construction works completed/in progress 86.0 24.9 0.0 100.0

% Budget utilized in construction work 62.1 29.7 0.0 100.0

3

Description of the variables

• To begin with, 25 indicators are taken for measuring

the performance of the districts (CMOs), of which 7

are input (yellow) and 18 are output indicators

(green)

• These indicators are routinely used by the NHM for

reviewing performance of the district and/or CMOs

during review meetings at the state

• Data on change in AYUSH OPD is highly unreliable

and was available for 73 districts hence dropped

from the analysis

• Considering state priority and MD NHM

suggestions, four additional indicators were included

after first round of analysis -shown in the separate

table (brown)

• Finally, set of 28 identified indicators for ranking of

75 districts.

• Present ranking prepared for Apr-Jul (2015-16) for

HMIS/MCTS and financial data (28 indicators).

Variables Mean Std.

Dev.

Min Max

Rate of change of ins del rate 14.1 34.8 -33.3 167.5

% of pregnancy identified as HRP 0.8 1.6 0.0 12.3

% received full ANC (3 ANC) 65.5 8.6 47.9 84.3

Maternal death reported per

1000 expected death19.1 28.5 0.0 109.6

METHOD

All variables are divided into

quintiles; districts in the lowest

quintile gets a score of `1’ and

those are in highest quintile gets a

score of `5’ for each variable. Rank

of total scores is computed to

order the districts as per their

performance

This method generates top 5 and

bottom 6 districts

The distribution of score is found

to be normal indicating robustness

of the methodology adopted

4

Distribution of score (final run, 28 variables)0

510

15

Fre

quency

60 70 80 90 100 110tscore

Variables Mean Std. Dev. Min Max Mean Std. Dev. Min Max

Poor performer Best performer

% change in OPD from last year 16.9 28.4 -2.1 71.6 5.2 5.8 -3.7 11.7

% change in IPD from last year 12.3 14.9 -10.1 34.6 0.3 19.8 -16.0 32.0

Bed occupancy rate 7.6 6.2 1.9 16.8 32.2 22.5 8.3 59.6

% change in pathology investigation from last year 35.6 56.6 -20.5 141.2 92.4 72.5 19.9 213.1

% Institutional deliveries 35.2 7.3 29.0 48.8 55.2 7.0 46.5 61.7

% of beneficiaries received JSY 180.9 282.3 39.6 754.3 79.4 10.0 71.0 96.4

% of ASHA who received JSY 35.3 10.7 19.2 51.7 61.4 13.3 48.0 80.3

% of C-section deliveries 1.2 2.4 0.0 5.9 6.7 6.7 0.2 15.5

% fully immunized children 87.5 34.3 59.8 154.1 86.3 7.9 76.1 95.8

dropout children from BCG to Measles -14.1 15.9 -41.3 -0.5 0.4 6.4 -9.7 7.4

% of Sterilization to total workload 0.6 0.6 0.1 1.6 4.0 3.2 0.3 7.6

% of IUCD insertion to total workload 9.3 5.2 2.4 17.2 13.1 6.4 8.7 24.2

% of PPIUCD insertion to total IUCD inserted 6.4 8.0 0.0 21.5 8.4 8.8 1.4 23.0

% Cataract Operation against target 0.8 1.5 0.0 3.8 5.5 3.4 1.0 9.2

% facilities uploaded HMIS data on or before 5th 95.3 7.2 82.3 100.0 91.6 16.9 61.4 99.8

% of estimated preg women registered in MCTS 48.5 9.2 37.5 61.1 51.0 14.7 42.0 76.7

% of estimated children registered in MCTS 19.5 6.3 13.6 30.3 31.2 8.1 23.8 43.85

Summary of output indicators between poor and best performance districts



% of Budget utilized RCH flexi pool 20.7 5.8 17.4 32.5 35.5 7.7 25.8 45.8

% of Budget utilized Mission flexi pool 4.6 1.7 2.0 6.5 11.4 4.4 5.1 16.3

% of Budget utilized RI 6.6 6.0 1.8 18.5 9.7 8.8 1.9 20.5

% of Budget utilized NUHM 11.9 10.3 0.0 30.4 26.9 15.2 7.0 48.3

% of Budget utilized National programme 10.2 10.4 0.4 24.2 20.1 12.9 9.7 34.3

% of construction works completed/in progress 64.9 42.5 0.0 100.0 100.0 0.0 100.0 100.0

% Budget utilized in construction work 45.0 31.3 0.0 74.4 88.1 26.7 40.4 100.0

6

Summary of input indicators between poor and best performance districts



Rate of change of institutional delivery rate 3.2 6.6 -7.2 13.0 32.9 32.8 3.8 84.3

% of registered pregnency identified as high risk (MCTS) 0.4 0.7 0.0 1.8 0.6 0.3 0.1 1.0

% of registered pregnant women received 3 ANC 64.1 5.7 56.4 72.9 66.0 13.4 52.6 80.1

Maternal death reported in HMIS per 1000 expected

deaths 3.5 5.4 0.0 11.0 27.3 29.8 10.8 80.0

Summary of output indicators between poor and best performance districts

The mean difference between best and poor performer is (i.e; 36.6) is found to be

statistically significant

Variables

Kanpur

Dehat

Shahjahan

pur

Mahoba Kushinag

ar

Chitrako

ot

Ballia Saharanp

ur

Lalitpur Bareilly Shrawasti Muzaffar

nagar


Total score 62 64 65 68 68 68 100 100 101 104 107

Rank 1 2 3 5 5 5 71.5 71.5 73 74 75

% change in OPD from last year 71.6 4.8 -2.1 4.9 -1.3 23.8 -3.7 11.7 4.7 4.4 8.7

% change in IPD from last year 34.6 9.0 -10.1 16.5 18.3 5.5 32.0 7.0 -8.3 -16.0 -12.9

Bed occupancy rate 6.6 4.8 16.8 1.9 13.7 2.0 59.6 50.5 13.2 8.3 29.1

% change in pathology investigation from last year -1.2 24.7 -20.5 45.6 23.5 141.2 80.6 87.3 60.8 213.1 19.9

% Institutional deliveries 31.4 31.5 37.8 29.0 48.8 32.6 46.5 61.7 49.0 59.3 59.7

% Institutional deliveries ASHA received JSY benefits 43.6 85.6 111.4 754.3 50.8 39.6 75.4 79.7 71.0 96.4 74.6

% of ASHA who received JSY 30.3 51.7 19.2 38.2 38.9 33.5 61.8 67.2 49.6 80.3 48.0

% of C-section deliveries 0.2 0.0 5.9 0.0 0.0 1.1 12.0 2.7 3.0 0.2 15.5

% fully immunized children 64.8 83.5 154.1 74.6 88.5 59.8 83.4 76.1 92.5 95.8 83.8

dropout children from BCG to Measles -3.3 -5.5 -41.3 -0.5 -24.8 -9.1 4.0 -9.7 -0.5 7.4 0.6

% of Sterilization to total workload 0.5 0.4 0.8 0.1 0.1 1.6 3.7 1.5 7.6 0.3 7.0

% of IUCD insertion to total workload 17.2 7.9 12.2 2.4 10.3 5.9 8.7 24.2 11.8 11.8 9.1

% of PPIUCD insertion to total IUCD inserted 0.2 8.2 0.0 4.9 3.6 21.5 1.4 23.0 4.7 10.2 2.6

% Cataract Operation against target 0.2 3.8 0.0 0.7 0.0 0.0 4.0 9.2 1.0 4.3 8.8

% facilities uploaded HMIS data on or before 5th 100.0 91.0 99.4 82.3 99.3 99.8 99.8 61.4 99.8 99.3 97.7

% of estimated preg women registered in MCTS 56.3 37.5 44.1 40.8 61.1 51.1 42.0 49.6 43.8 76.7 43.1

% of estimated children registered in MCTS 19.3 14.9 13.6 22.8 15.9 30.3 26.8 34.5 27.2 43.8 23.8

7

Summary of output indicators for best and poor performance districts

VariablesKanpur

Dehat

Shahjaha

npur

Mahoba Kushina

gar

Chitrako

ot

Ballia Saharanp

ur


nagar


Rate of change of institutional delivery rate 2.9 4.9 -7.2 13.0 4.9 0.5 32.8 4.9 84.3 3.8 38.8

% of registered pregnency identified as high

risk (MCTS)0.4 0.1 0.0 0.0 1.8 0.0 0.5 0.8 1.0 0.5 0.1

% of registered pregnant women received 3

ANC56.4 67.0 72.9 60.7 62.5 65.0 53.5 80.1 64.3 52.6 79.4

Maternal death reported in HMIS per 1000

expected deaths 0.0 9.7 0.0 11.0 0.0 0.0 21.6 80.0 11.8 10.8 12.2

8

Summary of output indicators for best and poor performance districts

Variables

Kanpur

Dehat

Shahjaha

npur

Mahoba Kushinag

ar

Chitrako

ot

Ballia Saharanp

ur


nagar


% of Budget utilized RCH flexi pool 32.5 19.8 18.8 17.7 17.9 17.4 33.2 25.8 45.8 32.3 40.2

% of Budget utilized Mission flexi pool 3.6 4.4 2.0 6.2 4.8 6.5 10.1 5.1 14.6 10.7 16.3

% of Budget utilized RI 3.5 4.5 6.3 4.8 18.5 1.8 3.7 1.9 4.4 17.9 20.5

% of Budget utilized NUHM 0.0 6.2 14.9 9.0 10.9 30.4 7.0 23.6 48.3 22.5 33.2

% of Budget utilized National programme 0.4 4.4 2.7 22.6 6.9 24.2 10.8 9.7 34.0 11.5 34.3

% of construction works completed/in

progress 91.7 72.7 100.0 100.0 0.0 25.0 100.0 100.0 100.0 100.0 100.0

% Budget utilized in construction work 20.0 35.5 74.4 73.3 0.0 67.0 100.0 100.0 40.4 100.0 100.0

Summary of input indicators for best and poor performance districts

TOP AND BOTTOM PERFORMER- JUL 2015

Top 5 performer :Lalitpur(100), Saharanpur(100), Bareily (101), Shrawasti (104), Muzaffarnagar(107)

Bottom 6 performer : Kanpur Dehat (62), Shahjahanpur (64), Mahoba(65), Kushinagar(68), Chitrakoot (68), Ballia (68)

9*() indicates score obtained by the districts

10

Classification of districts of Uttar Pradesh based on performance score

11


12


CLASSIFICATION OF DISTRICTS OF UTTAR PRADESH BASED ON PERFORMANCE SCORE

13

14

COMPARATIVE PERFORMANCE RANKING

*() indicates score obtained by the districts

CategoryDec-Jan (2014-

15)Feb-15 Mar-15 Apr-15 May-15 Jun-15 July Consistent

Top

performing

Etawah (115),

Bareilly (107),

Muzaffarnagar

(106), Meerut

(104)

Lalitpur (101)

Etawah (80),

Bareilly (76),

Lalitpur (75),

G B Nagar(75)

Muzaffarnagar

(73)

Etawah(79),

Bareilly(77),

Gonda(76),

Meerut(74),

Muzaffarnagar(74),

Rae,Bareli(74),

Lalitpur(74)

Kannauj (78),

Muzzafarnagar(7

7), Shrawasti(76)

Lalitpur (76)

Pratapgarh (98),

Bareilly(101),

Lalitpur (102)

Muzaffarnagar

(109)

Gautam Buddha

Nagar(99),Mainp

uri(100),Lalitpur(

101),Muzaffarnag

ar(103),Saharanp

ur(106)

Lalitpur(100),

Saharanpur(100),

Bareily (101),

Shrawasti (104),

Muzaffarnagar(107)

Etawah,

Bareilly,

Muzzafarnagar,

Lalitpur

Poor

Performing

Chitrakoot (69),

Chandauli (69),

Rampur (70),

Kanpur Dehat

(70), C S M

Nagar (70),

Aligarh (70)

Hapur (47),

Bijnor(49),

Ghaziabad (50),

Rampur (50)

Kanpur Dehat

(51),

JP Nagar(51)

Hapur(47),

Chandauli(47),

J P Nagar(51)

Bijnor(52)

Lucknow(38),

Hapur(44),

Chandauli(44),

Balia(47),

Kanpur

Nagar(47)

Hamirpur(47)

Chandauli (59),

Azamgarh (62),

Kashi Ram

Nagar (63),

Hapur(66)

Meerut(66),

Mahoba (66)

Chandauli(60),Ma

hoba(62),Kanpur

Dehat(62),Meeru

t(64),Ballia(66)

Kanpur Dehat (62),

Shahjahanpur (64),

Mahoba(65),

Kushinagar (68),

Chitrakoot (68),

Ballia (68)

Hapur,

Bijnor,

JP Nagar

Chandauli

THANK YOU

ranking of districts on the basis of program review...

Documents