EL SALVADOR - Institute for Health Metrics and …Belize El SalvadorGuatemala Honduras Mexico...
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78.4% Salud Mesoamérica 2015 regions El Salvador health facility performance indicators Success stories EL SALVADOR Baseline 18-month follow-up Baseline 18-month follow-up 7001 availability of a functional fridge 7020 selected equipment Intervention BASELINE FOLLOW-UP Study design Health facilities with availability of equipment necessary for antenatal and postpartum care Baseline facilities (N=58) www.healthdata.org/salud-mesoamérica-2015-initiative 18-month follow-up facilities (N=51) 1 2 Facilities Medical records Medical records Households Facilities 65 60 0 3,625 1,621 BASELINE 18-MONTH FOLLOW-UP Not observed Observed 7001 7010 7020 7050 7193 Lamp BP apparatus Stethoscope Standing scale Speculum Lamp BP apparatus Stethoscope Standing scale Speculum 100 80 60 40 20 0 7001 fridge availability, 7010 child care, 7020 pre- and post-partum care, 7050 family planning, 7193 staff availability 42.6% Source: SM2015 Health Facility Observation Checklist Survey
Transcript of EL SALVADOR - Institute for Health Metrics and …Belize El SalvadorGuatemala Honduras Mexico...
78.4%
Salud Mesoamérica 2015 regions
El Salvador health facility performance indicators
Success stories
EL SALVADORBaseline 18-month follow-up
Baseline 18-month follow-up
7001 availability of a functional fridge
7020 selected equipment
Intervention
BASELINE FOLLOW-UP
Study design
Health facilities with availability of equipment necessary for antenatal and postpartum care
Baseline facilities (N=58)
www.healthdata.org/salud-mesoamérica-2015-initiative
18-month follow-up facilities (N=51)
1 2
Facilities Medicalrecords
MedicalrecordsHouseholds Facilities
65 600 3,625 1,621
BASELINE 18-MONTH FOLLOW-UP
Not observed Observed
7001 7010 7020 7050 7193
LampBP apparatusStethoscope
Standing scaleSpeculum
LampBP apparatusStethoscope
Standing scaleSpeculum
100
80
60
40
20
0
7001 fridge availability, 7010 child care, 7020 pre- and post-partum care, 7050 family planning, 7193 staff availability
42.6%
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
