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Calculating service use at a district and regional level Kovin Naidoo ICEE Africa Director Vice President AFCO
WHY? To improve services To make maximum use of existing services To provide the best quality of services To report progress to funding agencies etc
Measures of Importance Output (quantity) Outcome (quality) Outlay (cost)
Output (quantity) Is there a waiting list? Refraction Provision Rate Spectacle Provision Rate Spectacle Coverage Efficiency of the lab
Is there a waiting list? How many? Waiting period.
Refraction Provision Rate Refractions per year Target population
Spectacle Provision Rate Spectacles dispensed per year Target Population
Spectacle coverage Pxs with specs X 100 Pxs with specs + those needing specs
Outcome(Quality) Monitor: -Visual Acuity outcomes -Disease detected/referrals -Patient Satisfaction -Number of complains -Spectacle returns/remake
Lab Efficiency Number of spectacle jobs per day Waiting period for spectacles from time of order
Cost Containment Cost recovery Income generation
True cost of program Personnel: time and cost of full and part- time Spectacles Cases Travel Office Supplies Infrastructure costs
Management of Process Critical Formal structure for monitoring
Introduction to Monitoring and Evaluation for National TB Programs 20 September 2005.
Performance assessment A performance assessment framework is a collation of statistics across a district or within a hospital and is far removed from.
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1 Part two: Managing Service Quality Service branding (customer promises) and service productivity
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