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Table 2 Number of Iranian sub-national PHC Key Performance Indicators based on PHC levers

From: Developing Iranian sub-national primary health care measurement framework: a mixed-method study

PHC domain

results chain domain

Operational levers

Core levers

KPIs

Selected From WHO Framework

KPIs

Suggested by Expert Panel

Health systems determinants

Structure

Governance

Political commitment and leadership

0

2

Governance and policy frameworks

0

1

Engagement with communities and other multisectoral stakeholders

1

1

Engagement with private sector providers

1

0

Adjustment to population health needs

Monitoring and evaluation

2

0

PHC oriented research

1

1

Financing

Funding and allocation of financial resources

1

3

Purchasing and payment systems

0

1

Input

Physical Infrastructure

-

4

0

Health Workforce

-

6

0

Medicines and other health products

-

2

0

Health Information Systems

Information systems

6

0

Surveillance

1

0

Digital technologies for health

-

1

0

Service delivery

Process

Model of Care

Selection and planning of services

2

0

Service design

1

0

Organization and facility management

0

1

Community linkages and engagement

2

0

Systems for improving the quality of care

-

2

0

Resilient health facilities and services

-

1

0

Output

Access and availability

Accessibility, affordability, acceptability

2

0

Service availability and readiness

2

0

Utilization of services

0

1

Quality care

People-centeredness

0

2

Effectiveness

6

0

Safety

4

4

Efficiency

1

0

Timely access

0

2

Health system objectives

Outcome

Universal health coverage

Service coverage

5

0

Financial protection

1

0

Health security

-

3

0

Impact

Improved health status

Good Health and Well-being

7

0

Health-related SDGs

12

0

Responsiveness

-

0

1

Equity

-

3

0

Number of KPIs

80

20