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 |