Monitoring universal health coverage reforms in primary health care facilities: Creating a framework, selecting and fieldtesting indicators in Kerala, India

13Citations
Citations of this article
107Readers
Mendeley users who have this article in their library.

Abstract

In line with the Sustainable Development Goals (SDGs) and the target for achieving Universal Health Coverage (UHC), state level initiatives to promote health with "no-one left behind"are underway in India. In Kerala, reforms under the flagship Aardram mission include upgradation of Primary Health Centres (PHCs) to Family Health Centres (FHCs, similar to the national model of health and wellness centres (HWCs)), with the proactive provision of a package of primary care services for the population in an administrative area. We report on a component of Aardram's monitoring and evaluation framework for primary health care, where tracer input, output, and outcome indicators were selected using a modified Delphi process and field tested. A conceptual framework and indicator inventory were developed drawing upon literature review and stakeholder consultations, followed by mapping of manual registers currently used in PHCs to identify sources of data and processes of monitoring. The indicator inventory was reduced to a list using a modified Delphi method, followed by facility-level field testing across three districts. The modified Delphi comprised 25 participants in two rounds, who brought the list down to 23 approved and 12 recommended indicators. Three types of challenges in monitoring indicators were identified: appropriateness of indicators relative to local use, lack of clarity or procedural differences among those doing the reporting, and validity of data. Further field-testing of indicators, as well as the revision or removal of some may be required to support ongoing health systems reform, learning, monitoring and evaluation.

References Powered by Scopus

Contribution of primary care to health systems and health

3505Citations
N/AReaders
Get full text

The utilisation of health research in policy-making: Concepts, examples and method of assessment

522Citations
N/AReaders
Get full text

The increasing burden of diabetes and variations among the states of India: the Global Burden of Disease Study 1990–2016

338Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Hypertension awareness, treatment, and control and their association with healthcare access in the middle-aged and older Indian population: A nationwide cohort study

36Citations
N/AReaders
Get full text

Building Resilient Health Systems: Patient Safety during COVID-19 and Lessons for the Future

13Citations
N/AReaders
Get full text

Intersecting sex-related inequalities in self-reported testing for and prevalence of Non-Communicable Disease (NCD) risk factors in Kerala

9Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Nambiar, D., Hari Sankar, D., Negi, J., Nair, A., & Sadanandan, R. (2020). Monitoring universal health coverage reforms in primary health care facilities: Creating a framework, selecting and fieldtesting indicators in Kerala, India. PLoS ONE, 15(8 August). https://doi.org/10.1371/journal.pone.0236169

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 29

67%

Researcher 9

21%

Lecturer / Post doc 3

7%

Professor / Associate Prof. 2

5%

Readers' Discipline

Tooltip

Nursing and Health Professions 16

42%

Social Sciences 9

24%

Medicine and Dentistry 8

21%

Economics, Econometrics and Finance 5

13%

Save time finding and organizing research with Mendeley

Sign up for free