Identification of health indicators and constitution of indices (composite indicators) for the Quality of Care and Performance Index (QoCPI) of the Ministry of Health and Population (MoHP) of Malawi

Area of competence: 
Integrated Primary Health Care
Donor organization: 
GIZ (German Agency for International Cooperation)
Start of Project: 
End of Project: 
Value of service: 
€ 163,050
Description of Project: 

Part of the activities of the Malawi German Health Programme (MGHP) involve promoting data use for decision support by leveraging the power of Information and Communication Technology (ICT). MGHP supports the Ministry of Health and Population (MoHP) and the health workforce to easily access data, including Health Management Information System (HMIS) data aggregated in the central repository - District Health Information System II (DHIS2), and use this on a routine basis for decision support.
The overall objective of the TC programme is to improve universal access to and use of high-quality basic health services in Malawi. The purpose of this activity is to create aggregate indicators (or indices) that can be easily leveraged for decision support at all levels of care, from national and district to health facility and community levels. The aforesaid indices are expected to be derived from actionable indicators that routinely monitor the quality of care and performance in primary health care as part of the existing heath management information system (HMIS).
The above goal of the activity will be achieved in several steps, outlined as specific objectives here: (1.) Convene key actors in the health sector and beyond to expose them to the QoCPI initiative and Primary Health Care Performance Index (PHCPI) approach, including the development of vital signs profiles (VSPs) using a progression model, to get buy-in and ensure ownership and leadership by MoHP. (2.) Identify and package primary health care (PHC) and quality of care (QoC) indicators; taking into consideration PHCPI indicators and classification pillars, namely financing, capacity, performance, and equity. (3.) Develop composite indices for each of these indicator families. (4.) Convene key stakeholders and populate the complete PHCPI VSP.

Description of Services: 

EPOS is responsible for providing the following services:
Identify key indicators in the MoHP data systems for the construction of indices (systematic review).
Define composite indicators (indices) using the PHCPI pillars for the classification of indices. Composites should be of high data quality, completeness, relevant to measure PHCPI pillars and the country context.
Define color-coded thresholds for the different performance rates of specific indicators and indices (traffic light concept).
Prototype coherent story-telling dashboards for configuration in various platforms (DHIS2, Health Situation Room, and the Vital Signs Profile).
Draft a dissemination strategy, including how to create and use the dashboards routinely and systematically and how to interpret these for decision support by various target audiences and levels of care.
Population of PHCPI indicators in the Vital Signs Profile platform.

Project Volume: 
€ 163,050