Summary List of Indicators
Summary List of Indicators
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Family Planning
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Community-Based Family Planning Services
- Number of community-based family planning providers trained
- Percent of population living within two hours travel time from service delivery points providing family planning services
- Percent of respondents who report discussing family planning with a health or family planning worker or promoter in the past 12 months
- Percent of women using a modern family planning method who obtained their current method from a community-based worker
- Percent of community-based family planning providers who report not experiencing a stock-out in the past 6 months
- Number/percent of FP clients reached by a community-based worker in the past 12 months
- Number/Percent of community health workers certified to inject contraception
- Number/Percent of community health workers certified during the previous reporting period who received at least one in-person supportive supervision visit for providing injectable contraception within [x] months after successful completion of practicum
- Number/Percent of community health workers reporting a stock-out of injectables
- Number of injections provided
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Family Planning (Core)
- Family Planning Program Effort Index
- Number of first-time users of modern contraception
- Couple-years of protection (CYP)
- Method mix
- Contraceptive prevalence rate (CPR)
- Source of supply (by method)
- Contraceptive Continuation rates
- Unmet need for family planning
- Percent of births that are reported as unintended
- Desire for additional children
- Percent of women of reproductive age who have heard about at least three methods of family planning
- Percent of the population who know of at least one source of modern contraceptive services and/or supplies
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Family Planning and HIV
- Number/percent of HIV service delivery points that are providing integrated voluntary family planning services
- Percent of female clients of reproductive age attending HIV-related service delivery points with unmet need for family planning
- Percent of family planning clients who received HIV testing at the family planning service delivery point or were referred for HIV testing
- Percent of clients at HIV service delivery points who received voluntary family planning counseling (including safe contraception/safe pregnancy counseling)
- Number/percent of HIV service delivery points that offer at least three types of family planning methods
- Number and type of contraceptive methods available at HIV service delivery points
- Percent of clients at an HIV service delivery point who received a family planning method
- Number of clients who accept (for the first time in their lives) modern contraception at an HIV service delivery point
- Number/percent of clients who received a referral from an HIV service delivery point to a family planning clinic
- Percent of continuing care and treatment clients reporting unintended pregnancy
- Percent of HIV healthcare workers who completed a family planning training program
- Percent of HIV service delivery points that offer at least three types of family planning methods and have had documented routine supportive supervision of family planning/HIV services within the past 12 months
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Family Planning and Maternal and Child Health
- Number or percent of maternal and child health services clients who received counseling about LAM
- Number or percent of service delivery points which offer a range of appropriate contraceptive options for postpartum women
- Number or percent of providers at service delivery points who know the contraceptive options for postpartum women up to six months postpartum
- Number or percent of service delivery points that offer postpartum family planning integrated with other services, by type of service
- Evidence that preservice and/or inservice curricula includes postpartum care and pregnancy spacing/limiting components as part of postpartum family planning
- Percent of postpartum women with unmet need for contraception
- Number/percent of women who delivered in a facility and initiated or left with a modern contraceptive method prior to discharge
- Nombre ou percentage des femmes qui ont accouché dans un établissement et qui ont entrepris ou quitté l’établissement avec une méthode de contraception moderne avant la décharge
- Number or percent of women who delivered in a facility and received counseling on family planning prior to discharge
- Nombre ou pourcentage de femmes qui ont accouché dans un éstablissement et ont reçu des conseils sur la planification familiale avant la décharge
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Fertility
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Global Reproductive Health Indicators
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Healthy Timing and Spacing of Pregnancy
- Number of national, provincial, or district level policies, frameworks or guidelines, that include HTSP recommendations
- Number/percent of health and non-health workers trained in HTSP who can state the three HTSP recommendations, by type of trainee
- Number/percent of target population who can state at least one benefit of delaying first pregnancy until after 18 years old
- Number/percent of target population who can state at least one health benefit of waiting at least two years after last live birth before attempting the next pregnancy
- Percent of target population who can state at least one benefit of waiting 6 months after a miscarriage or abortion before attempting the next pregnancy
- Number/percent of married women under age 18 exposed to HTSP counseling/education who subsequently adopted a family planning method to delay first pregnancy
- Percent of children aged 0-23 months who were born (to mothers who have received HTSP counseling/education) at least 33 months after the previous surviving child
- Number/percent of women who received family planning information for pregnancy spacing during a postpartum/postabortion visit, by type of visit
- Number/percent of women, with a child under age two, exposed to HTSP counseling/education, who subsequently adopted a family planning method in order to space their next pregnancy
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Long-Acting and Permanent Methods
- Extent to which LAPMs are explicitly included in national RH or FP policies
- Extent to which LAPM supplies/equipment are on the approved import list
- Percent of CPR accounted for by LAPMs, broken down by method
- Percent of service delivery points offering a mixture of short-acting modern contraceptive and long-acting reversible contraceptive methods
- Percent of facilities offering a permanent method of family planning
- Number of health providers trained in long acting and permanent services
- Percent of facilities offering family planning services that provide referrals for LAPM
- Percent of facilities meeting minimum standards with regard to essential supplies and equipment to support provision of LAPMs
- Percent of facilities with appropriate staff to support quality LAPM services
- Percent of women and men who have heard of at least one LAPM
- Percent of clients who receive high quality, comprehensive counseling for LAPMs
- Percent of men and women who intend to use an LAPM in the future
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Method Choice
- Percent of service delivery points prepared to provide a specific service that have actively provided this service within the last month
- Percent of service delivery points offering a mixture of short-acting modern contraceptive and long-acting reversible contraceptive methods
- Percent of facilities offering a permanent method of family planning
- Percent of clients referred to other family planning services
- Method mix
- Method information index
- Source of supply
- Percent of women whose demand is satisfied for a modern method of contraception
- Percent of women who obtained contraceptive method of choice
- Percent of women who chose their contraceptive method individually or jointly
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Repositioning Family Planning
- Evidence of FP policies implemented, resources allocated and subsequently used in relation to the same FP policy
- New and/or increased resources are committed to FP in the last two years
- Evidence of international FP best practices incorporated into national health standards
- Evidence of entities provided with donor assistance that demonstrate capacity to independently implement FP activities
- Evidence that policy barriers to equitable and affordable FP services and information have been identified and/or removed
- Evidence of instances of the implementation of policies that promote FP services and information
- Evidence of targeted public and private sector officials, FBOs, or community leaders publicly demonstrating new or increased commitment to FP
- Evidence of governments engaging multiple sectors in FP activities
- Evidence of data or information used to support repositioning FP efforts
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Sexual and Reproductive Health
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Women’s Health
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Adolescent and Youth Sexual and Reproductive Health
- Existence of supportive adolescent and youth sexual and reproductive health policies
- Adolescents are/were involved in the design of materials and activities and in the implementation of the program
- Number of young people trained as peer educators
- Percent of young people trained as peer educators who are active during a reference period
- Number/percent of health workers trained to provide adolescent and youth-friendly services
- Percent service delivery points providing youth friendly services
- Sexual and reproductive health education curriculum conformity to “best practices”
- Number/percent of schools offering comprehensive sex education
- Percent of adults in community who have a favorable view of the program
- Percent of adolescents aware of the program
- Number/percent of adolescents served or reached by the program
- Sexual and reproductive health knowledge
- Percent of adolescents who have “positive” attitudes toward key sexual and reproductive health issues
- Percent of adolescents who are confident that they could refuse sex if they didn’t want it
- Percent of adolescents who are confident that they could get their partner(s) to use contraceptives/condoms if they desired
- Percent of youth who believe they could seek sexual and reproductive health information and services if they needed them
- Use of specified sexual and reproductive health services by young people
- Age at first intercourse
- Percent adolescents who have ever had sex
- Number/percent of adolescents who have experienced coercive or forced sex
- Number of youth who have ever received money or other form of exchange for sex
- Age mixing in sexual partnerships among young women
- Number of sexual partners among sexually active adolescents during a specified reference period
- Percent of adolescents who were ever diagnosed and treated for an STI
- Percent of girls vaccinated with 2 doses of HPV vaccine by age 15 years
- HIV prevalence among young people (15-24)
- Condom availability for young people (15-24)
- Percent of sexually active young people who used a condom at first/last sex
- Percent of sexually active, unmarried adolescents who consistently use condoms
- Percent of adolescents who regularly use drugs/alcohol
- Percent of adolescents who feel “connected” with their parents/family
- Percent of sexually active young people who used contraception at first/last sex
- Contraceptive prevalence rate among young people
- Unmet need for family planning among young people
- Percent of young people who have ever been pregnant or caused a pregnancy
- Antenatal care use at age less than 20 years
- Adolescent birth rate
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Breastfeeding
- National policy adopted on all provisions stipulated in the International Code of Marketing of Breast Milk Substitutes
- Percent of children born in the last 24 months who were put to the breast within one hour of birth
- Proportion of infants 0-5 months of age who are fed exclusively with breast milk
- Percent of infants ages 6 to 8 months who receive complementary food
- Percent of eligible women who use the lactational amenorrhea method as their method of family planning
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Cervical Cancer
- Existence of national cervical cancer prevention policy
- Percent health facilities offering cervical cancer screening services
- Number of health workers trained in cervical cancer screening
- Percent of women 30-49 who are aware that screening exists for cervical cancer
- Percent of women 30-49 who have been screened at least once for cervical cancer
- Percent of VIA (visual inspection with acetic acid) screenings that test positive
- Percent of screened positive women who have received treatment
- Mortality rate from cervical cancer
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Female Genital Cutting
- Law prohibits all forms of FGC
- Percent of the population with correct knowledge about FGC
- Percent of the population favorable to the continuation of FGC
- Number of communities that have publicly engaged to abandon FGC
- Percent of women 15-19 years old who have undergone FGC
- Among cut women aged 15-19, the nature of the procedure performed
- Among cut women aged 15-19, percent who had it performed by a medical practitioner
- Percent of mothers aged 15-49 who have at least one daughter who is cut
- Percent of women who do not intend to have any of their daughters undergo FGC
- Percent of sevice delivery points providing medical and psychological services and referrals for women/girls with FGC complications
- Number of health providers trained in FGC management and counseling
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Malaria in Pregnancy
- Number/percent of antenatal clinic staff trained in the control of malaria during pregnancy in the past 12 months
- Percent of health facilities without stock-outs of first-line antimalarial medicines, mosquito nets and diagnostics, by month
- Number/percent of pregnant women who received two or more doses of IPTp while attending antenatal care
- Number/percent of women aged 15-49 who received two or more doses of IPTp during their last pregnancy
- Number/percent of women who were treated for malaria during their most recent pregnancy
- Percent of pregnant women who report having slept under an ITN the previous night
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Newborn Health
- Percent of audience who know at least three warning/ danger signs of newborn complications
- Percent of newborns receiving immediate care according to MOH guidelines
- Percent of deliveries in which a perinatal clinical record was properly completed
- Percent of deliveries in which a partogram is correctly used
- Percent of home births with cord cut with clean instrument
- Percent of newborns with nothing harmful applied to cord (for home and facility deliveries)
- Percent of newborns dried immediately after delivery (for home and facility deliveries)
- Percent of newborns with delayed bath (for home and facility deliveries)
- Percent of newborns receiving a postnatal care check within two days of birth
- Percent of low birth-weight singleton live births, by parity
- Percent of infants born to HIV-infected mothers who are infected
- Number of neonatal tetanus cases
- Neonatal mortality rate (NMR)
- Perinatal mortality rate (PMR)
- Birth weight specific mortality rate (BWSMR)
- Percent of women with a live birth who reported seeking care from a skilled provider for a sick newborn
- Intrapartum and very early neonatal death rate
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Obstetric Fistula
- Obstetric fistula prevalence
- Existence of a national ostetric fistula policy or strategy
- Obstetric fistula data collected in the HMIS database
- Number of doctors trained in obstetric fistula repairs
- Number of facilities with functioning obstetric fistula surgical treatment capacity
- Surgical competency upon completion of obstetric fistula training
- Met need for surgical treatment among women diagnosed with obstetric fistula seeking surgical repair services
- Percent of women presenting with obstetric fistula who have a successful first repair, by facility
- Percent of women who have been treated for obstetric fistula who receive family planning or birth spacing counseling
- Percent of obstetric fistula treatment facilities that provide social reintegration services
- Percent of women who have been treated for obstetric fistula who receive reintegration services
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Postabortion Care
- Legal status of abortion
- Policy status of abortion
- Abortions per 1,000 women of reproductive age
- Percent of obstetric and gynecological admissions owing to abortion
- Number/percent of service delivery points providing postabortion care services by type and geographic distribution
- Number/percent of practitioners trained in postabortion care by type and geographic distribution
- Percent of service delivery points providing postabortion care services that meet a defined standard of quality
- Percent of women receiving postabortion care services who receive pain medication prior to the uterine evacuation procedure
- Number/percent of service delivery points that offer contraception to postabortion care clients
- Percent of postabortion care clients counseled on contraception
- Percent of deaths related to unsafe abortion
- Percent of postabortion care clients who left the facility with a contraceptive method
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Reproductive Health in Emergency Situations
- Number of incidents of sexual violence reported per 10,000 population
- Percent of health facilities with adequate supplies for universal precautions
- Number of condoms distributed per 10,000 population
- Number of clean delivery kits distributed
- Coverage of HIV rapid tests for safe blood transfusion
- Availability of clinical management of rape survivors
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Safe Motherhood
- Existence of a safe motherhood strategic or operational plan to promote access and/or quality of safe motherhood services
- Minimum package of antenatal care services defined
- Maternal neonatal program index (MNPI)
- Number of facilities per 500,00 providing basic and comprehensive emergency obstetric care
- Geographic distribution of EmOC facilities
- Percent of health facilities with skilled attendant (doctor, nurse or midwife) available 24 hours a day, 7 days a week
- Percent of communities that have an emergency transport plan in place
- Percent of audience that know three primary warning/danger signs of obstetric complications
- Percent of skilled health personnel knowledgeable in obstetric warning signs
- Percent of women attended, at least once during their pregnancy, by skilled health personnel for reasons relating to the pregnancy
- Percent women attended at least four times for antenatal care during pregnancy
- Percent of pregnant women whose blood pressure was checked at first ANC visit
- Percent of pregnant women who had weight checked at first ANC visit
- Percent of pregnant women attending antenatal clinics screened for syphilis
- Percent of women who received at least two doses of tetanus-toxoid vaccine in their last pregnancy
- Percent of pregnant women who receive anthelminthic treatment during pregnancy
- Percent of deliveries attended by skilled health personnel
- Percent of births in health facilities
- Percent of all births in EmOC facilities
- Percent of women who received prophylactic oxytocin for vaginal delivery before delivery of placenta
- Percent of mothers examined every 30 minutes during the first two hours after delivery
- Percent of women discharged from facilities in less than 24 hours after childbirth
- Percent of women receiving postpartum care by a skilled health personnel within two days of childbirth
- Percent women receiving postpartum/ postabortion family planning counseling (as a percent of women seen)
- Percent of maternal deaths due to indirect causes at EmOC facilities
- Percent of facilities that conduct case review/audits into maternal death/near miss
- Percent of pregnant women with obstetrical complications treated within two hours at a health facility
- Cesarean sections as a percent of all births
- Case fatality rate (CFR) – all complications
- Direct obstetric case fatality rate
- Maternal mortality ratio (MMR)
- Met need for EmOC
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Sexual and Gender-Based Violence
- Existence of a policy on SGBV
- Law prohibits marital rape
- Availability of social services within an acceptable distance
- Number of individuals using SGBV social services
- Number of cases of SGBV reported to health services
- Percent of target audience who say that wife beating is an acceptable way for husbands to discipline their wives
- Number of service providers trained to identify, refer, and care for SGBV survivors
- Percent of health units with at least one service provider trained to care for and refer SGBV survivors
- Percent of health units that have documented and adopted protocol for the clinical management of SGBV services
- Attitudes of health care providers towards SGBV survivors or services
- Prevalence of SGBV among men and women
- Number of programs implemented for men and boys that include examining gender and culture norms related to SGBV
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Sexually Transmitted Infections and HIV/AIDS
- AIDS Program Effort Index (API)
- National policy on STI/HIV/AIDS control
- Condoms available for distribution nationwide
- Percent of population with accepting attitudes towards those living with HIV
- Percent of population who correctly identify ways of preventing HIV
- Percent of population who reject incorrect beliefs about HIV/AIDS
- Voluntary counseling and testing centers with minimum conditions to provide quality services
- Antenatal clinics offering and referring for voluntary counseling and testing
- Percent of population who know methods of preventing mother-to-child transmission of HIV
- Percent of men and women aged 15-49 who received an HIV test in the last 12 months and who know their results
- Percent of pregnant women who were counseled and tested for HIV and know their results
- HIV prevalence among pregnant women 15-24 years old
- Number/percent of health providers trained in PMTCT
- Percent of all HIV positive pregnant women who received a complete course of ART prophylaxis
- Percent of HIV positive pregnant women who received appropriate treatment in labor, according to PMTCT recommendations
- Percent of infants of HIV-positive mothers receiving ARVs for PMTCT at birth
- Percent of population who had high risk sex in the last year
- Condom use at last high-risk sex
- Percent of women and men aged 15-49 who had more than one sexual partner in the past 12 months reporting the use of a condom during their last sexual intercourse
- Consistency of condom use
- Percent of men having commercial sex in last year
- Percent of men reporting the use of a condom the last time they had anal sex with a male partner
- Percent of young women and men aged 15-24 who have had sexual intercourse before the age of 15
- Percent of young people (15-24) having multiple partners in last year
- HIV prevalence in sub-populations with high-risk behavior
- Percent of injecting drug users never sharing equipment in the last month
- Percent of donated blood units screened for HIV in a quality assured manner
- Percent of STI patients appropriately diagnosed and treated
- Percent primary health care facilities providing comprehensive approaches for symptomatic STIs
- Percent of STI patients receiving advice on condom use and partner notification and referral for HIV testing
- Percent of health facilities providing STI services with adequate drug supply
- Number/percent of health facilities with the capacity to deliver appropriate care to HIV-infected patients
- Percent of adults and children with advanced HIV infection receiving ART
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Women’s Nutrition
- Percent of women who gain weight in the last two trimesters of pregnancy within the recommended range for their weight status
- Percent of non-pregnant women of reproductive age who have a low body mass index (BMI
- Percent of non-pregnant women of reproductive age who have a high body mass index (BMI>25)
- Percent of women with a low mid-upper arm circumference (
- Percent of service delivery points with adequate supplies of mineral/vitamin supplements
- Percent of pregnant women who receive the recommended number of iron/folate supplements during pregnancy
- Anemia testing included as component of basic antenatal care package
- Percent pregnant women tested for anemia
- Percent of women of reproductive age with anemia
- Percent of women living in households using adequately iodized salt
- Percent of women with a live birth in the last two years who received high-dose Vitamin A within eight weeks (six weeks if not breastfeeding) of their last live birth
- Percent of women with low serum vitamin A concentration
- Percent of women with night blindness in last pregnancy
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Women’s Nutrition and HIV
- National policy on nutrition and HIV, including a postnatal nutritional care and support policy
- Number/percent of HIV care and treatment sites with at least one service provider trained in a ministry of health-approved course on nutrition and HIV
- Number/percent of HIV care and treatment sites providing individual nutrition counseling services
- Number/percent of women (15-49) with HIV who were nutritionally assessed with anthropometric measurement during reporting period
- Number/percent of women (15-49) with HIV who were found to be undernourished during reporting period
- Implementation of postnatal nutritional care and support policy at PMTCT sites.
- Number/percent of women of reproductive age with HIV who were assessed with anthropometric measurement and who also received therapeutic or supplementary food during the reporting period
- Number/percent of women of reproductive age with HIV who were assessed with anthropometric measurement and who also received nutrition counseling during the reporting period
- Percent HIV positive women who have MUAC
- Infant feeding in three specific areas: 1. Percent HIV-exposed infants who are exclusively BF at 3 months 2. Percent HIV-exposed infants who are replacement feeding at 3 months 3. Percent HIV-exposed infants who are mixed feeding at 3 months
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Men’s Health
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Male Circumcision
- Degree of supportive policy and legislative environment
- Proportion of males circumcised in the intended population
- Number of institutions delivering minimum package of male circumcision services
- Number of health providers trained in male circumcision
- Percent of population aged 15-49 years with correct knowledge of male circumcision for HIV prevention
- Percent of uncircumcised males (or parents of) with a stated intention to be circumcised (have next-born or teenage sons circumcised) in the next 12 months (or at birth) in the intended population
- Number of male circumcisions performed according to national standards during the reporting period
- Number/percent of circumcised males experiencing at least one moderate or severe adverse event during or following surgery, during the reporting period
- Number/percent of persons seeking male circumcision services tested for HIV on site
- Percent of males circumcised who received counseling on risk reduction and who received condoms during the reporting period
- Percent of males circumcised who had at least one postoperative follow-up visit (routine or emergency), during the reporting period
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Male Engagement in Reproductive Health Programs
- Availability of accessible, relevant, and accurate information about sexual and reproductive health tailored to young men
- Number of visits to male-focused services, by type of service
- Percent of men (husbands) who are supportive of their partners’ reproductive health practices
- Percent of men who accompany their partner to an antenatal care visit
- Percent of men present at the health facility during the birth of last child
- Percent distribution of contraceptive methods currently used by men or their sexual partners
- Percent of men who have ever used any male family planning method or family planning method that requires male cooperation
- Men’s condom use at last sex
- Number of family planning providers trained on male-specific family planning
- Number or percent of vasectomy referrals
- Number or percent of facilities that offer vasectomy services
- Number of vasectomies performed
- Inclusion of vasectomy in family planning guidelines/strategies, regulations, or policies
- Percent of men who support the use of modern contraception for themselves or their partners
- Percent of men who share in the decision making of reproductive health issues with their spouse or sexual partner
- Percent of men who disagree that contraception is a woman’s business and a man should not have to worry about it
- Evidence of engagement of men in family planning incorporated in national health standards or policies
- Attitudes towards gender norms (GEM Scale)
- Number of family planning providers trained on gender equity and sensitivity
- Number of national-level programs/ policies/advocacy campaigns that address gender equity
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Gender
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Women and Girls’ Status and Empowerment
- Percent of women who have completed at least four years of schooling
- Percent of women who have completed at least ten years of education
- Percent of women who earn cash
- Percent of women who mainly decide how their own income will be used
- Percent of women who own property or productive resources in their name
- Participation of women in household decision-making index
- Percent of women who have weekly exposure to mass media
- Age at first marriage
- Law requires free and full consent of parties to a marriage
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Service Delivery
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Service Delivery (Core)
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Access to Sexual and Reproductive Health Services
- Existence of national laws, regulations, or policies that limit access to effective family planning services for unmarried and/or young people
- Percent of population living within two hours travel time from nearest facility offering a specific reproductive health service
- Number of service facilities offering a specific reproductive health service per 500,000 people
- Cost of one month’s supply of contraceptives as a percent of monthly wages
- Percent of facilities with non-medical restrictive eligibility criteria
- Percent of non-use related to psycho-social barriers
- Percent of primary health care facilities providing family planning services
- Service delivery points providing appropriate medical, psychological, and legal support for women and men who have been raped or experienced incest
- Number of communities with established referral systems between the community and primary, secondary, and tertiary resources for reproductive health services
- Number/percent of clients referred to other reproductive health services
- Service Availability and Readiness Assessment (SARA)
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Gender Equity and Sensitivity in Service Delivery
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Program Management in Sexual and Reproductive Health Services
- Availability of a clear, strategic mission statement
- A well-aligned strategic plan exists and is disseminated
- Percent of annual objectives achieved by the organization
- Availability of logical and explicit organizational structure
- Percent of employees who have completed their annual performance reviews with their supervisors for the last performance period
- Percent of key positions filled
- Staff turnover rate
- Availability and use of a coherent planning system
- Number/percent of organization/program units systematically using information to plan and monitor performance
- Number/percent of reporting units submitting a completed routine management information systems report on time
- Percent of data elements reported accurately in MIS reports
- A system for quality assurance has been institutionalized
- The budget is linked to the annual operational plan for the current year
- The financial management system produces accurate, timely information
- Percent of annual revenue generated from diverse sources
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Quality of Care in Sexual and Reproductive Health Services
- Percent of facilities prepared to provide the essential services
- Percent of facilities with systems that support quality service delivery (assessed separately for each service)
- Quick investigation of quality
- Percent of facilities where service providers for specific services provide the services in adherence to expected expected standards
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Social and Behavior Change Communication
- Percent of audience reporting exposure to family planning messages on radio, television, electronic platforms, or in print
- Percent of audience who recall hearing or seeing a specific product, practice, or service
- Percent of audience with a favorable (or unfavorable) attitude toward the product, practice, or service
- Percent of audience who perceive risk in a given behavior
- Percent of audience who believe that the recommended practice/product will reduce their risk
- Percent of nonusers who intend to adopt a certain practice in the future
- Percent of audience who practice the recommended behavior
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Training in Service Delivery
- Number of trainees by type of personnel and topic of training
- Number/percent of trainees who have mastered relevant knowledge
- Number/percent of trainees competent to provide specific services upon completion of training
- Number/percent of trainees assigned to an appropriate service delivery point and/or job responsibilities
- Number/percent of trained providers who perform to established guidelines/standards
- Number/percent of training events that achieve learning objectives
- Organization has the capacity to maintain a functional information system on its training program
- Number of faculty and trainers who demonstrate the use of professional core training competencies on the job
- Organization has a systematic process for follow-up and support of trainees after the training event
- Existence of training strategy based on needs assessment to improve quality of service delivery
- The organization systematically evaluates its training program to improve effectiveness
- Demonstrated organizational capacity to carry out training on a sustained basis
- Adaptability of the organization/system to changing needs in a training environment
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Health Service Integration
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Population, Health, and Environment
- Number of linked messages/materials created
- Number of instances of population, health, or environment organizations addressing non-traditional audiences
- Number of instances of organizations facilitating access to services outside of their traditional sectors
- Percent of communities in target/project areas receiving all three PHE elements
- Number of enabling local ordinances/policies supporting PHE
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Health Systems
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Health System Strengthening
- Number and distribution of health facilities per 10,000 population
- Number and distribution of inpatient beds per 10,000 population
- Number of outpatient department visits per 10,000 population per year
- Government health expenditure on reproductive health
- The ratio of household out-of-pocket payments for healthcare to household income
- Number of health workers per 10,000 population by type of health worker
- Distribution of health workers, by occupation/specialization, region, place of work and sex
- Existence of designated mechanisms charged with analysis of RH statistics
- Two or more population-based data points for maternal mortality in the last 10 years
- Percent of births registered in the country
- Percent of deaths registered in the country
- Average availability of 14 selected essential medicines in public and private health facilities
- Median consumer price ratio of 14 selected essential medicines in public and private health facilities
- Existence of a comprehensive reproductive health policy consistent with the ICPD action plan
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Policy Environment
- Existence of national/subnational or organizational policies or strategic plans that promote equitable and affordable access to high-quality family planning and reproductive health services and information
- Evidence that policy barriers to equitable and affordable reproductive health services and information have been identified, addressed and/or removed
- Percent of government health budget allocated to family planning and reproductive health
- Types of financing mechanisms for the delivery of family planning/reproductive health goods and/or services identified, tested, and/or officially adopted
- Existence of official policy incentives to stimulate and/or increase private sector financing and/or delivery of family planning/reproductive health services and/or commodities
- Institution has the technical capacity and inter-institutional relationships to implement family planning/reproductive health policies
- Evidence that systems exist for monitoring the progress made in implementing family planning/reproductive health policies
- Evidence of civil society involvement in developing family planning/reproductive health policies
- Evidence of civil society participation in monitoring the implementation of family planning/reproductive health policies
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Private Sector
- Number/percent of government-initiated mechanisms that support private sector provision of health services
- Number of policy changes that have been implemented to enhance the policy environment for private sector family planning service expansion
- Number of public/private partnerships established or brokered that lead to health systems strengthening
- Number of private sector interventions established, expanded or strengthened that increase the supply of quality family planning products or services to target populations
- Number and percent of private sector outlets that provide a specific family planning service meeting national and/or international quality standards
- Number and percent of women and men aged 15-49 who use a private sector source to obtain modern family planning methods
- Percent of contraceptives available from the private sector
- Per contraceptive method, percent sourced from the private sector
- Number and type of commercial contraceptive products on the market and their prices
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Supply Chain
- Percent of total spent on procurement of family planning commodities for public sector services by the national government, U.S. government, the United Nations Population Fund, or other sources
- Percent of program-supported countries that have a functional logistics coordination mechanism in place
- Percent of countries conducting annual forecasts
- Percent of family planning stock status observations in storage sites where family planning commodities are stocked according to plan
- Procurement plans and coordination among suppliers/donors are monitored/managed by the program
- Service delivery point reporting rate to the logistics management information system
- Percent of facilities whose stock levels ensure near-term product availability
- Stockout rate at service delivery points
- Occurrence of stockouts for any contraceptive or other identified reproductive health commodity at the central-level warehouse during a specified time period
- Percent of previously program-supported supply chain functions currently conducted by national authorities without external assistance
- Supply chain technical staff turnover rate
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Total Market Approach
- Total number of each type of family planning product and service needed to meet the demand for family planning
- Total number of each type of family planning product or service sold, distributed, or provided across all sectors
- Total market value of all family planning products and services sold
- Total number of unsubsidized brands available on the market for each family planning product
- Stockout rate at service delivery points
- Percent of service delivery points reporting gaps in availability of each family planning method or service
- Percent of total family planning products or services sold, distributed, or provided by the market leader
- Percent of current modern family planning users who last obtained their family planning method from each supply sector
- Percent of women of reproductive age who know at least one family planning source
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Family Planning Workforce
- Stock and density of human resources for health
- Number and/or percent of preservice education institutions that incorporate family planning in their curricula
- Number or percent of graduates of preservice education programs who are newly employed in the health workforce
- Number or percent of trainees assigned to an appropriate job responsibility
- Number and/or percent of training institutions that incorporate current family planning priorities in their in-service curricula
- Number and/or percent of health workers who have received in-service training or continuous professional development in family planning or a related topic of interest
- Number or percent of trainees who have mastered relevant knowledge and/or skills at the conclusion of the training
- Number or percent of trainees who perform to established guidelines/standards
- Number of individuals trained to conduct supportive supervision
- Number or percent of service delivery points receiving supportive supervision visits
- Number or percent of women who report satisfaction with their family planning provider
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Monitoring and Evaluation Resources