Leadership Mentorship for Maternal Newborn and Child Health
A programme for District Clinical Specialist Teams in KwaZulu-Natal
Indicators for the baseline assessment of Child Health
Indicator
Type
Numerator
Denominator
Data
source(s)
Provincial
target/
norm
National
target/
norm
<4%
Data
collection
process
Data
collection
form
Request
from the
DIO/FIO
Verify through
data
collection
forms
provided:
Hospital
Review form
and Clinic
Review form
Comments
Health outcomes
Baby PCR test positive
around 6 weeks rate
Baby HIV antibody test
around 18 months
positive rate
Severe malnutrition under
5 years incidence
Incidence of diarrhoea
cases - children under 5
years
Baby PCR test positive at
6 weeks
Baby HIV antibody test
around 18 months
positive
Severe malnutrition under
5 years - new
Live births to HIV infected
women
DHIS
<5%
Babies HIV antibody tests
around 18 months
DHIS
15%
Catchment population under
5 years
DHIS
%
Diarrhoea cases under 5
years - new
Target population under 5
years
DHIS
Number of pneumonia
cases – children under 5
years
Count
Number of pneumonia
cases – children under 5
years
Facility infant mortality
rate (under 1 year)
per 1000
Facility child mortality
rate (under 5 years)
per 1000
Number of infants dying
at the clinics
%
%
per 1000
Count
Inpatients deaths under 1
year total
Number of children under
5 years who die in one
year (facility).
Number of infants dying
at the clinics
DHIS
Inpatient separations under 1
year total
DHIS
Total number of live births
during that year.
DHIS
Observation
Reduce
by 20%
from
baseline
Clinic
review
form
Page 1 of 6
Quality of care
Baby Nevirapine uptake
rate
Baby Co-Trimoxazole
around 6 weeks uptake
rate
Baby PCR testing at 6
weeks rate
Baby HIV antibody testing
around 18 months rate
%
Baby given Nevirapine
within 72 hours after birth
Live births to HIV positive
women
DHIS
100%
100%
%
Baby initiated on CoTrimoxazole at 6 weeks
Live births to HIV positive
women
DHIS
100%
100%
Number of babies PCR
tested at 6 weeks
Number of babies HIV
antibody tests
Vitamin A supplement
given to infants 6-11
months
Live births to HIV positive
women
Live births to HIV positive
women
DHIS
100%
100%
Target population 6-11 months
DHIS
100%
Vitamin A supplement to
children 12-59 months
Target population 12-59
months x 2
DHIS
40%
%
%
Vitamin A coverage under
1 year (6-11 months)
%
Vitamin A coverage – (1259 months)
%
Children are listed in the
TB Suspect Register
DHIS
Observation
Number of ARV
prophylaxis to CHILD <12
yrs sexual assault case new
%
Proportion of clinics with
PHC supervisor quality
reports (checking IMCI
classification)
Proportion
% of Mothers exclusively
breastfeeding at 14 weeks.
%
Number of ARV
prophylaxis to CHILD <12
yrs sexual assault case new
Number of clinics for
which the PHC supervisor
has regular quality reports
(checking IMCI
classification)
No of Mothers exclusively
breastfeeding at 14 weeks
(Number of babies /
children who have been
fed only breast milk in the
last 24 hours at 14 weeks
EPI visit for Hepatitis B
Vaccine 3rd dose)
Number of CHILD <12 yrs
sexual assault case - new
DHIS
100%
Total number of clinics in the
district
DHIS
100%
DHIS
40%
The number of babies that
received Hepatitis B vaccine
3rd dose at 14 weeks
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Utilisation of health services
Utilisation rate under 5
years - PHC
Immunisation coverage
under 1 year (annualised)
Pentaxim Drop-out rate
Weighing coverage under
5 years (annualised)
Count
%
%
PHC headcount under 5
years (per quarter)
Children fully immunised
under 1 year.
No of children who
dropped out between 1st
and last dose
Number of Children under
5 years weighed.
Total catchment population
under-5 years
Target population under 1 year
No of children who received
the 1st dose
DHIS
DHIS
>97%
DHIS
Target population (under 5)
DHIS
4
weighings
per child
per year
Page 3 of 6
Health Systems Indicators / Enabling environment
Staffing
Number of households per
CCG
Number of CCGs trained in
HCC-IMCI
Number of clinics
providing under-5 services
with up to 80% of
Professional Nurses
trained and practising
IMCI
Ratio
Number of households
Count (Number)
Count (Number)
Number of CCG trained in
HCC-IMCI per sub-district.
Number of clinics
providing under-5 services
with up to 80% of
Professional Nurses
trained and practising
IMCI
Number of CCGs in the subdistrict
Number of CCGs in the subdistrict
Observation
Observation
Total number of clinics in the
district
Observation
Number of hospitals
Implemented the
accepted norm for number
of paediatric beds
Total no of hospitals
Observation
Number of hospitals that
meet the room and bed
space allocation
Total no of hospitals
Observation
Total no of hospitals
Observation
Total no of clinics and CHCs
Observation
Total no of clinics and CHCs
Observation
Beds
Proportion hospitals
Implemented the
accepted norm for
number of paediatric beds
Proportion of hospitals
that meet the room and
bed space allocation
Proportion
Proportion
Equipment
Proportion District (Level
1) Hospitals that meet
equipment requirements
as per checklist
Proportion of clinics and
CHCs meeting the
equipment requirements
as per checklist
Proportion
Proportion
Number of District (Level
1) Hospitals that meet
equipment requirements
as per checklist
Number of clinics and
CHCs meeting the
equipment requirements
as per checklist
Drugs
Proportion of clinics and
CHCs meeting the drug list
required as per IMCI
programme requirements
and the Essential Drug List
Proportion
Number of clinics and
CHCs meeting the drug list
required as per IMCI
programme requirements
and the Essential Drug List
Page 4 of 6
Supervision
% Child related adverse
events investigated
EPI Coordinator completed
the EPI prioritisation
process (RED strategy)
%
Number of child related
adverse events
investigated
Y/N
Number of child related
adverse events reported
Observation
Observation
Referral support
Number of < 5yrs
paediatric (sick neonates
and children) referrals
from Level 1 to Level 2
turned down (state
condition and reason
under 'comment' column)
Number of calls logged
child referrals (Level 1 to
Level 2)
Observation
Observation
EMRS
Page 5 of 6
Monitoring and evaluation
Proportion of District
(Level 1) Hospitals with
evidence of monthly audit
meeting with action plan
[Perinatal and Child]
Proportion District (level
1) Hospitals where
Perinatal and Child
monthly audit meetings
attended by
Representative from
Senior Management
Proportion District (Level
1) Hospitals with PPIP/
ChPIP champion
DIO with quarterly data
quality assessment report
Proportion of facilities
conducting their own
quarterly data verification
process (with minutes of
meeting as evidence)
Proportion
Number of District (Level
1) Hospitals with evidence
of monthly audit meeting
with action plan
Total number of District (Level
1) Hospitals in the District
Observation
Direct
observation
Hospital
Review
form
Proportion
Number District (level 1)
Hospitals where all
monthly audit meetings
attended by
Representative from
Senior Management
Total number of District (Level
1) Hospitals in the District
Observation
Direct
observation
Hospital
Review
form
Proportion
Number District (Level 1)
Hospitals with PPIP
champion
Total number of District (Level
1) Hospitals in the District
Observation
Direct
observation
Hospital
Review
form
Observation
Direct
observation
Proportion
Number of facilities
conducting their own
regular data verification
process
Total number of facilities
Clinic
review
form
Page 6 of 6