ANNEX 2
PROJECT DESIGN MATRIX（PDM）（Ver. 0）
Project Title: Urban Health System Strengthening Project
- Implementing Organizations: Kabul Provincial Health Directorate (KPHD), Ministry of Public Health (MoPH)
- Target Group: (Direct) KPHD, (Indirect) Population of urban Kabul, especially the urban poor
- Target Site: Urban Kabul (18 districts)
(As of June 28, 2009)
Project Summary
SUPER GOAL
The urban health system model is scaled up in other
urban areas of Afghanistan.
OVERALL GOAL
Urban health services are effectively and efficiently
provided in Kabul.
PROJECT PURPOSE
The urban health system model is functioning in Kabul.
Objectively Verifiable Indicators
HMIS or statistics in MoPH
The MoPH’s policy on urban
health services does not
significantly change.
Proportion of health facilities with the
scores above national average in the
balanced scorecard survey(*2)
The publications “Afghanistan
Health Sector Balanced Scorecard
2010” and “Afghanistan Health
Sector Balanced Scorecard 2012”
The urban health system model
is approved as the national
standard by the MoPH.
1.
1.
2.
1-1.
1-2.
2.
Management capacity (planning and budgeting,
fundraising, monitoring and evaluation, data
collection and analysis) of the KPHD is
strengthened.
Important Assumptions
Coverage of the urban health system
model in urban areas
2.
OUTPUTS
1. An urban health system model(*1) is developed.
Means of Verification
2-1.
2-2.
2-3.
2-4.
Proportion of monitoring and
evaluation (M&E) visits
implemented as planned
Coverage of HMIS for public and
private health facilities
Records of M&E visits
Database of HMIS
Standards and guidelines for the
urban health system model
readily available
Operation manuals and training
materials for the urban health
system model readily available
1-1. Published standards and
guidelines
1-2. Published operation manuals
and training materials
Proportion of KPHD staff
trained
Proportion of KPHD staff using
training materials
No. of meetings held as planned
Submission rates of reports and
proportion of timely-submitted
reports to MoPH
2-1. List of staff, records of
training
2-2. Interview with KPHD staff
2-3. Meeting records
2-4. Reports to MoPH
ANNEX 2
Project Summary
ACTIVITIES
1-1 Organize a working group for consensus building
and progress monitoring
1-2 Design a situation analysis(*3) in urban Kabul
1-3 Conduct the situation analysis
1-4 Develop a evidenced-based testing model of urban
health system
1-5 Facilitate the approval process of the testing model
in MoPH
1-6 Test a model in urban Kabul (18 districts)
1-7 Finalize the urban health system model by
incorporating feedbacks acquired from the above
activities
2-1. Develop the strategies for management capacity
development of KPHD
2-2. Enhance information sharing mechanism in KPHD
2-3. Conduct on-the-job and organized training to
strengthen the management capacities of KPHD
staff
2-4. Improve regular reporting (contents and submission
rate) to MoPH
2-5. To organize a seminar to share the Project
achievements with relevant stakeholders
( 1)
*
*
( 2)
( 3)
*
Objectively Verifiable Indicators
INPUTS
Means of Verification
Japanese Side
1. Experts
(1) Project Manager/Health Policy
(2) Health Economics (Health financing & financial analysis)
(3) Health Management Information System (HMIS)
(4) M&E/Inspection
(5) Private Sector Health Services
(6) Household Survey
(7) Training Management
2. Provision of machinery and equipment
3. Acceptance of trainees
4. Operational cost except for salary of MoPH and KPHD personnel
Afghan Side
1. Assignments of counterparts
2. Facilities
(1) Land, buildings and equipment as required
(2) Office for Japanese experts
3. Salary of MoPH and KPHD personnel
4. Recurrent costs
Important Assumptions
Afghanistan does not fall into
any conflict or turmoil for
social, economic, political
reasons and natural disasters.
The MoPH and KPHD contact
out the urban BHPS to a
competent NGO(s) and the
NGO(s) will properly
implement the BPHS.
The private sector is willing to
take part in the urban health
system model.
PRECONDITION
The JSDF is approved for
implementation and testing the
Urban-BPHS.
An urban health system model consists of: (i) Urban-BPHS; (ii) Urban- EPHS; (iii) private sector health services; and (iv) stewardship by provincial health directorate.
External evaluation in the form of the random sampling survey supported by Johns Hopkins University Bloomberg School of Public Health and Indian Institute of Health Management
Research. A performance measurement and management tool for the BPHS. It evaluates the quality of service performance at primary care facilities in Afghanistan across six areas: (i)
patients and community; (ii) staff; (iii) capacity for service provision; (iv) service provision; (v) financial systems; and (vi) the MoPH vision. (Data source: Afghanistan Health Sector
Balanced Scorecard 2008)
In the situation analysis, primary and secondary data are collected in the field of: (i) health status; (ii) health seeking behaviors; and (iii) public and private health services.
Note: Targets of indicators will be set after the situation analysis (February, 2010).