Use of Balanced Scorecard Methodology for Performance Measurement of the Health Extension Program in Ethiopia.

ABSTRACT: In 2004, Ethiopia introduced a community-based Health Extension Program to deliver basic and essential health services. We developed a comprehensive performance scoring methodology to assess the performance of the program. A balanced scorecard with six domains and 32 indicators was developed. Data collected from 1,014 service providers, 433 health facilities, and 10,068 community members sampled from 298 villages were used to generate weighted national, regional, and agroecological zone scores for each indicator. The national median indicator scores ranged from 37% to 98% with poor performance in commodity availability, workforce motivation, referral linkage, infection prevention, and quality of care. Indicator scores showed significant difference by region (P < 0.001). Regional performanc

SUBMITTER: Teklehaimanot HD 

PROVIDER: S-EPMC4856618 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature