Table 4. Baseline District Performance in Six Health System Domains.

Domain	Districts scores(mean)
Domain A: Patients and community:	Chongwe	Kafue	Luangwa
Patient satisfaction children index	65.4	58.3	61.9
Patient satisfaction Adult index	72.9	70.1	76.3
Service coverage Children index	71.8	73.	76.4
Service coverage Adult index	51.0	52.5	57.1
Domain B: Human resources
Health worker motivation scores	88.8	86.0	90.5
Training in the past 12 months	72.2	58.6	76.9
Domain C: Service capacity
Basic Infrastructure index	76.9	76.4	75.8
Basic equipment index	84.0	67.1	65.0
Laboratory capacity index	76.5	62.5	67.0
Tracer drugs index	87.9	87.6	88.4
Infection control index	82.0	80.2	88.9
Domain D: Finance
Finance index	* 47.6	44.0	66.7
Domain E: Governance domain	80.1	87.6	88.1
Domain F: Service provision
Service readiness index	69.7	65.6	68.6
Clinical observation index (Children)	* 31.9	71.0	72.7
Clinical observation index (Adults)	54.4	34.3	45.7
Service coverage Children index	71.8	73.	76.4
Service coverage Adult index	51.0	52.5	57.1
Domain: Overall vision:
Service satisfaction index by Gender:
Male	74.4	63.6	76.8
Female	72.2	72.7	76.1

^* The mean difference is significant at p<0.05, using ANOVA.