Table 1.
Service indicators and performance targets for facilities implementing P4P in Tanzania
| P4P service indicators | Method | Baseline coverage (previous cycle) |
||||
|---|---|---|---|---|---|---|
| 0–20% | 21–40% | 41–70% | 71–85% | 85%+ | ||
| Coverage indicators | ||||||
| % of institutional/facility-based deliveries | Percentage point increase | 15% | 10% | 5% | 5% | Maintain |
| % of mothers attending a facility within 7 days of delivery. | Percentage point increase | 15% | 10% | 5% | 5% | Maintain |
| % of women using long term contraceptives | Percentage point increase | 20% | 15% | 10% | Maintain above 71% | Maintain |
| % children under 1 year received measles vaccine | Overall result | 50% | 65% | 75% | 80%+ | Maintain |
| % children under 1 year received Penta 3 vaccine | Overall result | 50% | 65% | 75% | 80%+ | Maintain |
| % of complete partographs | Overall result | 80% | 80% | 80% | 80%+ | Maintain above 80% |
| HMIS reports submitted to district managers on time and complete | Overall result | 100% | 100% | 100% | 100% | 100% |
| Content of care indicators | ||||||
| % ANC clients receiving two doses of IPT | Overall result | 80% | 80% | 80% | 80%+ | Maintain above 80% |
| % HIV+ ANC clients on ART | Overall result | 40% | 60% | 75% | 75%+ | Maintain |
| % of children receiving polio vaccine (OPV0) at birth | Overall result | 60% | 75% | 80% | 80%+ | Maintain |
Health managers were rewarded based on the overall performance of facilities in their district/region. Managers also had their own indicators that includes, maternal and newborn deaths audited properly and timely; reducing stock-out rates of essential drugs; timely reporting the facility data from district to regional level, and from regional to national level.
Source: The United Republic of Tanzania, Ministry of Health and Social Welfare. 2011. The Coast Region Pay for Performance (P4P) Pilot: Design Document.
85%+, 85% or more; 80%+, 80% or more; HMIS, Health Management Information System; ANC, antenatal care.