Annex 1 Results Matrix PART A: Health Sector Program Indicators IMPACT INDICATORS Baseline New Data Update Data: (FY 2010/2011) Definition & Frequency of Reporting Update Data Source / Comments Control of diseases Prevalence of Diabetes (Goal: declining rate) 21.5% (2002 STEPS Survey) Covered 16 villages (2817 sample size) Not yet available STEPs scheduled 2013 (WHO) 11.3% (15 Years +) Source: (Village Health Fair) covered 155 villages 23,302 people registered(at nurse clinics) Defn: Estimate of proportion of population who have diabetes (fasting glucose level is greater than or equal to 6.1 mmol/L (110mg/dl) Freq: by the end of Year 5 Notes: Diabetes measured as whole blood capillary reading of >=11.0 mmol/L Update to be provided by the end of Year 5 through the survey. DHS not suitable to update this indicator Village Health Fair Report (2010/2011) Improved maternal and child health Perinatal mortality Rate (Goal: declining rate) 23.9 per 1000 live births (All public health facilities – 2008) 21.7 per 1000 live births (All public health facilities – 2009) 12.2per 1000 live births (TTM Hospital only, FY 09/10) Source: PATIS Perinatal mortality rate All public health facilities data not available FY 10/11 11.2 per 1000 live births (TTM Births only, FY 10/11) Source: PATIS (Patient Information System) Defn: "Deaths occurring during late pregnancy (at 24 completed weeks gestation and over), during and up to seven completed days of life" Freq: Annual & 3-5yrs Sourced from all births in public health facilities (estimated to account for 70-80% of all births with the rest by TBAs and to a lesser extent the single private hospital. Improvements to sector wide Health Information System scheduled under SWAP should see 100% coverage of all birth sources by end of Year 5.
according to DHS 2009 is 37 per 1,000 births Universal access to reproductive health services Adolescent birth rate (Goal: declining rate) 28.6 annual births per 1000 women aged 15-19 yrs (Samoa Census 2006) 9.8 births per 1000 women aged 15-19 yrs (TTM Births only, FY08/09) Source: PATIS 38.1 births per 1000 aged 15-19 yrs (Year 2008 births @ public health facilities and age grp) 9.3 births per 1000 women aged 15-19 yrs (TTM Births only, FY09/10) Source: 44 per 1,000 age 15-19 (DHS 2009) 10.0 births per 1000 women aged 15-19 yrs (TTM Births only, FY 10/11) Source: PATIS (Patient Information System) Defn: The adolescent birth rate measures the annual number of births to women 15 to 19 years of age per 1,000 women in that age group. It represents the risk of childbearing among adolescent women 15 to 19 years of age. It is also referred to as the fertility rate for women aged 15-19. Freq: Annual The higher rates calculated from known births at public health facilities, is more in line with figures reported from previous Census’ prior to the 2006 Census. DHS 2009 Control of Communicable diseases Incidence of borne infections Typhoid (Goal: declining number) Diarrhoea & in <5yr olds presenting to TTM and MTII Hospitals (2008): 1,962 Diarrhoea & Gastroenteritis in <5yr olds presenting to TTM and MTII Hospitals (2009): 2,157 Cases of clinically suspected Diarrhoea & Gastroenteritis in < 5 Yrs old presenting to TTM and MTII Hospitals (2010) = 2280 Cases of clinically suspected typhoid (2010) to TTM = 521 Annual & 3-5yrs Presentations (outpatients/admissions) due to diarrhea and gastroenteritis of all children 5 yrs old to TTM and MTII hospital; Cases of clinically suspected typhoid diagnosed at TTM and MTII hospitals. (*estimated) specific
Cases of clinically suspected typhoid (2008): 771* (Source: PATIS) typhoid (2009): 606 (Source: DHS 2009 = 1594 Source: PATIS (Patient Information System) Injury Prevention Injuries in children 15yrs) (Goal: declining number) 367 (under 15yrs admission) (TTM & MTII) FY 2008/2009 237 Admissions (TTM & MTII) FY2007/2008 Source: PATIS 346 (under 15yrs admissions) (TTM & MTII) FY 2009/2010 249 (0-13YRS) Admissions (TTM &MTII) FY08/09 Source: PATIS 339 children (under 15 yrs) Admission (TTM & MTII) FY 10/11 Source: PATIS (Patient Information System) Annual PATIS (TTM & MTII) RESULT INDICATORS People aged overweight or obese 85.2% (2002 STEPS Survey) Not yet available 86.4% for overweight and all (overweight – 26.0% and obese – 46.7%; morbidity obesity is 13.7%) (Village Health Fair 2010/2011) Every 3-5yrs Update to be provided by the end of Year 5 through the survey. DHS not suitable to update this indicator
Percentage of children under I year received at least one dose of measles vaccine 45% (2008 EPI coverage) 48% (MMR Campaign 2009) 2009 EPI Report 53.6% (48.0% male; 58.5% female) of children one year of age immunized against measles - (DHS 2009) 62% (Expanded Program on Immunization (EPI) 2010) Annual & 3-5yrs Source: National EPI programme Improved Medical Waste 80% Improved Segregation in Savaii has become more effective due to availability of colour coded bins Collection, transportation and disposal also has improved with availability of collection vehicle Disposal equipment (i.e Incinerator on Upolu working well with the incinerator in Savaii currently having an electrical/ technical fault which has lessened capacity of waste that can be Annual Management Audit Report)
disposed of safely at any one time. need improvements in most of these areas to maintain/sustain effective collection, coding and disposal of all health care waste (2010 Management Unit) Antenatal care coverage for at least 3 visits 61% of AN mothers seen at TTM had at least 3 visits (2008) Source: 51% at least 3 visits of all antenatal mothers seen at TTM hospital (2009) Source: PATIS DHS 2009: care (at one visit) – 92.7 care (four 58% - at least 3 visits of all antenatal mothers seen at TTM hospital FY 10/11) Source: PATIS (Patient Information System) Annual PATIS CHNIS MOH NHS
visits) – 58.4 Proportion of Rheumatic Disease (RHD) patients complying with treatment (12/12 months) Compliance to IM Penicillin: 2008 = 84% New RHD 2008 = 55 New ARF: 2008 = 13 Compliance to IM Penicillin: 2009 = 81% New RHD 2009=49 New ARF: 2009 = 17 DHS 2009 findings also reveals that RHD is the same across the lowest – highest wealth quintile; but it is common in women between ages 15-49 (0.7) compared to men for the same age group (0.4) Compliance to IM Penicillin: 2010 = 86% New RHD 2010 = 117 2011 = 155 New ARF: 2010 = 21 2011 = 55 Rheumatic Database (NHS) Annual compliance rates RHD Program Database NHS MOH Number of reported drug stock-outs by facility No data available from NHS Pharmacy March 2012 – 2% stock out from rural facilities 95% availability of essential medicines at all public health facilities at any one time
Health Health Information Management Training enabled participating staff to develop and establish basic database for general health information suitable to the local context. A Health information session was also conducted to collect the necessary data to establish a health sector information taskforce with its role focusing on the improvement of the Health Information System. HRH related trainings equipped staff to develop the HRH Country Profile for Samoa and HRH Database for the Health sector as well as the discussion of the progress of the HRH Policy and POA Implementation. An output of this discussion is the establishment of a HRH Taskforce for the Health sector. Selective members of the Health Sector Information/ICT Taskforce conducted a study visit to Auckland NZ in July 2011 to observe and discuss the HIS improvement project for Samoa with the NZ ICT Health Board and selective IT Vendors in NZ together with selective NZ health care service providers. A report was submitted to Cabinet through the Director General of Health and received approval. One of the recommendations in the report is for a TA to be brought on board to conduct a scoping exercise for the whole health sector information system requirements as well as identifying specifications. The HRH Taskforce was only established during preparation work for the interim database. The taskforce was inactive ever as we await the establishment of the HRH information system. However, the HRH information system or database, is now included in the scoping exercise and Ongoing Consultations HRH registers HRH Policy and Plan of Action PATIS/CHNIS Information System NHS Record Section Community Nurses TBAs register MOH MOH
Data Analysis/Coding has improved the quality of coding capacity of staff. Monitoring of this capacity is regularly carried out through data generated from PATIS. identification of specifications of the HIS improvement project. The Data Analysis training was conducted with technical assistance from the Health Information System knowledge hub QUT (AusAID funded). This training involved majority of staff from NHS and selective staff from MOH. The training helped the staff involved in identifying gaps with the coding process, and also the staff is now able to utilize data from PATIS for analysis and decision making. Health Expenditure as percentage of total govt. expenditure 2008-2009 FY 17.4% 2009-2010FY 12.6% 2010-2011FY 12.4% 2011-2012 16% Annual GOS Budgets and accounts GOS Stakeholders participation in programme planning and implementation reviews Health Sector partners both private and public attended the Health Summit that was held in March 2009. In addition, MOH facilitated the National Health Forum in December 2009 to review the implementation of health reforms, and health Participation of Health Sector partners and stakeholders in programme and planning as well as implementation has very much improved over the years since the launching of the Health Sector Plan 2008-2018. The Ministry of Health has been conducting Annual Health Annual Annual Health Forum Reports Consultation reports Minutes of Public Health Sector MOH & Development Partners
and Second Generation Survey for STIs. MOH Financial Audits submitted on time and action plan agreed for resolving outstanding issues Yr 1, 2, and 3 completed Submitted unqualified report with few minor management and administrative outstanding issues. Annual Internal Audit Reports SWAP Accounts Section Reports MOH, NHS, DPs DHS and other statistical reports completed within stated timeframe and made public. DHS preliminary report is complete. DHS final report 1st draft was ready on 19th February 2010 DHS Report completed and officially launched in August 2010. The DHS is carried out every 5 years. The Village Health Fair (NCD Screening) Report is also completed and was officially launched in Dec 2011 during the Annual Health MOH Annual Report for FY 09/10 has been submitted to Parliament and the FY 2010/2011 is near completion. All these reports are made available to the public through distribution during launching, and also on MOH website. Annual & every DHS, STEPS, HIES, MOH reports GOS, MOH, DPs Percent health sector budgets and disbursements SWAP: Yr 2 = 70% Annual NHA MOH, NHS