Table 1 Indicators for health workers' performance
| Factors | Examples of indicators* |
|---|---|
| Impact | |
| Health status |
Decline in mortality/morbidity among targeted patients: Decreased prevalence and incidence |
| Effects | |
| Performance |
Improved service delivery: Client satisfaction Re-admission rates and cross-infections Case fatality rates Treatment success rates, defaulter rates Coverage Service utilisation |
| Outcomes | |
| Availability | Waiting time, staff ratios, overtime, staff turnover, attendance of health workers |
| Productivity |
Occupancy rate, outpatient visits and interventions provided per worker or facility Patient contacts |
| Competencies |
Prescribing practices Adherence to protocol during diagnosis and communication with patients |
| Responsiveness | Proactive quality service, e.g. decubitus ulcers |
| Outputs | |
| Retention | Vacancies, posts filled, duration in job |
| Absence | Attendance of health workers, overtime |
| Being responsible |
Showing initiative, active participation in audits and meetings Adherence to rules and Standard Operating Procedures |
| Skills and knowledge | Level of skills and knowledge of practices |
| Motivation and job satisfaction |
Level of job satisfaction Level of staff motivation |
| Working conditions |
Availability of infrastructure, medications, supplies Being aware of and adhering to communication and decision-making procedures: Number of meetings held with minutes and action list Confidential procedure for complaints in place and used Management support offered: Amount of supportive supervision |