{"id":5304,"date":"2023-03-27T08:21:04","date_gmt":"2023-03-27T06:21:04","guid":{"rendered":"https:\/\/www.jphres.org\/?p=5304"},"modified":"2023-04-02T14:17:26","modified_gmt":"2023-04-02T12:17:26","slug":"measurement-of-health-system-performance-at-district-level-a-study-protocol","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/","title":{"rendered":"Measurement of health system performance at district level: A study protocol"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2017.917\">https:\/\/doi.org\/10.4081\/jphr.2017.917<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Atul Sharma<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India.<\/span><\/li>\n<li><span class=\"name\"><strong>Shankar Prinja<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India.<\/span><\/li>\n<li><span class=\"name\"><strong>Arun Kumar Aggarwal<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India.<\/span><\/li>\n<\/ul>\n<p><strong>ABSTRACT<\/strong><\/p>\n<p><em>Background<\/em>: Limited efforts have been observed in low and middle income countries to undertake health system performance assessment at district level. Absence of a comprehensive data collection tool and lack of a standardised single summary measure defining overall performance are some of the main problems. Present study has been undertaken to develop a summary composite health system performance index at district level.<br \/>\n<em><br \/>\nMethods<\/em>: A broad range of indicators covering all six domains as per building block framework were finalized by an expert panel. The domains were classified into twenty sub-domains, with 70 input and process indicators to measure performance. Seven sub-domains for assessing health system outputs and outcomes were identified, with a total of 28 indicators. Districts in Haryana state from north India were selected for the study. Primary and secondary data will be collected from 378 health facilities, district and state health directorate headquarters. Indicators will be normalized, aggregated to generate composite performance index at district level. Domain specific scores will present the quality of individual building block domains in the public health system. Robustness of the results will be checked using sensitivity analysis.<br \/>\n<em><br \/>\nExpected impact for public health:<\/em>\u00a0The study presents a methodology for comprehensive assessment of all health system domains on basis of input, process, output and outcome indicators which has never been reported from India. Generation of this index will help identify policy and implementation areas of concern and point towards potential solutions. Results may also help understand relationships between individual building blocks and their sub-components.<\/p>\n<p><strong>AUTHOR BIOGRAPHY<\/strong><\/p>\n<p>Atul Sharma,\u00a0<span class=\"affiliation\">School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2017.917 Atul Sharma School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. Shankar Prinja School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. Arun Kumar Aggarwal School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. ABSTRACT Background: Limited efforts have been observed in &#8230; <a title=\"Measurement of health system performance at district level: A study protocol\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/\" aria-label=\"More on Measurement of health system performance at district level: A study protocol\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-5304","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Measurement of health system performance at district level: A study protocol - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Measurement of health system performance at district level: A study protocol - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2017.917 Atul Sharma School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. Shankar Prinja School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. Arun Kumar Aggarwal School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. ABSTRACT Background: Limited efforts have been observed in ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/\" \/>\n<meta property=\"og:site_name\" content=\"Journal of Public Health Research\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-02T12:17:26+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/\",\"url\":\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/\",\"name\":\"Measurement of health system performance at district level: A study protocol - Journal of Public Health Research\",\"isPartOf\":{\"@id\":\"https:\/\/www.jphres.us.com\/#website\"},\"datePublished\":\"2023-03-27T06:21:04+00:00\",\"dateModified\":\"2023-04-02T12:17:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"https:\/\/www.jphres.us.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Measurement of health system performance at district level: A study protocol\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.jphres.us.com\/#website\",\"url\":\"https:\/\/www.jphres.us.com\/\",\"name\":\"Journal of Public Health Research\",\"description\":\"The Journal of Public Health Research is an online Open Access, peer-reviewed journal in the field of public health science. The scope of the journal is to stimulate debate and spreading of knowledge in this area in order to improve public health.\",\"publisher\":{\"@id\":\"https:\/\/www.jphres.us.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.jphres.us.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.jphres.us.com\/#organization\",\"name\":\"Journal of Public Health Research\",\"url\":\"https:\/\/www.jphres.us.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.jphres.us.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.jphres.us.com\/wp-content\/uploads\/2022\/10\/Favicon-JPHRES.png\",\"contentUrl\":\"https:\/\/www.jphres.us.com\/wp-content\/uploads\/2022\/10\/Favicon-JPHRES.png\",\"width\":150,\"height\":114,\"caption\":\"Journal of Public Health Research\"},\"image\":{\"@id\":\"https:\/\/www.jphres.us.com\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.citefactor.org\/journal\/index\/5410\/journal-of-public-health-research#.ZD-hS-xBx3k\",\"https:\/\/www.scimagojr.com\/journalsearch.php?q=21100790524&amp;amp;tip=sid&amp;amp;clean=0\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Measurement of health system performance at district level: A study protocol - Journal of Public Health Research","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/","og_locale":"en_US","og_type":"article","og_title":"Measurement of health system performance at district level: A study protocol - Journal of Public Health Research","og_description":"https:\/\/doi.org\/10.4081\/jphr.2017.917 Atul Sharma School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. Shankar Prinja School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. Arun Kumar Aggarwal School of Public Health, Post-graduate Institute of Medical Education and Research, Chandigarh, India. ABSTRACT Background: Limited efforts have been observed in ... Read more","og_url":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/","og_site_name":"Journal of Public Health Research","article_modified_time":"2023-04-02T12:17:26+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/","url":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/","name":"Measurement of health system performance at district level: A study protocol - Journal of Public Health Research","isPartOf":{"@id":"https:\/\/www.jphres.us.com\/#website"},"datePublished":"2023-03-27T06:21:04+00:00","dateModified":"2023-04-02T12:17:26+00:00","breadcrumb":{"@id":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/917\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Startseite","item":"https:\/\/www.jphres.us.com\/"},{"@type":"ListItem","position":2,"name":"Measurement of health system performance at district level: A study protocol"}]},{"@type":"WebSite","@id":"https:\/\/www.jphres.us.com\/#website","url":"https:\/\/www.jphres.us.com\/","name":"Journal of Public Health Research","description":"The Journal of Public Health Research is an online Open Access, peer-reviewed journal in the field of public health science. The scope of the journal is to stimulate debate and spreading of knowledge in this area in order to improve public health.","publisher":{"@id":"https:\/\/www.jphres.us.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.jphres.us.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.jphres.us.com\/#organization","name":"Journal of Public Health Research","url":"https:\/\/www.jphres.us.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.jphres.us.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.jphres.us.com\/wp-content\/uploads\/2022\/10\/Favicon-JPHRES.png","contentUrl":"https:\/\/www.jphres.us.com\/wp-content\/uploads\/2022\/10\/Favicon-JPHRES.png","width":150,"height":114,"caption":"Journal of Public Health Research"},"image":{"@id":"https:\/\/www.jphres.us.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.citefactor.org\/journal\/index\/5410\/journal-of-public-health-research#.ZD-hS-xBx3k","https:\/\/www.scimagojr.com\/journalsearch.php?q=21100790524&amp;amp;tip=sid&amp;amp;clean=0"]}]}},"_links":{"self":[{"href":"https:\/\/www.jphres.us.com\/index.php\/wp-json\/wp\/v2\/pages\/5304","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jphres.us.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jphres.us.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jphres.us.com\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jphres.us.com\/index.php\/wp-json\/wp\/v2\/comments?post=5304"}],"version-history":[{"count":0,"href":"https:\/\/www.jphres.us.com\/index.php\/wp-json\/wp\/v2\/pages\/5304\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.jphres.us.com\/index.php\/wp-json\/wp\/v2\/media?parent=5304"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}