Based on results from the baseline round, the MOPH identified eight of the 29 indicators on the BSC as priority areas for improvement. Like the round, the and BSCs involved a random selection of more than health facilities, health workers and patient-provider interactions. The and BSCs demonstrated substantial improvements in all eight of the priority areas compared to baseline levels, with increases in median provincial scores for presence of active village health councils, availability of essential drugs, functional laboratories, provider knowledge, health worker training, use of clinical guidelines, monitoring of tuberculosis treatment, and provision of delivery care.
For three of the priority indicators-drug availability, health worker training and provider knowledge-scores remained unchanged or decreased between and This highlights the need to ensure that early gains achieved in establishment of health services in Afghanistan are maintained over time. The use of a coherent and balanced monitoring framework to identify priority areas for improvement and measure performance over time reflects an objectives-based approach to management of health services that is proving to be effective in a difficult environment.
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