2nd Edition Indicator Manual and Standard Operating Procedures for the Health Sector Monitoring Framework

The framework is designed to support the implementation and reporting period for the Medium Term Plans of the Kenya Health Policy Framework 2012-2030. The document outlines minimum data sets that will be used by the Health sector for the next implementing and reporting period. The framework is guided by the application form and criteria developed by the secretariat, which defines each indicator elaborating the goal, important definitions, purpose of the indicator, calculation method, tools to be used, and data management guidelines. Specific areas of applicability are highlighted, and the standard operating procedures are included in the annexes. The framework aims to ensure uniformity of purpose and reporting across all healthcare workers in the country. Each level is expected to use the data generated for evidence-based care, and it is essential that all service providers, development partners, implementing partners, and managers become acquainted with this vital tool and use it appropriately in planning, monitoring, and evaluation of health services. The guiding principles for selecting or reviewing health sector indicators and tools include avoiding overburdening or proliferation of tools to service providers, restricting to basic minimum data sets and indicators that are action-oriented or high-impact interventions, balancing between the four levels of KEPH delivery and the Kenya policy framework strategies/orientations, and balancing between impact, outcome, output, input, and process indicators. The document was developed through a collaborative process with inputs from country Kenya health systems experts around all the health programs and departments, as well as from the World Health Organization health system experts, development partners, implementing partners, and faith-based health services. The Technical Working Group members, Director of Public Health and Sanitation Dr. S. K. Sharif, and Director of Medical Services Dr. Francis Kimani provided wise guidance and leadership, enabling the achievement of this 2nd edition document. The indicator manual forms the basis of standard operations at all levels of healthcare with minimum data sets, indicators, and procedures. A properly functional health information system is critically required to support service delivery and report performance. The document is intended to guide healthcare workers in ensuring that their practices are in line with the HIS sector approaches. The indicator manual includes specific indicators for various health programs, such as reproductive health, vaccinations and immunizations, nutrition, malaria control, HIV/AIDS, non-communicable diseases, tuberculosis control, dental health, ophthalmology, occupational therapy, physiotherapy, IDSR, environmental health, community health services, pharmacy and essential drugs, neglected tropical diseases, laboratory services, radiotherapy, nursing services, human resources for health, health care financing, supportive supervision, hospital utilization, data collection tools, and data analysis. For example, the indicator "Proportion of women who attended at least one ANC visit during the last completed pregnancy" is defined as the percentage of women aged 15-49 with a live birth in a given time period that received antenatal care provided by skilled health personnel at least once during pregnancy. The indicator is calculated using the application form and criteria developed by the secretariat, and it is essential for reducing both maternal and child morbidity and mortality.