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Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years’ Evaluation in Afghanistan

Author

Listed:
  • Edward Anbrasi
  • Binay Kumar
  • Faizullah Kakar
  • Ahmed Shah Salehi
  • Gilbert Burnham
  • David H Peters

Abstract

In 2004, Afghanistan pioneered a balanced scorecard (BSC) performance system to manage the delivery of primary health care services. This study examines the trends of 29 key performance indicators over a 5-year period between 2004 and 2008. Independent evaluations of performance in six domains were conducted annually through 5,500 patient observations and exit interviews and 1,500 provider interviews in 600 facilities selected by stratified random sampling in each province. Generalized estimating equation (GEE) models were used to assess trends in BSC parameters. URL:[http://www.plosmedicine.org/article/browseIssue.action].

Suggested Citation

  • Edward Anbrasi & Binay Kumar & Faizullah Kakar & Ahmed Shah Salehi & Gilbert Burnham & David H Peters, 2011. "Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years’ Evaluation in Afghanistan," Working Papers id:4362, eSocialSciences.
    • Handle: RePEc:ess:wpaper:id:4362
    Note: Institutional Papers
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    References listed on IDEAS

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    1. Reilley, B. & Frank, T. & Prochnow, T. & Puertas, G. & Van Der Meer, J., 2004. "Provision of health care in rural Afghanistan: Needs and challenges," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1686-1688.
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    Cited by:

    1. Wilbroad Mutale & Jeffrey Stringer & Namwinga Chintu & Roma Chilengi & Margaret Tembo Mwanamwenge & Nkatya Kasese & Dina Balabanova & Neil Spicer & James Lewis & Helen Ayles, 2014. "Application of Balanced Scorecard in the Evaluation of a Complex Health System Intervention: 12 Months Post Intervention Findings from the BHOMA Intervention: A Cluster Randomised Trial in Zambia," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-10, April.
    2. Wilbroad Mutale & Peter Godfrey-Fausset & Margaret Tembo Mwanamwenge & Nkatya Kasese & Namwinga Chintu & Dina Balabanova & Neil Spicer & Helen Ayles, 2013. "Measuring Health System Strengthening: Application of the Balanced Scorecard Approach to Rank the Baseline Performance of Three Rural Districts in Zambia," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-11, March.
    3. Mohammad Omar Mashal & Keiko Nakamura & Masashi Kizuki, 2016. "Hidden burden of non-medical spending associated with inpatient care among the poor in Afghanistan," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 661-671, July.
    4. Carla Alexandra da Encarnação Filipe Amado & Olena Kalinichenko & Sérgio Pereira dos Santos, 2013. "Performance Assessment in Primary Health Care: A Systematic Literature Review," CEFAGE-UE Working Papers 2013_03, University of Evora, CEFAGE-UE (Portugal).
    5. Edward, Anbrasi & Branchini, Casey & Aitken, Iain & Roach, Melissa & Osei-Bonsu, Kojo & Arwal, Said Habib, 2015. "Toward universal coverage in Afghanistan: A multi-stakeholder assessment of capacity investments in the community health worker system," Social Science & Medicine, Elsevier, vol. 145(C), pages 173-183.

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