PERFORMANCE LINKED INCENTIVES FOR HWC-HEALTH SUB-CENTER TEAM
ANNEXURE A
NAME OF HWC_____________________________ NAME OF PHC/CHC___________________________ FOR THE MONTH OF _______________________
Sr. Indicator Definition Source of verification/ calculation Output to Output to %age Incentive CHO (Rs) Incentive MPW Incentive per
No. receive receive (Rs) ASHA (Rs)
75% 100% on 75% on 100% on 75% on 100% on 75% on 100%
incentive incentive @750/- @1000/- @200/- @250/- @75/- @100/-
Proportion of pregnant women Numerator:- No. of Pregnant women registered for ANC
RCH Portal
registered
1 Denominator:- Total No. of estimted pregnancies To be calculated at birthof 15.7/1000 80-90% >90%
population of HWC + 10% pregnancy
wastage
Peoportion of Pregnant women Numerator:- No. of Pregnant women who receivedANC
who received full ANC services (4 ANC + 180 IFA tablets + TT2/booster) in the RCH Portal
2 month 70-95% >95%
Denominator:- Total No. of registered pregnant women
RCH Portal
whose full ANC is due in that month
Proportion of Children given 8 Numerator:- No. of Children (6-59 months) provided 8
HMIS
doses of IFA syrup doses (1ml) of IFA Syrup (Bi weekly)
3 70-90% >90%
Denominator:- Estimated children of age 6-59 months in Estimated Target Population (0-5 yrs)
that HWC -(minus) 10%
Proportion of Children up to 11 Numerator:- No. of children (uoto 11 months) who
months of age who received Full received full immunization as per State schedule in the RCH Portal
4 immunization month 90-95% >95%
Denominator:- Total No. of registered children whose
RCH Portal
fullimmunization due in that month
No. of newborns who received Numerator:- No. of newborns who received 6 HBNC visits
complete HBNC visits in case of Institutional Delivery and 7 HBNC visits in case of
HMIS
Home Deliveries in the month under reporting
5 70-90% >90%
Denominator:- Total No. of Home and Institutional
Deliveries in the HWC area in last 2 months but not RCH Portal
including the month under reporting
Proportion of adolescent girls Numerator:- No. of Adolscent girls given sanitary napkin as
As per reports collected from the
distributed Sanitary Napkins report
6 schools by ASHAs & signed by nodal 70-90% >90%
Denominator:- Total No. of adolscent girls in schools under
teacher/Pincipal
the HWC
Number of sputum tested Numerator:- No. of sputum tested Lab register of DMC
among OPD cases (persumptive) Denominator:- Per thousand population of HWC
7 2 >3
per thousand population
Proportion of contacts of TB Numerator:- Total No. contacts of TB positive patients
TB Mukat App
Positive patients screened screened
8 80-90% >90%
Denominator:- Total No. of contacts identified for
TB Mukat App
screening
Proportion of persumptive cases Numerator:- Total No. of presumptive cases sputum
DMC Register
sputum examined for TB out of examined for TB
9 80-90% >90%
those screened by ASHA using Denominator:- Total No. presumptive cases NCD application
CBAC identifiedthrough screening by ASHA using CBAC
Number of Teleconsultations in Numerator:- Number of Teleconsultation in a month e-Sanjeevani Portal
a month Denominator:- Estimated Teleconsultation in a month Expected Teleconsultation in a
10 60-80% >80%
month-(4/day) x (No. of working
days)
Number of OPD cases per month Numerator:- Number of OPD cases including new and old
HWC Portal
11 in HWC cases 60-80% >80%
Denominator:- 1000 population
Daily reporting from HWC Numerator:- No. of daily report uploaded on HWC portal
HWC Portal
12 70-90% >90%
Denominator:- No. of working days in a month
Monthly meeting at SHC-HWCs Monthly meeting with Primary Care Team at HWCs at
monitor the following:-
1. Review of work plan for current month.
13 Self Reported 100%
2. Updating work plan for next month.
3. At least one technical session held for capacity building
of the primary health care team.
% of population enrolled in E- Numerator:- Total no. of 18+ population enrolled in E-
Health card software per month health card (CBAC/health card) filled in the HWC area for E-health card application
14 that month 5-8% >8%
Denominator:- Total no. of 18+ population in HWC area
Proportion of 18+ population Numerator:- Total no. of 18+ individuals in the HWC area
screened for HTN & diabetes physically screened for diabetes and HTN at HWC for the E-health card application
15 month 5-8% >8%
Denominator:- Total no. of 18+ population in HWC area
Proportion of high risk Numerator:- No. of high risk individual identified through
individuals through CBAC who CBAC who underwent physical screening for HTN and E-health card application
16 underwent screening diabetes 70-90% >90%
Denominator:- Total No. of high risk individuals
identifiedthrough CBAC
Proportion of 18+ population on Numerator:- No. of screened positive individuals for NCDs
E-health card application
treatment for HTN/DM/other put on treatment
17 75-90% >90%
NCDs Denominator:- Total No. of screened positive individuals
for NCDs in the HWC area
FP services provided to eligible Numerator:- Count of EC provided family planning services
couples provided (IUD+CC+Injection Antara +PPIUCD+ Sterilization) HMIS
18 70-85% >85%
Denominator:- Total No. of eligible couples RCH Portal
19 DVDMS Weekly updation of Ident/Receipt/Expenses DVDMS 100%
TOTAL
Verified by Medical Officer Signature of CHO
