KEY PERFORMANCE INDICATORS FO

KPI

Type S No Quality Indicator Numerator

Productivity 1 OPD Per Month

2 Percentage deliveries Total number of deliveries

conducted out of conducted during the month
expected

3 Percentage of deliveries Total number of deliveries

conducted in the night conducted during night time from
8PM to 8AM Inclusion: Normal,
assisted, forceps. Exclusion- C-
section conducted in OT

4 Percentage of MTP Total number of MTP conducted

Conducted

Efficiency 1 Percentage of stock out of Total stock outs occurred for

vital drugs (RMNCH+A) essential commodities each day
added for the month
Inclusion – List of vital
drugs(RMNCH+A)

2 Percentage of High risk Total number of high risk

pregnancy/ obstetric pregnancies referred from the
cases referred to FRU facility

3 Percentage of clients Total number of clients accepted

accepting limiting or long limiting OR long term
term contraception contraception method of
methods of contraception contraception

4 Drop out rate of DPT Total number of children missed

vaccination DPT 3 dose after DPT1
Clinical care and 1 Percentage of High risk Total number of high risk
safety pregnancies detected pregnancies registered at the
facility

2 Percentage of women Total number of cases where

stayed for 48 hours after mothers stayed 48 hours after
normal deliveries normal deliveries

3 IUCD rejection rate Total number of IUCD rejection

cases reported

4 Percentage of anaemia Total number of anaemia cases

cases treated successfully treated successfully
Inclusion:- ANC cases

5 Percentage of deliveries Total number of delivery cases

having partograph where partograph filled
recorded completely
Exclusion:- Partial or incomplete
filled partograph
7 Percentage of AEFI cases Total number of AEFI cases
reported reported

8 Percentage of DOT cases Total successfully completed TB

completed successfully treatment, with or without
bacteriological evidence of
success

9 Percentage of children Total number of children treated

with diarrhoea treated with ORS and Zinc after diarrhoea
with ORS & Zinc
Service Quality 1 Left against Medical Total number of LAMA patients
Indicator advice (LAMA) Rate from the facility
Exclusion:- Abscond and referral
cases

2 Patient Satisfaction Score Sum of average satisfaction score

(OPD) of each respondent
(Average satisfaction score = sum
total of scores of
attributes/number of total
attributes)

3 Patient Satisfaction Score Sum of average satisfaction score

(IPD) of each respondent
(Average satisfaction score = sum
total of scores of
attributes/number of total
attributes)

4 Percentage of Women Total No. of women provided drop

given drop back facilities back each day added for month
Exclusion – Referral transport to
higher Centre
EY PERFORMANCE INDICATORS FOR PHC

Denominator Formula Frequency Source of data

Total number of patients Monthly General OPD
attended in OPD for the Register
month

Total number of expected (Total number of Monthly Labour Room

deliveries for the month deliveries Register
conducted*100/Total
expected deliveries)

Total deliveries conducted (Total number of Monthly Labour Room

deliveries conducted at Register
night time*100/Total
number of deliveries
conducted in labour
room)

Total number of registered Total number of MTP Monthly MTP Register

clients for MTP Conducted*100/Total
number of registered
clients for MTP

Product of Total no. of Total no. of Stock out Monthly Stock Register
Commodities and days in the days for Essential
month Commodities*100/ Total
no. of
commodities*Days in
Month

Total number of high risk Total number of high risk Monthly ANC Register
pregnancies registered at the pregnancies
facility referred*100/Total
number of high risk
pregnancies registered

Total number of clients Total number of clients Monthly Family Planning

counselled for limiting or long accepted limiting or long Counselling Register
term methods of contraception term method of
contraception*100/Total
number of clients
counselled

Total number of children (DPT1-DPT3)*100/DPT1 Monthly Immunization

received DPT1 Register
Total number of estimated Total number of high risk Monthly ANC Register
high risk pregnancies for the pregnancies
month registered*100/Total
number of estimated
high risk pregnancies

Total number of normal Total number of mothers Monthly Labour Room

deliveries conducted stayed 48 hours after Register
normal
deliveries*100/Total
number of normal
deliveries conducted

Total number of IUCD Total reported case of Monthly IUCD Register

inserted IUCD
rejection*100/Total
number of IUCD
insertion

Total number of Anaemia Total number of Monthly ANC Register

cases detected during ANC anaemia cases treated
successfully*100/Total
number of anaemia
cases detected during
ANC

Total number of deliveries Number of delivery Monthly Case sheet with

conducted cases partograph Partograph/Labour
Inclusion:- Cases shifted to OT recorded/Total number Room Register
of deliveries conducted

Total number of AEFI cases Total number of AEFI Monthly Immunization and
detected cases reported/Total AEFI records
number of AEFI cases
detected

Total new tuberculosis cases Total successfully Monthly DOT register

registered under a national completed TB
tuberculosis control treatment, with or
programme without bacteriological
evidence of
success*100/Total new
tuberculosis cases
registered under RNTCP

Total number of children Total number of children Monthly OPD Register

reported diarrhoea treated with ORS and
Zinc/Total number of
Children reported
diarrhoea
Total admission in the facility (No. of LAMA Patients Monthly Admission
from the /Discharge Register
facility*100/Total no. of
admission)

Total number of respondents Mean of scores given by Monthly Record of Patient

each patients in Patient Feedbacks
satisfaction survey for
outdoor patients done
each month on
statistically adequate
sample (at least 30)

Total number of respondents Mean of scores given by Monthly Record of Patient

each patients in Patient Feedbacks
satisfaction survey for
indoor patients done
each month on
statistically adequate
sample (at least 30)

Total no. of deliveries Total number of women Monthly Transport

conducted at the facility provided drop Register/Labour
including C-Section back*100/Total number Room Register
of deliveries conducted
 Significance
Indicator for measuring
productivity of OPD

Indicator for measure

delivery load of the
facility

Utilization of Labour
Room at night

Utilization of MTP
services

Indicator to measure
efficiency of Hospital to
ensure availability of
vital drugs under
RMNCH+A

Indicator to measure
efficient ANC services

Indicator for measuring

counselling services

Indicator to analyse the

scenario of dropouts in
the three
dose of DPT
Indicator to measure
efficient ANC services

Indicator to measure
adherence to Post
partum care protocol

Indicator to measure
adherence to IUCD
protocol

Indicator to measure
clinical quality of ANC
services

Indicator of adherence
to Labour Room Clinical
Protocol

Indicator to measure
clinical care of
immunization services

Indicator to measure
clinical care at DOT
centre

Indicator to measure
clinical care of diarrhoea
cases
Indicator of service
quality and patient
satisfaction with
treatment and stay in
IPD

Indicator of patient
satisfaction in OPD

Indicator of patient
satisfaction in IPD

Indicator of promptness
of transport facility
under JSSK
 OUTCOME INDICATORS
1. Out Door Patient Department

Type S No Quality Indicator Numerator

1 OPD Per Day

2 IUCD inserted per 1000 Total number of IUCD insertion

eligible female during the month

3 Total number of
Ambulance visits/trips

4 Adolescent OPD per

month

Productivity
5 Children attended in OPD
per month

6 Patients attended after

OPD hours

7 AYUSH OPD per month

8 ANC conducted per

month
9 Minor Procedure
conducted per month
10 Number of children
immunized per month
 1 OPD Per Doctor Total number of patients attended in
OPD

2 Percentage of missed out Total number of missed ANCs

ANC's

3 Percentage of follow up Total old cases visited the OPD for

patients Follow up
Efficiency

4 Percentage of clients Total number of clients accepted

accepted limiting out of limiting method of sterilization
total counselled

5 Percentage of drop out of Total number of children missed DPT

DPT vaccine 3 dose after DPT1

1 Percentage of Anaemia Total number of anaemia cases

cases treated successfully treated successfully
at PHC

3 Percentage of pregnant Total number of pregnant women

women therapeutic dose received IFA tablets
of IFA

4 IUCD rejection or Total number of clients reported

Complication rate complications after IUCD insertion
including rejection

5 Percentage of high risk Total number of high risk pregnancies

pregnancy detected detected
during ANC
Clinical care and
safety
6 Percentage of AEFI cases Total number of AEFI cases reported
reported
 7 Percentage of children Total number of children treated with
with diarrhoea treated ORS and Zinc after diarrhoea
with ORS and Zinc

8 Percentage of children Total number of children treated with

with Pneumonia treated antibiotic after pneumonia
with antibiotic

1 Patient Satisfaction Score Sum of average satisfaction score of

each respondent
(Average satisfaction score = sum
total of scores of attributes/number
of total attributes)

2 Waiting time for Waiting time at Consultation will be

Consultation the moment patient entered in
Queue to finally being consulted by
MO

3 Waiting time at Drug Waiting time at drug distribution

distribution counter counter will be the moment patient
entered in Queue to finally being
received medicines
Service Quality
Indicator

4 Average Consultation time Average waiting time at Consultation

in OPD will be the moment patient entered
in Consultation room to finally being
consulted by MO

5 Waiting time at ANC Clinic Waiting time at ANC clinic will be the
moment patient entered in Queue for
ANC to finally being consulted by MO
OUTCOME INDICATORS

Denominator Formula Frequency source of data

Total OPD for the month Monthly OPD Register

Total eligible female= Total Total number of IUCD Monthly General OPD
eligible female in defined insertion*1000/Total Register
geographical area of the PHC eligible females
Definition:- Currently married
females aged between 15 and
49 years who were in need of
family planning services are
referred to as eligible female

Total Number of trips Monthly Log Book of

done by hospital owned Ambulance
ambulance used for
transportation of
patients

Total number of patients Monthly Adolescent OPD

attended in Adolescent Register
OPD

Total number of patients Monthly Children OPD

attended in Children Register
OPD

Total number of patients Monthly Emergency Register

attended after OPD
hours in emergency

Total number of patients Monthly AYUSH OPD

attended in AYUSH OPD Register

Total number of ANC Monthly ANC Register

visits
Total number of minor Monthly Emergency Register
procedures conducted
Total number of children Monthly Immunization
immunized Register
Total number of doctors Total number of Patient Monthly OPD Register
available in the hospital consulted in OPD/Total
Inclusion: Regular, contractual, number of doctor
Part Time appointed for OPD
Exclusion:- Doctors not
engaged in OPD like MOIC

Total ANC visits Total number of missed Monthly ANC Register

ANC's*100/Total ANC
visits

Total OPD attendance (Total old cases visited Monthly OPD Registration
Inclusion:- Old and New the OPD for follow up
*100/Total patient
attended in OPD for the
month)

Total number of clients Total number of clients Monthly Family Planning

counselled for limiting accepted limiting Counselling
methods of sterilization method*100/Total Register
number of clients
counselled

Total number of children (DPT1-DPT3)/DPT1 Monthly Immunization

received DPT1 Register

Total number of anaemia Total number of Monthly ANC Register

cases detected during ANC successfully treated
anaemia
cases*100/Total number
of anaemia cases
Total number of anaemia Total number of Monthly ANC Register
cases detected during ANC pregnant women
received IFA
tablets*100/Total
number of anaemia
cases

Total number of IUCD Total number of Monthly IUCD register

insertions complications after
IUCD/Total number of
IUCD insertion

Total number of ANC visits Total Number of High Monthly ANC Register
risk pregnancy detected
during ANC*100/Total
number of ANC visits

Total number of AEFI cases Total number of AEFI Monthly Immunization

detected cases Register
reported*100/Total
number of AEFI cases
detected
Total number of children Total number of children Monthly OPD Register
reported diarrhoea treated with ORS and
Zinc/Total number of
Children reported
diarrhoea

Total number of children Total number of children Monthly OPD Register

reported Pneumonia treated with antibiotic
after Pneumonia/Total
number of Children
reported Pneumonia

Total number of respondents Mean of scores given by Monthly Record of Patient

each patients in Patient Feedbacks
satisfaction survey for
OPD done each month
on statistically adequate
sample (at least 30)

Mean of waiting time for Monthly Time Motion Study

the derived sample
observed in time motion
study done at peak
hours on sample basis
(at least 5% patients but
not less than 30)

Mean of waiting time for

the derived sample
observed in time motion
study done at peak
hours on sample basis
(at least 5% patients but
not less than 30)

Mean of waiting time for Monthly Time Motion Study

the derived sample
observed in time motion
study done at peak
hours on sample basis
(at least 5% patients but
not less than 30)

Mean of waiting time for Monthly Time Motion Study

the derived sample
observed in time motion
study done at peak
hours on sample basis
(at least 5% patients but
not less than 30)
 Significance
Indicator for
measuring OPD
Utilization

Indicator for
measuring
productivity of
General OPD

Utilization of Hospital
ambulances

Indicator for
measuring Utilization
of Adolescent OPD

Indicator for
measuring
productivity of
Children OPD

Indicator for
measuring services
after OPD hours

Indicator for
measuring
productivity of
AYUSH OPD

Utilization of ANC
services
Utilization of basic
services
Utilization of
Immunization
services
Indicator for
measuring efficiency
of Doctors in OPD

Indicator for
measuring clinical
care at ANC clinic

Utilization of OPD by
old patients

Indicator for
measuring
counselling services

Indicator to analyse
the scenario of
dropouts in the three
dose of DPT

Indicator for
measuring clinical
care at ANC clinic

Indicator for
measuring clinical
care at ANC clinic

Indicator for
measuring clinical
care of IUCD services

Indicator for
measuring clinical
care for high risk
pregnancy cases

Indicator for
measuring
promptness after
AEFI
Indicator to measure
clinical care of
diarrhoea cases

Indicator to measure
clinical care of
Pneumonia cases

Indicator of patient
satisfaction in OPD

To observe waiting
time for Consultation

To observe waiting
time for Consultation

To observe waiting
time at ANC Clinic
 OUTCOME INDICAT
2. Labour Room

Type S No Quality Indicator Numerator

Productivity 1 Percentage of Deliveries Total number of deliveries conducted during
conducted at night night time from 8PM to 8AM Inclusion:
Normal, assisted, forceps.

2 Number of deliveries Total number of deliveries conducted during

conducted out of the month
expected

Efficiency 1 Proportion of cases Total number of cases referred to higher

referred to higher centre Including cases with or without any
facilities management or intervention in labour room

2 % of new-borns required Total number of new-borns required

resuscitation out of total resuscitation after birth in labour room
live births

3 Percentage of Total number of complicated deliveries

complicated cases managed at the facility
managed Inclusion:-Severe Anaemia ,PPH,
PIH/Eclampsia/Pre Eclampsia, Retained
Placenta, HIV Positive Pregnant women,
Septic Cases, Obstructed labour including C-
Section
Exclude:- Referral without any interventions

Clinical care and 1 Proportion of cases where Total number of delivery cases where
safety partograph is maintained partograph filled completely
Exclusion:- Partial or incomplete filled
partograph

2 Percentage of high risk Total number of high risk pregnancies

pregnancies detected reported
OUTCOME INDICATORS

Denominator Formula Frequency source of data

Total deliveries conducted Total number of deliveries Monthly Labour Room
conducted at night Register
time*100/Total number of
deliveries conducted in
labour room

Total number of expected Total number of deliveries Monthly Labour Room

deliveries for the month conducted/Total expected Register
deliveries

Total number of delivery cases Total number of Patient Monthly Transfer Register
attended in labour room referred to higher of Labour Room
facilities/Total number of
delivered cases attended in
labour room

Total live births (Total number of new-borns Monthly Labour Room

resuscitated*100/Total Register
number of live births)

Total deliveries conducted Total number of complicated Monthly Labour Room

pregnancies managed at the Register
facility/Total number of
deliveries conducted

Total number of deliveries Number of delivery cases Monthly Case sheet with
conducted partograph recorded/Total Partograph/Labou
Inclusion:- Cases shifted to OT number of deliveries r Room Register
conducted

Total number of deliveries Total number of high risk Monthly ANC Register
conducted pregnancies
reported*100/Total number
of deliveries conducted
 Significance
Utilization of Labour
Room at night

Indicator for measure

delivery load of the
facility

Indicator for measuring

efficiency of Labour
Room for all cases

Indicator for measuring

efficiency of
Resuscitation services
in Labour room

Utilization of Labour
Room for complicated
deliveries

Indicator of adherence
to Labour Room Clinical
Protocol

Indicator to measure
efficient ANC services
 OUTCOME INDICATOR
3. Indoor Patient Department

Type S No Quality Indicator Numerator

Productivity 1 Bed occupancy rate Total Patient bed days
(Midnight head count of each
day added for the month of all
patients)

2 Number of admission with

fever cases

3 Number of admission with

Diarrhoea cases

Efficiency 1 Discharge Rate Total number of discharges

Inclusion:- LAMA, Referral,
Abscond, Deaths

2 Referral Rate Total number of patients

referred from IPD
Exclusion:- LAMA, Abscond

Clinical care and 1 Average length of stay Total Patient bed days
safety (Midnight head count of each
day added for the month of all
patients)

2 Percentage of women stayed

for 48 hours
Service Quality 1 Patient Satisfaction score Sum of average satisfaction
Indicator score of each respondent
(Average satisfaction score =
sum total of scores of
attributes/number of total
attributes)

2 LAMA Rate Total number of patients left

against medical advice from IPD
Exclude- Abscond, Referral cases
3 Percentage of drop back given Total No. of women provided
to mother drop back each day added for
month
Exclusion – Referral transport to
higher Centre
 OUTCOME INDICATORS

Denominator Formula Frequency source of data

Product of total number of (Total Patient bed days Monthly Mid night census
functional beds and days in *100/Functional beds*days
the month in month)

Total number of admitted Monthly IPD register

cases of fever during the
month

Total number of admitted Monthly IPD register

cases of Diarrhoea during
the month

Total admission in IPD Total number of discharges Monthly Discharge &

from the IPD/Total number Admission
of admission in the IPD Register of IPD

Total admission in IPD Total number of Patient Monthly Transfer Register

referred from of IPD
ward*100/Total number of
Patient admitted in the
ward

Total number of discharges Total Patient bed Monthly Mid night census
Inclusion:- LAMA, Referral, days/Total number of & Discharge
Abscond, Deaths discharges Register

Total number of respondents Mean of scores given by Monthly Record of Patient

each patients in Patient Feedbacks
satisfaction survey for
maternity ward done each
month on statistically
adequate sample (at least
30)

Total admission (No. of LAMA Patients from Monthly Admission

IPD*100/Total no. of /Discharge
admission in IPD) Register
Total no. of deliveries Total number of women Monthly Transport
conducted at the facility provided drop Register/Labour
including C-Section back*100/Total number of Room Register
deliveries conducted
 Significance
Indicator for Utilization of IPD
services

Indicator for Utilization of IPD

services for fever cases

Indicator for Utilization of IPD

services for Diarrhoea cases

Indicator for measuring efficiency

of clinical process

Indicator for measuring efficiency

of clinical process

Indicator of Quality of Clinical care

and infection control practices

Indicator of patient satisfaction in

IPD

Indicator of service quality and

patient satisfaction with treatment
and stay in IPD
Indicator of promptness of
transport facility under JSSK
 OUTCOME INDICATORS
4. Laboratory

Type S No Quality Indicator Numerator

Productivity 1 Number of test done per Total number of tests done in
100 patients the laboratory

2 Number of HB test done Total number of HB tests

per ANC done in the laboratory for
ANC cases

1 Number of stock out

incidences of Reagents
and Kits

Efficiency

Clinical care and 1 Number of Hb reported

safety less than 7gm%

2 Number of rapid
diagnostic kits discarded
because of unsatisfactory
reasons
OUTCOME INDICATORS

Denominator Formula Frequency source of data

Total Population= Total (Total no. of test done in Monthly Lab Register
population in defined the
geographical area of the PHC laboratory*100/Total
Population)

Total ANC Done Total number of HB test Monthly Lab Register

done for ANC/Total ANC and ANC
done Register

Total number of stock Monthly Stock Register

out days for all reagents
and kits available in
laboratory during the
month.
(Stock out days means
number of days
particular reagent/kits
not available)

Total number of Hb test Monthly Lab reporting

done for ANC that was register
reported <7gm%

Total number of Monthly Lab Register

discarded rapid
diarnostic kits without
any satisfactory reasons
 Significance
Indicator to measure Utilization
of Laboratory services

Indicator to measure Utilization

of HB services for ANC

Indicator for measure

availability of reagents

Hb values reporting is
considered an important ANC
because it can impact clinical
decision making for high risk
pregnancies

Indicator for measuring

efficiency of rapid diagnostic
kits
 OUTCOME INDICATORS
5. National Health Programme

Type S No Quality Indicator Numerator

Productivity 1 Number of AFB examined Total number of AFB examined
per 1000 population during the month

2 Number of blood smear Total number of blood smear

examined per 1000 examined during the month for
population for malaria malaria cases

3 Number of water sample

tested per month

4 Number of school visited

under School Health
Program

5 Number of HIV test done Total number of HIV test done

per 1000 population during the month

6 Number of women HIV Total number of pregnant women

Positive out of total detected HIV positive after testing
registered

Efficiency 1 Percentage of DOTS cases

completed successfully
2 Failure rate including
death and default under
RNTCP

3 Number of children
referred to higher centre
under School Health
Program

4 Number of refraction
error detected
 5 Number of diabetic and
hypertensive cases
detected

Clinical care and 1 Percentage of suspected Total number of TB cases reffered

safety TB cases reffered for HIV for HIV testing

2 Monthly blood
examination rate
3 Multidrug treatment
completion rate
4 Number of babies Number of death audits with
followed up after delivery preventable cause of death
at 6 week, 6 months, 12
months and 18 months
under NACP
OUTCOME INDICATORS

Denominator Formula Frequency source of data Significance

Total Population= Total (Total number of AFB Monthly Lab Register Indicator for
population in defined examined*1000/Total measuring Utilization
geographical area of the PHC Population) of AFB services of PHC

Total Population= Total (Total number of blood Monthly Lab Register Indicator for
population in defined smear examined*1000/Total measuring Utilization
geographical area of the PHC Population) of blood smear
examination services
of PHC

Total number of water Monthly Lab Register Indicator to measure

sample tested for the month utilization of water
sample testing

Total Number of school visits Monthly School Health Indicator to measure

done during the month Program utilization of School
under School Health Register Health Program
Program
Total Population= Total (Total number of HIV test Monthly Lab Register Indicator for
population in defined done*1000/Total measuring Utilization
geographical area of the PHC Population) of HIV testing services
of PHC

Total ANC registration Total number of Positive HIV Monthly HIV testing Indicator for
pregnant women/Total ANC Register measuring Utilization
registration of HIV testing services
of PHC

Monthly

Total number of children Monthly Referral register Indicator to measure

referred to higher centre of School efficiency of School
due to any 4D's under Health Program Health Program
School Health Program

Total number of refraction Monthly School Health Indicator to measure

error detected during the Program efficiency of School
month Register Health Program
 Sum of total diabetic and Monthly OPD Register Indicator to measure
hypertensive cases detected and IPD register efficiency of Non
in OPD and IPD communicable
disease
Total number of suspected Total number of TB cases Monthly Indicator to measure
cases of TB reffered to HIV efficiency of
testing*100/Total number of
suspected cases of TB

Total number of deaths Number of deaths audits Monthly Death audit Indicator to measure
audited (All deaths to be with preventable cause of Record clinical care
audited) death/ Total number of
deaths audited
 OUTCOME INDICATORS
6. General Administration

Type S No Quality Indicator Numerator

Productivity 1 Stock out percent of
supplies for RMNCH+A
2 Non availability of nursing
days

3 Non availability of doctors

days

4 Non availability of
Support services
Service Quality 1 Staff Satisfaction Score Sum of average satisfaction score
Indicators of each respondent
(Average satisfaction score = sum
total of scores of
attributes/number of total
attributes)
OUTCOME INDICATORS

Denominator Formula Frequency source of data

Total number of days Monthly Attendance

nursing staff not Register
available in PHC
(Sum of each day added
for the month)

Total number of days Monthly Attendance

doctor not available in Register
PHC
(Sum of each day added
for the month)

Monthly

Total number of respondents Mean of scores given by Yearly Record of Staff

each staff in staff Satisfaction
satisfaction survey for all survey
staff
 Significance

Indicator to measure
availability of nursing
staff

Indicator to measure
availability of doctors

Indicator to measure
Staff satisfaction with
the Hospital