Comparison of internal, external and consensus scores across five pilot countries
| VSP Domain | Subdomain | Measure | Argentina | Ghana | Rwanda | Senegal | Tanzania | Alignment of internal, external, and consensus scores (n, %) | Variation between internal score and consensus score of 2+ (n, %) | ||||||||||
| I | E | C | I | E | C | I | E | C | I | E | C | I | E | C | |||||
| Governance | 2.9 | 2.6 | 3.0 | 2.9 | 2.6 | 2.8 | 3.5 | 3.2 | 3.5 | 2.5 | 2.4 | 2.4 | 2.3 | 2.5 | 2.9 | ||||
| Governance and leadership | 2.4 | 1.8 | 2.6 | 3.2 | 2.6 | 3.0 | 3.6 | 3.4 | 3.6 | 2.4 | 2.4 | 2.4 | 3.2 | 3.2 | 3.2 | ||||
| 1: PHC policies (1/2) | 2 | 2 | 2 | 4 | 3 | 3 | 4 | 4 | 4 | 2 | 3 | 3 | 3 | 4 | 3 | 2 (40) | 0 (0) | ||
| 2: PHC policies (2/2) | 1 | 1 | 2 | 3 | 2 | 3 | 3 | 3 | 3 | 2 | 2 | 2 | 3 | 3 | 3 | 3 (60) | 0 (0) | ||
| 3: Quality management infrastructure | 3 | 2 | 3 | 4 | 3 | 4 | 4 | 2 | 3 | 2 | 2 | 2 | 3 | 3 | 3 | 2 (40) | 0 (0) | ||
| 4: Social accountability (1/2) | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 4 | 4 | 3 | 2 | 2 | 3 | 3 | 3 | 3 (60) | 0 (0) | ||
| 5: Social accountability (2/2) | 4 | 2 | 4 | 2 | 2 | 2 | 4 | 4 | 4 | 3 | 3 | 3 | 4 | 3 | 4 | 3 (60) | 0 (0) | ||
| Adjustment to population health needs | 3.3 | 3.3 | 3.3 | 2.7 | 2.7 | 2.7 | 3.3 | 3.0 | 3.3 | 2.7 | 2.3 | 2.3 | 2.7 | 2.7 | 2.7 | ||||
| 6: Surveillance | 4 | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 3 | 3 | 3 | 3 | 3 | 4 (80) | 0 (0) | ||
| 7: Priority Setting | 3 | 3 | 3 | 2 | 2 | 2 | 3 | 2 | 3 | 2 | 2 | 2 | 2 | 2 | 2 | 4 (80) | 0 (0) | ||
| 8: Innovation and Learning | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 2 | 2 | 2 | 3 | 3 | 3 | 5 (100) | 0 (0) | ||
| Inputs | 2.0 | 1.7 | 2.7 | 2.3 | 2.3 | 2.4 | 3.1 | 2.6 | 2.6 | 2.4 | 2.1 | 2.1 | 1.8 | 1.3 | 2.2 | ||||
| Drugs and supplies | 1.3 | 1.3 | 3.0 | 1.3 | 1.0 | 1.3 | 3.7 | 3.0 | 3.0 | 2.3 | 2.0 | 2.0 | 2.3 | 1.0 | 2.3 | ||||
| 9: Stock-out of essential medicines and consumable commodities | 1 | 1 | 4 | 1 | 1 | 2 | 4 | 3 | 3 | 1 | 1 | 1 | 3 | 1 | 2 | 1 (20) | 1 (20) | ||
| 10: Basic equipment | 2 | 2 | 2 | 1 | 1 | 2 | 4 | 3 | 3 | 3 | 3 | 3 | 2 | 1 | 3 | 2 (40) | 0 (0) | ||
| 11: Diagnostic supplies | 1 | 1 | 3 | 2 | 1 | 3 | 3 | 3 | 3 | 3 | 2 | 2 | 2 | 1 | 2 | 1 (20) | 1 (20) | ||
| Facility infrastructure | 2.3 | 1.7 | 3.0 | 1.7 | 1.7 | 1.7 | 2.7 | 2.0 | 2.0 | 2.0 | 2.0 | 2.0 | 1.7 | 1.7 | 2.0 | ||||
| 12: Facility Density | 3 | 3 | 3 | 3 | 3 | 3 | 2 | 2 | 2 | 3 | 3 | 3 | 2 | 2 | 2 | 5 (100) | 0 (0) | ||
| 13: Facility amenities | 3 | 1 | 3 | 1 | 1 | 1 | 3 | 3 | 3 | 2 | 2 | 2 | 2 | 2 | 2 | 4 (80) | 0 (0) | ||
| 14: Standard safety precautions and equipment | 1 | 1 | 3 | 1 | 1 | 1 | 3 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 (40) | 2 (40) | ||
| Information systems | 3.0 | 3.0 | 3.3 | 2.3 | 2.3 | 2.3 | 2.7 | 2.3 | 2.3 | 2.7 | 1.7 | 1.7 | 2.0 | 1.7 | 2.0 | ||||
| 15: Civil registration and vital statistics | 3 | 3 | 4 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 1 | 1 | 1 | 1 | 1 | 3 (60) | 1 (20) | ||
| 16: Health management information systems | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 (80) | 0 (0) | ||
| 17: Personal care records | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 2 | 1 | 1 | 2 | 1 | 2 | 3 (60) | 0 (0) | ||
| Workforce | 2.3 | 1.3 | 2.0 | 3.0 | 3.0 | 3.3 | 2.7 | 1.7 | 1.7 | 2.5 | 1.7 | 1.7 | 1.3 | 1.3 | 1.3 | ||||
| 18: Density and distribution | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 5 (100) | 0 (0) | ||
| 19: Training | 3 | 1 | 2 | 3 | 2 | 2 | 4 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 (40) | 1 (20) | ||
| 20: Community health workers | 2 | 1 | 2 | 3 | 4 | 4 | 3 | 2 | 2 | 3 | 2 | 2 | 1 | 1 | 1 | 1 (20) | 0 (0) | ||
| Funds | 1.0 | 1.0 | 2.3 | 3.3 | 3.3 | 3.3 | 4.0 | 4.0 | 4.0 | 2.7 | 3.0 | 3.0 | 3.3 | 3.3 | 3.3 | ||||
| 21: Facility budgets | 1 | 1 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 2 | 3 | 3 | 3 | 3 | 3 | 3 (60) | 1 (20) | ||
| 22: Financial management information system | 1 | 1 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 4 (80) | 1 (20) | ||
| 23: Salary payment | 1 | 1 | 1 | 4 | 4 | 4 | 4 | 4 | 4 | 3 | 3 | 3 | 4 | 4 | 4 | 5 (100) | 0 (0) | ||
| Population Health and Facility Management | --* | -- | -- | 2.4 | 3.0 | 2.7 | 3.8 | 2.4 | 3.1 | 2.2 | 2.3 | 2.3 | 2.0 | 1.0 | 2.1 | ||||
| Population health management | -- | -- | -- | 2.0 | 3.0 | 2.5 | 3.5 | 2.5 | 3.3 | 2.3 | 2.3 | 2.3 | 2.3 | 1.5 | 2.0 | ||||
| 24: Local priority setting | -- | -- | -- | 2 | 3 | 3 | 4 | 4 | 4 | 2 | 2 | 2 | 3 | 2 | 3 | 2 (50) | 0 (0) | ||
| 25: Community engagement | -- | -- | -- | 3 | 4 | 3 | 4 | 3 | 3 | 2 | 2 | 2 | 2 | 2 | 2 | 2 (50) | 0 (0) | ||
| 26: Empanelment | -- | -- | -- | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 1 | 2 (50) | 0 (0) | ||
| 27: Proactive population outreach | -- | -- | -- | 2 | 4 | 3 | 4 | 1 | 4 | 3 | 3 | 3 | 2 | 1 | 2 | 1 (25) | 0 (0) | ||
| Facility organisation and management | -- | -- | -- | 2.8 | 3.0 | 2.8 | 4.0 | 2.2 | 3.0 | 2.2 | 2.4 | 2.4 | 2.0 | 2.0 | 2.2 | ||||
| 28: Team-based care organisation | -- | -- | -- | 3 | 3 | 3 | 4 | 1 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 3 (75) | 1 (25) | ||
| 29: Facility management capability and leadership | -- | -- | -- | 2 | 2 | 2 | 4 | 1 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 3 (75) | 1 (25) | ||
| 30: Information system use | -- | -- | -- | 3 | 3 | 3 | 4 | 1 | 3 | 2 | 2 | 2 | 2 | 2 | 2 | 3 (75) | 0 (0) | ||
| 31: Performance measurement and management (1/2) | -- | -- | -- | 3 | 3 | 3 | 4 | 4 | 4 | 2 | 3 | 3 | 3 | 4 | 3 | 2 (50) | 0 (0) | ||
| 32: Performance measurement and management (2/2): Supportive Supervision | -- | -- | -- | 3 | 4 | 3 | 4 | 4 | 4 | 3 | 3 | 3 | 2 | 1 | 3 | 2 (50) | 0 (0) | ||
| Measures for which scores were aligned across internal, external, and consensus scores (n, %) | 11 (46) | 22 (69) | 17 (53) | 22 (69) | 20 (63) | ||||||||||||||
| Measures for which internal score varied by two or more performance levels from the consensus score (n, %) | 5 (21) | 0 (0) | 4 (13) | 1 (3) | 0 (0) | ||||||||||||||
Colour coding: Red=score of 1.0–1.9; orange=score of 2.0–2.9; yellow=score 3.0–3.9; green=score of 4.0.
*Population health and facility management was not assessed in Argentina.
C, consensus score; E, external score;I, internal score; PHC, primary health care; VSP, Vital Signs Profile.