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Indicators

MEASURE Evaluation, at the request of The United States Agency for International Development and in collaboration with the Inter-agency Gender Working Group, compiled a set of indicators for the health sector. The indicators have been designed to measure programme performance and achievement at the community, regional and national levels using quantitative methods. Note, that while many of the indicators have been used in the field, they have not necessarily been tested in multiple settings.  To review the indicators comprehensively, including their definitions; the tool that should be used and instructions on how to go about it, see the publication Violence Against Women and Girls: A Compendium of Monitoring and Evaluation Indicators.

The compiled indicators for the health sector are:

  • Proportion of health units that have documented & adopted a protocol for the clinical management of women/girls (VAW/G) survivors of violence 

What It Measures: This indicator to measures whether or not a health unit has a standard protocol to guide the identification, service provision and referral mechanism for VAW/G survivors. The protocol should describe the elements of care that should be provided, and the way in which it should take place. The protocol should be displayed or be otherwise accessible to health facility staff. 

  • Proportion of health units that have done a readiness assessment for the delivery of VAW/G services

What It Measures: This measures a health unit’s efforts to provide a basic level of service that can be expected to be delivered to VAW/G survivors. If there is a low proportion of facilities who have done such an assessment, it would indicate that the services being provided may be of variable quality. Once a readiness assessment is completed, health units will be in a position to look at their strengths and rectify the gaps in VAW/G service provision.

  • Proportion of health units that have commodities for the clinical management of VAW/G

What It Measures: This is a measure of readiness for health units to provide VAW/G services. If the necessary commodities are not present in the health unit, presumably, VAW/G services cannot be provided at an acceptable level. The indicator does not measure the service quality with which these commodities are delivered.

  • Proportion of health units with at least one service provider trained to care for and refer VAW/G survivors

What It Measures: This is an indicator of readiness for health units to provide VAW/G services. If staff have undergone no specific training, the provision of such services could be done in an inappropriate or detrimental manner. This indicator reflects training, but not the quality of the training, or how well the staff member integrated what they learned into practice.

  • Number of service providers trained to identify, refer, and care for VAW/G survivors

What It Measures: This indicator is an output measure for a program designed to provide training to health service providers in VAW/G service provision. This will provide a measure of coverage of trained personnel per geographic area of interest, and will help monitor whether or not a program is attaining its target number of providers trained.

  • Number of health providers trained in FGC/M management and counseling

What It Measures: This indicator is an output measure for a program designed to provide training to health service providers in the management of complications, both physical and psychosocial, resulting from FGC/M procedures. This will provide a measure of coverage of trained personnel per geographic area of interest, and will help monitor whether or not a program is attaining its target number of providers trained.

  • Proportion of women who were asked about physical and sexual violence during a visit to a health unit

What It Measures: The number of women presenting for any type of care at health units who are asked about experiencing any physical or sexual violence that may have occurred, ever. The count can be determined per health unit, or per area of interest.

  • Proportion of women who reported physical and/or sexual violence

What It Measures: This output indicator provides a measure of service utilization by VAW/G survivors who disclose their experience to health providers.

  • Proportion of VAW/G survivors who received appropriate care

What It Measures: This output indicator provides a measure of adequate service delivery to VAW/G survivors who disclose their experience to health providers. This does not assess the quality of service delivery.

 

  • Proportion of rape survivors who received comprehensive care

What It Measures: This output indicator provides a measure of adequate service delivery to rape survivors who present at health units. This does not assess the quality of service delivered.

 

See the full publication for additional information on each indicator. Available in English.

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