The Quality of Health and Education Systems Across Africa

Page 143

Appendix A: Supplemental tables

TABLE A.3 Definition and calculation of health indicators (Continued) Indicator

Definition

Details

Management of maternal and neonatal complications

Number of relevant treatment actions proposed by the clinician

The SDI includes two vignettes to assess maternal and neonatal complications. Providers are scored on the number of relevant treatment actions that they propose out of five specific actions for postpartum hemorrhage and seven specific actions for neonatal asphyxia.

Inappropriate antibiotic use

Share of providers inappropriately prescribing antibiotics

The SDI surveys also collect information on inappropriate antibiotic use, defined as prescribing an antibiotic during the tuberculosis vignettes (aside from the antibiotics recommended as part of the tuberculosis regimen) or any antibiotics for the diarrhea vignette (for which antibiotics are not indicated by the patient examination). Inappropriate antibiotic use is calculated as the % of health care providers who inappropriately prescribe antibiotics among all health care providers given the clinical vignettes.

Source: Service Delivery Indicators (SDI) core team.

TABLE A.4 Definition of education indicators Indicator

Definition

Details

School absence rate

Share of a maximum of 10 randomly selected teachers who are absent from school during an unannounced visit

This indicator is measured in the following way: During the first, announced, visit, a maximum of 10 teachers are randomly selected from the list of all teachers (excluding volunteer and part-time teachers) on the school roster. The whereabouts of these 10 teachers are then verified during the second, unannounced, visit. Teachers found anywhere on the school premises are marked as present.

Classroom absence rate

Share of teachers who are present in the classroom during scheduled teaching hours as observed during an unannounced visit

This indicator is constructed in the same way as the school absence rate indicator, except that the numerator is the number of teachers who are either absent from school or present at school but absent from the classroom.

Time spent teaching per day

Amount of time a teacher spends teaching during an average school day

This indicator combines data from the staff roster module (used to measure absence rate), the classroom observation module, and reported teaching hours. Teaching time is adjusted for the time teachers are absent from the classroom, on average, and for the time teachers teach while in the classroom, based on classroom observations. While inside the classroom, distinction is made between teaching and nonteaching activities. Teaching is defined very broadly, including actively interacting with students, correcting or grading students’ work, asking questions, testing, using the blackboard, or having students work on a specific task, drill, or memorization. Nonteaching activities include working on private matters, maintaining discipline in class, or doing nothing and thus having students who are not paying attention.

Minimum knowledge

Share of teachers with minimum knowledge and test score

This indicator is based on mathematics and language tests covering the primary curriculum administered at the school and is calculated as the % of teachers who score more than 80% on the language and mathematics portion of the test. The test is given to all mathematics or language teachers who taught third grade in the prior year or fourth grade in the year the survey is conducted. Test score is measured as the overall score on mathematics, language, and pedagogy tests covering the primary curriculum administered at the school level to all mathematics and language teachers who taught third grade in the prior year or fourth grade in the year the survey is conducted. (continued)

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Appendix D: Methodological groundwork for the SDI teacher and student assessments

6min
pages 165-169

C.1 Example of a typical SDI education survey instrument

4min
pages 161-164

Appendix C: Survey methodology

7min
pages 157-160

B.1 Typical sampling strategy process for SDI surveys

7min
pages 152-156

Appendix B: Sampling procedures

1min
page 151

A.6 Definition of a correct treatment

4min
page 146

A.3 Definition and calculation of health indicators

3min
page 142

A.4 Definition of education indicators

4min
pages 143-144

SDI surveys: Turning measurement into momentum for reform

4min
pages 132-133

Rethinking service delivery

4min
pages 130-131

Results in action: How SDI surveys inform program operations

8min
pages 120-123

References

6min
pages 126-129

A wider perspective: Measurement as a public good for research

2min
page 124

Notes

2min
page 125

Improving comparability of SDI surveys over time

4min
pages 118-119

Understanding interactions with family background

4min
pages 116-117

Addressing determinants of provider performance

6min
pages 113-115

Adapting SDI surveys to different country contexts

14min
pages 106-112

References

8min
pages 101-105

concern during COVID-19

3min
page 90

Are basic requirements for learning in place?

4min
pages 82-83

location

2min
page 95

Notes

5min
pages 99-100

High- and low-performing schools: How can countries narrow the gaps?

2min
page 89

low-performing groups of students in nine African countries

1min
page 80

3.1 How does language of instruction affect test scores?

2min
page 81

Sample, methods, and framework

2min
page 73

SDI education surveys: Seeing basic education from the students’ perspective

2min
page 72

Background: Reimagining what education can achieve

1min
page 71

References

9min
pages 67-70

Conclusions: What will it take to improve service delivery in health?

6min
pages 63-65

African countries, by country and type of equipment

1min
page 58

Notes

2min
page 66

medicines in six African countries, by country and type of facility

1min
page 60

infrastructure

1min
page 56

Will health care providers be present in the health facility?

2min
page 42

Will health care providers be ready to provide quality care?

4min
pages 48-49

Sample, methods, and framework

2min
page 40

Will the necessary infrastructure, equipment, supplies, and medicines be available?

1min
page 54

Structure of this chapter

2min
page 39

location

1min
page 55

SDI health surveys: A finger on the pulse of primary health care

2min
page 38

by country and health facility ownership

1min
page 43

1.1 What do Service Delivery Indicators surveys measure?

4min
pages 29-30

COVID-19: Challenging the resilience of health and education systems

4min
pages 26-27

Human capital at the core of development

1min
page 25

References

1min
pages 23-24

Aims and structure of the book

2min
page 32

Data to drive change

2min
page 22

Background: An opportunity to transform primary health care

1min
page 37

Learning from the Service Delivery Indicators surveys

2min
page 28
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