Over time, the range of indicators expanded. An initial focus on inputs gave way to indicators on the condition of facilities. In 2017, the focus turned to the quality of care and patient satisfaction. The monitors started interviewing 6,000 patients a month, ensuring they were getting good basic care and understanding what happened when they were treated in facilities. The quality of care slowly began to improve. Overall, the reforms transformed a system of failing clinics into one that consistently provides basic levels of care and has a system in place for future improvement.
To deliver effective reforms, data and other measures of progress are essential so that the system knows whether it is making progress, can understand what works, and can tackle underperformance. In Punjab, monitoring teams and innovative technology transformed the Government’s ability to iterate and make fast improvements to the system.
About the Author
Fenton Whelan founded Acasus, he has more than a decade of experience in public health and education development. Fenton leads the Acasus support in Pakistan.