Table of Contents


 



Indicators 3c
 1) Number of interval IUDs inserted by network providers
2) Number of PPIUDs inserted by network providers
3) Number of implants inserted by network providers
4) Percentage of network providers scoring at least 75% on questions in Section 3 and Section 4 (1-14) of Provider IUD study questionnaire
5) Percentage of network providers reporting a score of 4 or 5 on a 5-point Likert scale for the statement "Providing IUD insertion services is a good use of my skills and experience"
6) Percentage of  network providers inserting at least 9 IUDs per quarter 
7) Percentage of network providers that met IUD insertion potential
8) Increasing network provider IUD insertion trends
9) Assessing Universe of Need at clinic/facility level



 

Indicator

3c-1

  
Number of interval IUDs inserted by network providers
 
Workplan:  X IUDs inserted by network providers by Dec. 2018
Indicator Type
 Mandatory
Where Reported
 Workplan, Tracker
Numerator
 # interval IUDs inserted by network providers
Denominator
 N/A
Purpose
 To measure long term method availability in the private sector
 
Data Source
 MIS
Data Collection Frequency
 Monthly
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
  • Countable insertions are those performed by PSI-trained network providers who have been deemed competent to perform IUD insertions as well as:
insertions performed by network providers under the direct supervision of PSI, as part of determination towards competencyinsertions performed by network providers during clinical practicum with a trainer, when provided to live clients (i.e., not pelvic models).
  • This indicator reflects the number of INTERVAL IUD insertions by network providers including post-PAC/MA IUD insertions, but does NOT include postpartum IUD insertions.
  • May include services provided with WHP purchased IUDs and those from other sources.
Tracker:
  • Record TOTAL number of PSI product interval IUD insertions by network providers
  • Record  TOTAL non-PSI product interval IUD insertions by network providers
Workplan: 
  • Report number of IUDs inserted by network providers on appropriate activity line in workplan under both “Total Project” and “Period Achievement”








































 

Indicator

3c-2

  
Number of PPIUDs inserted by network providers
 
Optional Activity Level Indicator
Indicator Type
 Optional   (MUST INCLUDE if country program includes PPIUD activities)
Where Reported
 Workplan, Tracker
Numerator
 # PPIUDs inserted by network providers
Denominator
 N/A
Purpose
 To measure long term method availability in the private sector
Data Source
 MIS
Data Collection Frequency
 Monthly
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
  • Postpartum IUD is defined as IUD insertion within 48 hours after delivery.
  • May include services provided with WHP purchased IUDs and those from other sources.
Tracker:
  • Record TOTAL number of PPIUDs inserted by network providers with PSI product and non-PSI product on separate rows.
  • Enter ONLY PPIUD insertions by network providers.
  • Do NOT include public sector PPIUD insertions.
 Workplan: 
  • Report number of PPIUDs inserted by network providers on appropriate activity line in workplan under both “Total Project” and “Period Achievement”.



































 

Indicator

3c-3

  
Number of implants inserted by network providers
 
Workplan:  X implants inserted by network providers by Dec. 2018
Indicator Type
 Optional   (MUST INCLUDE if country program includes WHP implants)
Where Reported
 Workplan, Tracker
Numerator
 # implants inserted by network providers
Denominator
 N/A
Purpose
 To measure long term method availability in the private sector
 
Data Source
 MIS
Data Collection Frequency
 Monthly
Notes:
 Guidance:
  • Ratio of implant insertions to IUD insertions should not exceed 6:10.
  • Once 100% LoP projection has been achieved, additional implant insertion is not supported under WHP.
Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
  • Countable insertions are those performed by PSI-trained network providers who have been deemed competent to perform implant insertions as well as:
insertions performed by network providers under the direct supervision of PSI, as part of determination towards competencyinsertions performed by network providers during clinical practicum with a trainer, when provided to live clients (i.e., not arm models).
  • May include services provided with WHP purchased implants and those from other sources.
Tracker:
  • Record the number of PSI implants and non-PSI implants inserted on separate rows.
  • Do NOT report more than 100% LoP projection; Achievement over 100% will need to be charged and reported to another project.
Workplan: 
  • Report number of implants inserted by network providers on appropriate activity line in workplan under both “Total Project” and “Period Achievement”











































 

Indicator

3c-4

  
Percentage of network providers scoring at least 75% on questions in Section 3 and Section 4 (1-14) of Provider IUD study questionnaire
 
Workplan:  Increase, from X to Y, the percentage of network providers scoring at least 75% on questions in section 3 and section 4 (1-14) of Provider IUD study questionnaire, by Dec. 2018
Indicator Type
 Mandatory
Where Reported
 Workplan, Tracker
Numerator
 # of network providers meeting the criteria
Denominator
 total # of network providers surveyed
Purpose
 To measure provider knowledge on IUD
Data Source
 Provider longitudinal survey
Data Collection Frequency
 Twice during project period
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
Guidance:
  • Countries may add additional indicators to measure provider knowledge and perceptions but must include this mandatory indicator.
  • Countries should survey the same providers at baseline and endline, but can oversample to get cross-sectional estimates, and account for provider attrition.
Further information on method of measurement:





































 

Indicator

3c-5

  
Percentage of network providers reporting a score of 4 or 5 on a 5-point Likert scale for the statement "Providing IUD insertion services is a good use of my skills and experience"
 
(Not in workplan, internal only – not reported to donor)
Indicator Type
 Mandatory
Where Reported
 Workplan, Tracker
Numerator
 # of network providers reporting 4 or 5 on statement
Denominator
 total # of network providers surveyed
Purpose
 To measure provider attitude on IUD
Data Source
 Provider longitudinal survey
Data Collection Frequency
 Twice during project period
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
Guidance:
  • Countries may add additional indicators to measure provider knowledge and perceptions but must include this mandatory indicator.
  • Countries should survey the same providers at baseline and endline, but can oversample to get cross-sectional estimates, and account for provider attrition.
Further information on method of measurement:
  • Countries are encouraged to add additional questions to measure provider attitudes and perceptions, etc. but must include this mandatory indicator.





































 

Indicator

3c-6

  
Percentage of  network providers inserting at least 9 IUDs per quarter 
 
(Not in workplan, internal only – not reported to donor)
Indicator Type
 Mandatory
Where Reported
 Tracker only
Numerator
 # of network providers who have provided at least 9 IUD insertions in the quarter
Denominator
 total # of providers in network
Purpose
 To measure long term method availability in public and private sectors
Data Source
 MIS
Data Collection Frequency
 Monthly
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
  • A provider is considered “active” if they are inserting at least nine IUD insertions per quarter.
Tracker:
  • Record the number of providers who insert 9 or more IUDs in that quarter.
  •  



























 

Indicator

3c-7

  
Percentage of network providers that met IUD insertion potential
 
(Not in workplan, internal only – not reported to donor)
Indicator Type
 Mandatory
Where Reported
 Tracker only
Numerator
 # of network providers meeting cumulative potential
Denominator
 total # of providers in network
Purpose
 To measure long term method availability in private sector
Data Source
  MIS and Provider potential worksheet
Data Collection Frequency
 Insertion data collected monthly from providers
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
 Method of measurement: 
  • Calculate provider’s potential at start of year using the Provider Potential Calculation Tool, Attachment B.
  • Determine if provider met potential by assessing whether the total number of insertions to date meets or exceeds the cumulative potential. See Attachment B for example.
Tracker:
  • Enter number of network providers meeting their cumulative potential each quarter into the tracker.
  • Do not enter monthly data.


































 

Indicator

3c-8

  
Increasing network provider IUD insertion trends
 
Workplan: Percentage of network providers who demonstrate increasing trends in the number of IUD insertions over time
Indicator Type
 Mandatory
Where Reported
 Workplan
Numerator
 N/A
Denominator
 N/A
Purpose
 Background: In order to visualize the trajectory of provider insertion rates over time, the Foundation would like to see a graphical representation of average provider insertion, accounting for the fact that some providers have an ‘advantage’ over others, having joined the network earlier.
Programmatic Utility: To determine if providers are continuing to increase their insertion rates, have reached a plateau, or are declining, indicating reduced motivation.  This analysis will group providers by ‘cohorts’ based on when they joined the network. The rationale for this is that providers who have had the benefit of longer periods of medical detailing, demand creation, and other support should have higher output than those who are new to the network (and to IUD insertion).
Data Source
  MIS; Automatically calculated in Provider Metrics Tool (PMT)
Data Collection Frequency
 Semi-annually
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
 Method of measurement: 
  • See Attachment C: “Provider Trajectory Analysis”

































 

Indicator

3c-9

  
Assessing Universe of Need at clinic/facility level
 
(Not in workplan, internal only)
Indicator Type
 Optional
Where Reported
 Internal only
Purpose
 Background: As a complement to the provider potential calculations, and to assuage Foundation concerns that the calculation does not account for the need in a provider’s area of influence, all platforms will also measure, but not report on, the universe of need in a provider’s area of influence.  In the future, we may assess the need being met by the provider by taking the ratio of a provider’s total yearly insertions by the need in the area. This calculation will determine the number of potential IUD users in a provider’s catchment area, given available data on population size, unmet need, and IUD specific CPR. 
 
Programmatic Utility: As demonstrated by Nepal, this calculation can be used to guide IPC workers regarding how many contacts they should make in a provider’s catchment area or area of influence in order to reach a point where demand is self-propagating. In the case of Nepal, they concluded that they would reach approximately 10% of the universe of need in each catchment area, and used this figure to calculate how many contacts an IPC agent should have weekly, as well as how many agents should be assigned to an area. The utility of this is dependent upon the size of the catchment area (described below) as well as the nature of the IPC program. The data may also be used to motivate providers regarding potential demand in their areas. 
Data Source
  MIS
Data Collection Frequency
 Annually
Notes:
 Method of measurement: 
  • See Attachment D: “Universe of Need Assessment”