Grading CHCs Guideline: Data Items & Criteria

Guideline for
Grading Of CHCs
Version 2.0………………… December, 2016

Guideline: Grading of CHCs (HMIS)
Table of Contents
1. INTRODUCTION ......................................................................................................................3
2. METHODOLOGY .....................................................................................................................3
2.1. Data Items ........................................................................................................................3
2.2. Criteria for Grading of CHCs Report .............................................................................5
A. Mandatory Criteria ............................................................................................................... 5
B. Drugs and Supplies ............................................................................................................. 5
C. Service Availability .............................................................................................................. 5
D. Client Orientation ................................................................................................................. 6
E. Service Utilization .................................................................................................................... 6
3. GENERATION OF Grading of CHCs REPORT USING SAS VDD .......................................8
Step 1: Data Preparation ................................................................................................................ 8
Step 2: Creation of SAS VDD Project........................................................................................ 11
Step 3: Importing & Transposing Data in SAS VDD Project ............................................... 12
Step 4: Run Queries for Criteria ................................................................................................. 17
Step 5: Inter-relate or Join Data ................................................................................................. 29
Step 6: Run Mandatory Criteria for Grading of CHCs .......................................................... 33
Step 7: Generate the Grade Count ............................................................................................ 34
Step 8: Generate of Summary Tables & Graphs .................................................................... 37
Page 1 of 45
Step 9: Creation of Comprehensive Report ............................................................................ 43
Page 2 of 45
1. INTRODUCTION
Based on the available infrastructure at the health facility and the services being provided, the
performance of a facility may be rated vis-à-vis other facilities. Data reported by the facilities in
Infrastructure and MIS monthly format is used for Grading of Facilities.
For Grading of CHCs the following aspects / categories are considered:
 Human Resources available

 Infrastructure available
 Drugs & Supplies
 Service Availability
 Client Orientation
 Service Utilization.
2. METHODOLOGY
This section provides the detailed methodology for generation of Grading of CHCs report and broadly
covers the following:
 Data Item Details

 Criteria for Grading of CHCs Report
2.1. Data Items
The data items to be considered for generation of Grading of CHCs is based on the HMIS data which is
reported by the facilities in infrastructure and MIS monthly format. The details of these data items are
provided in the table given below:
HMIS Data Item

HMIS Format Grading of CHCs Category
Code for CHC HMIS Data Item Name
2.1 General Surgeon
2.2 Physician
2.3 Obstetrician / Gynaecologist
Mandatory Criteria
Human Resource
Doctors
Infrastructure
Including 2.4 Paediatrics

Specialists 2.5 Anaesthetist
2.7 Eye Surgeon
General duty officers (Medical
2.9
Officer)
2.13.a Public Health Nurse
Nurse &
2.13.b ANM
ANM
2.13.c Staff Nurse
Page 3 of 45
HMIS Data Item

HMIS Format Grading of CHCs Category
Code for CHC HMIS Data Item Name
Lab.
2.16 Lab. Technician
Technician
Separate public utilities for males
Infrastructure
4.8
and females (Yes/No)
Operation Theatre available
4.18.a
(Yes/No)
Stand by facility (generator)
4.29.c
available (Yes / No)
Whether two month supply of
9
Supplies essential drugs available?
Drugs &

10
essential vaccines available?
11
essential contraceptives available?
24 - hour delivery services
1.2.e including normal and assisted
Availability
Service
deliveries
1.2.h Emergency care of sick children
Essential Laboratory Services
1.2.l (Specify the type of lab tests
conducted)
Is there a publicly displayed
Client Orientation
mechanism, whereby a
4.43.I
complaint/grievance can be
registered? (Yes / No)
8.1 Citizen's charter (Yes/No)
Constitution of Rogi Kalyan Samiti
8.2 (Yes/No) (give a list of office order
notifying the members)
Deliveries performed at the facility
Service Utilisation
8
(Including C-Sections)
MIS Monthly
Number of new IUCD Insertions at

25
facility
33.01 BCG
57.1.c In-Patient (IPD)
58.1 OPD attendance (All)
Page 4 of 45
2.2. Criteria for Grading of CHCs Report
For each category there is a defined criterion for the award of grade to the concerned CHC as
given below:
A. Mandatory Criteria
a. Human Resource
Doctors including specialists >=2

Nurse and ANM >=6
Lab. Technician >=1
b. Infrastructure
Separate public utilities for males and females Yes/No

Operation Theatre available Yes/No
Stand-by facility (generator) available Yes/No
Note:
 If any CHC satisfies both the criteria (i.e. Human Resources available & Infrastructure available),
the CHC is eligible for Grading & also gets 1 Grade.
 If the CHC fails to satisfy both of the criteria (i.e. Human Resources available & Infrastructure
available) & also do not have Drugs and supplies, Service availability, Client Orientation and
Service Utilization then Grading is not applicable for CHC & status of the CHC will be “NA” (Not
Applicable) i.e. for all the items /parameters considered for grading the CHCs has either not
reported or reported „0‟.
 If the CHC fails to satisfy any of the criteria (Human Resources, Infrastructure) & has any non-
zero value for any of the category i.e. Human Resources, Infrastructure, Drugs and supplies,
Service availability, Client Orientation or Service Utilization then CHC is not eligible for Grading
and status of CHC will be “NE” (Not Eligible)
B. Drugs and Supplies
Whether two month supply of essential drugs available? Yes/No

Whether two month supply of essential vaccines available? Yes/No
Whether two month supply of essential contraceptives available? Yes/No
 If facility satisfies all the three criteria with “Yes”, facility gets one Grade
C. Service Availability
24 - hour delivery services including normal and assisted deliveries Yes/No

Emergency care of sick children Yes/No
Essential Laboratory Services (Specify the type of lab tests conducted) Yes/No
Page 5 of 45
D. Client Orientation
Is there a publicly displayed mechanism, whereby a complaint/grievance

Yes/No
can be registered?
Citizen's charter Yes/No
Constitution of Rogi Kalyan Samiti (Yes/No) (give a list of office order
Yes/No
notifying the members)
E. Service Utilization
For CHCs falling under “Non Hilly Districts” following criteria is considered:
Service Utilization: Minimum value /month

Deliveries conducted at the facility (Including C-Sections) 30
Number of new IUCD Insertions at facility 3
BCG 80 % of the Deliveries
In-Patient (IPD) 100
OPD attendance (All) 750
For CHCs falling under “Hilly districts & districts of North Eastern States” a relaxation of 30% is
provided on the basic criteria (as mentioned above). Based on which the “Minimum value/ month” is
considered as:
Service Utilization: Minimum value/ month

Deliveries conducted at the facility (Including C-Sections) 21
Number of new IUCD Insertions at facility 2
BCG 80% of the Deliveries
In-Patient (IPD) 70
OPD attendance (All) 525
 If a facility satisfies any 4 or all 5 Service Utilization criteria, it would get one Grade
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The above given criteria shall be used for generation of Grading of CHCs report. A step by step approach
to generation of Grading of CHCs report using SAS VDD is given in subsequent section.
Page 7 of 45
3. GENERATION OF Grading of CHCs REPORT USING SAS VDD

This section provides the detailed approach for generation of Grading of CHCs report using SAS VDD.
Step 1: Data Preparation
 Creation of Infrastructure file:

 Download the Infrastructure Report for CHCs from the HMIS Portal
 Click on Live Report  Generate Reports All Data Item Report
 Select the parameters as mentioned below:
Parameters Input
Load Default Parameters Un-Checked
Module Infrastructure
Periodicity Annual
Proforma / Format CHC
Status Type All
From Section All
Selected Items All
Report Type Across Facility
Financial Year 2015-2016 (As Per Requirement)
Facility Type Public
State <<State Name>>(As Per Requirement)
District All (As Per Requirement)
Sub District All (As Per Requirement)
Facility All (As Per Requirement)
 Export the generated report in Excel format

 Copy the complete sheet & paste in worksheet “Input” of Infrastructure Excel.
 Save the file as “Infrastructure”. The sample output is depicted below:
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 Copy & paste the references mentioned against all Data items to make all facilities reflect in
workbook “Infra”.
 A sample output is depicted below:
 Creation of MIS file:

 Download the MIS Report from the HMIS Portal
 Click on Live Report  Generate Reports All Data Item Report
 Select the parameters as mentioned below:
Parameters Input
Load Default Parameters Un-Checked
Module MIS
Periodicity Monthly
Proforma / Format CHC
Status Type All
From Section All
Selected Items All
Report Type Across Facility
Financial Year 2015-2016 (As Per Requirement)
Facility Type Public
State <<State Name>>(As Per Requirement)
District All (As Per Requirement)
Sub District All (As Per Requirement)
Facility All (As Per Requirement)
Period <<Months>>(As Per Requirement)
 Export the generated report in Excel format

 Copy the complete sheet & paste in worksheet “Input” of MIS Excel.
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 Mention the number of months for which the MIS data has been generated in row “Month” of
worksheet “MIS”. In case the MIS data is generated for an entire financial year, then “12” needs to
be entered against “Month” in first column and same will be referenced against all CHCs.
 Save the file as “MIS”. A sample output is depicted below:
 Copy & paste the references mentioned against all Data items to make all CHCs reflect in
workbook “MIS”.
Page 10 of 45
 Creation of ‘Maps’ file:

 Open the workbook Maps
 Paste details/ name of State, District, Block & CHC Name to be considered for CHC Grading
using either Infrastructure workbook or MIS workbook.
 Mention “Hilly” or “Non Hilly” for districts in “Hilly Non Hilly” row
 Store all these three excel files in a folder “Grading of CHCs”.
Step 2: Creation of SAS VDD Project
 Open SAS VDD.

 Go to File New Project
Page 11 of 45
 Save the project as “Grading of CHCs” in the same folder where the excel files are saved.
Step 3: Importing & Transposing Data in SAS VDD Project
 FileImport Data
 Provide path for workbook Infrastructure and click open.
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 Click Next
 Select the prepared sheet in the file i.e. “Infra” and click next
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 Click Next and then click Finish. The data is imported into SAS, as depicted below:
 Since all calculations can be done on the data present in columns, transpose the data imported.
Click Data Click Transpose
Page 14 of 45
 Transpose screen appears as given below:
 All variables / parameters to be transposed is selected and dragged to „Transpose variables‟ on

left and the parameter on which it is to be transposed is dragged or selected to „New Column
Names (Limit: 1)‟. The same is depicted below:
Page 15 of 45
 Click „Run‟ to transpose the data. The transposed data is generated as given below:
 Similar steps of data import and transpose needs to be done for „MIS‟ and „Maps‟ excel file too.
The output for both is depicted below:
Transposed MIS
Page 16 of 45
Transposed Maps
Step 4: Run Queries for Criteria
 Running Queries on transposed infrastructure data

 Open transposed data and click “Query Builder”

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 Join Infrastructure and Maps

 Click on “Add Tables” and select the transpose output of Maps then click “Open”.
 Column labels of both table/ source/ output will be visible in query builder. Select/ drag the
required items to the right pane of the query builder
Page 18 of 45
 Click on “Join Tables” and link the variables by dragging it from one table to other as shown in the
picture below
 Click on computed column
 Since there are various items in „Doctors including specialist‟ and „Nurse and ANM‟ in „Human
Resource criteria, all items under each head needs to be summed (added) using computed column,
as given below:
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 The computed columns will be created, as represented below:
Page 20 of 45
 Click Run and the output would be presented:













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 Similarly, on the above output run the criteria for Service availability, Drugs & Supplies, Client
Orientation, Human Resource and Infrastructure using computed columns as mentioned in
subsequent screenshots:
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 The calculation done for each criteria using computed column is given below:
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 On clicking “Run” he output appears as given below:
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 Join MIS and Maps

 Open MIS output and click „Query Builder‟
 Click on “Add Tables” and select the transpose output of Maps then click “Open”.
Page 25 of 45
 Data of both tables/ source/ output is visible in query builder. Select/ drag the required items to
the right pane of the query builder
 Click on “Join Tables” and link the variables by dragging it from one table to other as shown in the
screenshot below.
Page 26 of 45
 Click on computed column
 Run query on the above output using computed columns for criteria related to service delivery i.e
Deliveries, IUCD insertions, BCG, IPD, OPD and Service Utilisation. It is to note that the criteria for
Hilly and Non Hilly districts would be considered in this step
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 The calculation done for each criteria using computed column is given below:
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Page 29 of 45
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 On clicking “Run” the output appears as given below:
Step 5: Inter-relate or Join Data
 Open output of “Query Builder1” (Infrastructure) and join data from output of “Query Builder2”
(MIS) using Query builder as shown below.
 Column labels of both tables/ source/ output would be visible in query builder. Select/ drag the
required items to the right pane of the query builder
Page 31 of 45
 Output of the “Query Builder3” will be as shown below
 Now the process flow will look as shown below
Page 32 of 45
Step 6: Run Mandatory Criteria for Grading of CHCs
 Mandatory Criteria
 On the above output of the joined data i.e. “Query Builder3”, open „Query Builder‟ and create the
„Eligibility Classification‟ for „Mandatory Criteria‟ using computed column.
 Now click on run
Page 33 of 45
 The output is as given below:
Step 7: Generate the Grade Count
 Generate Grade Count

 Open “Query Builder4”and run Query Builder. Select the items as shown in the screen below:
Page 34 of 45
 Create a computed column for counting number of Grades as given below:
 Click on run to get the output as given below:
Page 35 of 45
 Generate Grading of CHCs

 The count of Grades which is numerical in the above output i.e. “Query Builder5” needs to be
translated into meaningful information. Therefore the same is converted into characters using
computed column on the above output as depicted below:
 Click Run on the computed column to get the desired output for “Query Builder6”.
Page 36 of 45
Step 8: Generate of Summary Tables & Graphs
 On the above output, the summary tables and graphs are created as described below:
 Facility-wise Summary Table
 On the Grading of CHCs output, click „Describe‟ and then click „Summary Table‟.
Page 37 of 45
 Drag the required items as mentioned in the screenshot below
 Select the Summary Tables on the left pane and drag items to create the required report as given
below
Page 38 of 45
 On clicking run in the above screen the following output would be generated
 Similarly, generate the District-wise & Block-wise report / summary tables. The output for each is
depicted below:
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 Graph Generation
 On the Grading of CHCs output, click „Graph‟ and then click „Bar Chart‟.
 Click Simple Vertical Bar
Page 41 of 45
 Select the required data to plot as given below and click run to obtain the output.
 On clicking run in the above depiction, a bar chart is generated with different bars representing
the number of CHCs falling under each category viz. 1/5, 2/5, 3/5, 4/5, 5/5, NA and NE.
Page 42 of 45
Step 9: Creation of Comprehensive Report
 The output from various summary tables and graphs can be presented into a single report using
„Report‟ function.

 Right click on the process flow window  click New  Click Report
 Drag the SAS items on the required area as represented below:
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 Click on “OK” to generate the Report as given below:
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***End of Document***
Page 45 of 45

Grading CHCs Guideline: Data Items & Criteria

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Grading CHCs Guideline: Data Items & Criteria

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Guideline for

Version 2.0………………… December, 2016

2.1. Data Items ........................................................................................................................3

2.2. Criteria for Grading of CHCs Report .............................................................................5

A. Mandatory Criteria ............................................................................................................... 5

B. Drugs and Supplies ............................................................................................................. 5

C. Service Availability .............................................................................................................. 5

D. Client Orientation ................................................................................................................. 6

E. Service Utilization .................................................................................................................... 6

3. GENERATION OF Grading of CHCs REPORT USING SAS VDD .......................................8

Step 1: Data Preparation ................................................................................................................ 8

Step 2: Creation of SAS VDD Project........................................................................................ 11

Step 3: Importing & Transposing Data in SAS VDD Project ............................................... 12

Step 4: Run Queries for Criteria ................................................................................................. 17

Step 5: Inter-relate or Join Data ................................................................................................. 29

Step 6: Run Mandatory Criteria for Grading of CHCs .......................................................... 33

Step 7: Generate the Grade Count ............................................................................................ 34

Step 8: Generate of Summary Tables & Graphs .................................................................... 37

Step 9: Creation of Comprehensive Report ............................................................................ 43

For Grading of CHCs the following aspects / categories are considered:

 Human Resources available

 Data Item Details

2.1. Data Items

HMIS Data Item

Including 2.4 Paediatrics

HMIS Data Item

Whether two month supply of

Number of new IUCD Insertions at

2.2. Criteria for Grading of CHCs Report

Doctors including specialists >=2

Separate public utilities for males and females Yes/No

B. Drugs and Supplies

Whether two month supply of essential drugs available? Yes/No

24 - hour delivery services including normal and assisted deliveries Yes/No

Is there a publicly displayed mechanism, whereby a complaint/grievance

Service Utilization: Minimum value /month

Service Utilization: Minimum value/ month

3. GENERATION OF Grading of CHCs REPORT USING SAS VDD

Step 1: Data Preparation

 Creation of Infrastructure file:

 Export the generated report in Excel format

 Creation of MIS file:

 Export the generated report in Excel format

 Creation of ‘Maps’ file:

 Store all these three excel files in a folder “Grading of CHCs”.

Step 2: Creation of SAS VDD Project

 Open SAS VDD.

Step 3: Importing & Transposing Data in SAS VDD Project

 Provide path for workbook Infrastructure and click open.

 Transpose screen appears as given below:

 All variables / parameters to be transposed is selected and dragged to „Transpose variables‟ on

Step 4: Run Queries for Criteria

 Running Queries on transposed infrastructure data

 Join Infrastructure and Maps

 Click on computed column

 The computed columns will be created, as represented below:

 Click Run and the output would be presented:

 On clicking “Run” he output appears as given below:

 Join MIS and Maps

 Click on computed column

 On clicking “Run” the output appears as given below:

Step 5: Inter-relate or Join Data

 Output of the “Query Builder3” will be as shown below