Abstract
Background: Primary health care (PHC) monitoring and evaluation framework should encompass public health and essential clinical health services, community engagement, and multisector action and policy. However, the existing monitoring and evaluation frameworks have several limitations. This review maps the available monitoring and evaluation frameworks and generate harmonized framework.
Methods: A scoping review of existing monitoring and evaluation frameworks was conducted, which involved a systematic literature search from electronic databases (PubMed, EMBASE, Web of Science, CINAHL, PsycInfo and complementary searches of grey literature from Google Scholar, WHO website, Primary Health Care Program Initiative interface and Google. We synthesised findings by bringing similar concepts into a common broad dimension.
Results: A total of 48 monitoring and evaluation frameworks were identified. The review highlighted areas of overlap and opportunities for further framework development. Based on the identified gaps, we developed a comprehensive PHC evaluation framework across the essential health services provision, community engagement, and multisector action and policy. The indicators framed under system, input, service delivery (process, output) and goal (outcome and impact) dimensions.
Conclusions: The current framework brings monitoring and evaluation indicators for the simultaneous assessment of the three aspects of primary health care as a whole-of-society. The application of the framework can provide the opportunity to understand policy, clinical and community engagement by identifying gaps and successes towards the global vision of universal health coverage.
Keywords: Evaluation; Monitoring; Primary health care