Indicators

Global cluster Code Sub-domain Title Description / Rationale
Food Security, Health, Logistics, Protection, Nutrition, Water Sanitation Hygiene, Camp Coordination / Management, Education, Emergency Shelter and NFI, Emergency Telecommunications, Early Recovery AAP-1 Feedback Mechanisms Number of feedback received (including complaints) which have been acted upon

Feedback mechanisms provide a means for all those affected to comment on and thus indirectly influence programme planning and implementation (see HAP’s ‘participation’ benchmark). They include focus group discussions, surveys, interviews and meetings on ‘lessons learnt’ with a representative sample of all the affected population (see ECB’s Good Enough Guide for tools and Guidance notes 3–4). The findings and the agency’s actions in response to feedback should be systematically shared with the affected population. (Sphere Core Standard 1, Guidance Note 2)

Possible examples:

  • % of women/girls and % of men/boys satisfied with the quality and appropriateness of response at the end of the project
  • # of text messages received daily and acted upon according to the agreed/established procedures 
Food Security, Health, Logistics, Protection, Nutrition, Water Sanitation Hygiene, Camp Coordination / Management, Education, Emergency Shelter and NFI, Emergency Telecommunications, Early Recovery AAP-2 Sharing Information Number of information products distributed to the affected population through a variety of mechanisms on humanitarian program planning, functioning and progress

People have a right to accurate and updated information about actions taken on their behalf. Information can reduce anxiety and is an essential foundation of community responsibility and ownership. At a minimum, clusters and agencies should provide a description of the cluster's role and responsibilities, agency’s mandate and project(s), the population’s entitlements and rights, and when and where to access assistance (see HAP’s ‘sharing information’ benchmark). (Sphere Core Standard 1, Guidance Note 4)

Possible examples:

  • # of ‘Frequently Asked Questions’ documents about the work of the cluster disseminated
  • # of talkback radio programmes joined to explain response planning and selection criteria of cluster to affected population 
Food Security, Health, Logistics, Protection, Nutrition, Water Sanitation Hygiene, Camp Coordination / Management, Education, Emergency Shelter and NFI, Emergency Telecommunications, Early Recovery AAP-3 Participation Number of persons consulted (disaggregated by sex/age) before designing a program/project [alternatively: while implementing the program/project]

Participation in design of assessments, programmes, evaluations etc, means that a selected segment(s) of the affected populaiton have a direct influence on decision making.  Measures should be taken to ensure the participation of members of all groups of affected people – young and old, men and women. Special efforts should be made to include people who are not well represented, are marginalised (e.g. by ethnicity or religion) or otherwise ‘invisible’ (e.g. housebound or in an institution). The participation of youth and children should be promoted so far as it is in their own best interest and measures taken to ensure that they are not exposed to abuse or harm. (Sphere Core Standard 1, Guidance Note 3)

Possible examples:

  • # of focus group discussions organized with affected girls, women, boys and men that have been used to influence decisions made on design of assessments, programmes, standards, selection criteria, etc.
  • % of female and % of male parents actively participating in the conception and implementation of M&E of education in emergencies services. 
Health H-A.1.a H1 General clinical services & essential trauma care Number of functional basic health units/10 000 population

Proxy indicator of geographical accessibility, and of equity in availability of health facilities across different administrative units.

Health H-A.1.b H1 General clinical services & essential trauma care Number of functional health centres/50 000 population

Proxy indicator of geographical accessibility, and of equity in availability of Health Facilties across different administrative units

Health H-A.1.c H1 General clinical services & essential trauma care Number of functional district-rural hospitals/250 000 population

Proxy indicator of geographical accessibility, and of equity in availability of Health Facilties across different administrative units

Health H-A.2 H4.2 Maternal and newborn care Number of functional health facilities with Comprehensive Emergency Obstetric Care (CEmOC) per 500,000 population

Proxy indicator for the physical availability and geographical accessibility of emergency obstetric services and their distribution across districts in the affected areas. An unbalance between the availability of BEmOC and CEmOC (with too few BEmOC) is often observed.

Health H-A.2a H4.2 Maternal and newborn care Number of functional health facility with Basic Emergency Obstetric Care (BEmOC) per 500,000 population

Proxy indicator for the physical availability and geographical accessibility of emergency obstetric services and their distribution across districts. An unbalance between the availability of BEmOC and CEmOC (with too few BEmOC) is often observed. 

Health H-A.5 H1 General clinical services & essential trauma care Number of inpatient beds per 10,000 population

Indicator for the availability of hospital beds across crisis areas and proxy indicator of equity in the allocation of resources.

Health H-A.6 H4.3 Sexual violence Percentage of functional health facilities with clinical management of rape survivor services

Key indicator to measure the allocation of resources and the availability of services to address consequences of sexual violence.

Health H-A.7 H1 General clinical services & essential trauma care Number of health workers per 10,000 population

Key indicator to monitor the availability of health workers. It can serve as a proxy to monitor equity in the allocation of resources by humanitarian actors across different groups within the humanitarian case load and/or crisis affected population versus local populations.

Health H-A.8 H1 General clinical services & essential trauma care Number of Community Health Workers per 10,000 population

Indicator monitoring the availability of human resources key to delivering community-based intervention.

Health H-A.9 H1 General clinical services & essential trauma care, H2 Child health, H3 Communicable diseases, H4 Sexual and Reproductive Health Number and percentage of functional health facilities providing selected relevant services

Proxy indicator for the physical availability and geographical accessibility of selected services relevant to the local context.

Health H-A.9a H1 General clinical services & essential trauma care Number and Percentage of non functional health facilities

Indicator of the consequence of the crisis on the availability of the health services 

Health H-A.9b H1 General clinical services & essential trauma care Number and Percentage of health facilities supported by humanitarian organisations

Indicator of support by health cluster partners beside MoH to the health system; in very disrupted health system can be a proxy for functional health facilities/services as non-supported health facilities have stopped functioning

Health H-C.1 H1 General clinical services & essential trauma care Number of outpatient consultations per person per year (attendance rate or consultation rate)

Proxy indicator for accessibility and utilization of health services that may reflect the quality of services. It does not measure the coverage of this service, but the average number of visits in a defined population.

Health H-C.2 H1 General clinical services & essential trauma care Number of consultations per clinician per day

Measure for the workload and proxy indicator of the quality of care.

Health H-C.3 H5 Non communicable diseases and mental health, H6 Environmental Health Coverage of measles vaccination (%)

Measles coverage refers to the percentage of children who have received at least one dose of measles-containing vaccine in a given year. This indicator is used for estimating the vaccine coverage of the total EPI strategy. To avoid overestimation, measles vaccination coverage is often used as a proxy since it is usually lower than DPT3 coverage.

Health H-C.4 H2 Child health coverage of DTP3 in < 1 year old (%)

Indicators used for estimating the vaccine coverage of the total EPI strategy. To avoid overestimation, measles vaccination coverage is often used as a proxy since it is usually lower than DTP3 coverage.

Health H-C.5 H4.2 Maternal and newborn care Percentage of births assisted by a skilled attendant

Proxy measure for the utilization rate of obstetrics services in health facilities and in communities where Village-Trained Midwives are operating. It is a measure of a health system?s ability to provide adequate care for pregnant women during labour and delivery.

Health H-C.6 H4.2 Maternal and newborn care Percentage of deliveries by caesarean section

The proportion of all deliveries by caesarean section in a geographical area is a measure of access to and use of a common obstetric interventions for averting maternal and neonatal deaths and for preventing complications such as obstetric fistula. Of all the procedures used to treat major obstetric complications, caesarean section is one of the commonest, and reporting is relatively reliable.

Health H-R.1 H3 Communicable diseases, H5 Non communicable diseases and mental health Incidence for selected diseases relevant to the local context

Useful measure of the burden of diseases and detect outbreaks. The list of diseases is context specific and can include communicable and non-communicable diseases.

Health H-R.3 H3 Communicable diseases, H5 Non communicable diseases and mental health Case Fatality Ratio (CFR) for most common diseases

Probability of dying as a result of a given disease. Is a result of a mixture of disease severity and quality of health care.