Extraction data form
| Author | _______________________________________ |
| Year of publication | _______________________________________ |
| Research location | _______________________________________ |
| Design | _______________________________________ |
| Objective | _______________________________________ |
| Types of sources | _______________________________________ |
| List of indicators used or purposed | |
| 1. Indicator name | _______________________________________ |
| 2. Description of indicators (numerator and denominator if any) | _______________________________________ |
| 3. Indicator objectives | _______________________________________ |
| 4. Setting of healthcare facilities | [] Hospital, [] Primary care, [] Clinic |
| 5. Type of indicators | [] Input, [] Process, [] Output |
| 6. Level of indicators | [] Patients, [] Institutions, [] Health systems |
| 7. Quality domain | _______________________________________ |
| 8. Validity test | [] Done, [] None |
| Author recommendations | _______________________________________ |
| Reviewer’s note | _______________________________________ |