a positive trendgold
Considering performance by audit tool, 43% ( n = 26) of 61 health services showed consistent high improvement or sustained high performance (i.e., a positive trend) in delivery of diabetes care, 38% ( n = 25/65) in preventive health, 40% ( n = 17/42) in maternal health, and 23% ( n = 11/47) in child health (Figure 1 ).