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Service Availability and Readiness Assessment 2012

Tanzania, 2012
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Reference ID
TZA_2012_SARA_v01_M
Producer(s)
Honorati Masanja, Paul Smithson, Yahya Ipuge
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DDI/XML JSON
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Created on
Mar 13, 2015
Last modified
Mar 29, 2019
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Questionnaires
Measuring service availability and readiness - Questionnaire for IHI SPD facilities
Download [PDF, 1.09 MB]
Author(s) Ifakara Health Institute, World Health Organization (WHO)
Date 2012-12-01
Country Tanzania
Language English
Publisher(s) Ifakara Health Institute
Description Questionnaire employed for SARA TZA 2012.
Useful for data variable label mapping.
Download https://datacatalog.ihsn.org//catalog/5888/download/70047
Service Availability and Readiness Assessment (SARA): An annual monitoring system for service delivery - Reference Manual
Download [PDF, 2.82 MB]
Author(s) World Health Organization (WHO)
Date 2013-09-01
Country Tanzania
Language English
Publisher(s) World Health Organization (WHO)
Description Version 2.1 September 2013

SARA is designed as a systematic survey to assess health facility service delivery. The objective of the survey is to generate reliable and regular information on service delivery including service availability, such as the availability of key human and infrastructure resources, and on the readiness of health facilities to provide basic health-care interventions relating to family planning, child health services, basic and comprehensive obstetric care, HIV/AIDS, tuberculosis, malaria and noncommunicable diseases.
The SARA survey generates a set of tracer indicators of service availability and readiness that can be used to:
• detect change and measure progress in health system strengthening over time;
• plan and monitor the scale-up of interventions that are key to achieving the MDGs, such as implementing interventions to reduce child and maternal mortality, HIV/AIDS, tuberculosis and malaria, and to respond to the increasing burden of noncommunicable diseases;
• generate the evidence base to feed into country annual health reviews, to better inform the development of annual operational plans and to guide more effective country and partner investments;
• support national planners in planning and managing health systems (e.g. assessing equitable and appropriate distribution of services, human resources and availability of medicines and supplies).
Key outputs from SARA form the basis for national and subnational monitoring systems of general service availability and readiness, and service-specific readiness (maternal and child health, HIV/AIDS, tuberculosis, malaria, noncommunicable diseases, surgical care, etc.). SARA products include a regularly updated national database of public and private facilities, and an analytical report of core indicators to assess and monitor availability of health services and readiness to provide services.

The SARA survey generates a set of tracer indicators of service availability and readiness that can be used to:
• detect change and measure progress in health system strengthening over time;
• plan and monitor the scale-up of interventions that are key to achieving the MDGs, such as implementing interventions to reduce child and maternal mortality, HIV/AIDS, tuberculosis and malaria, and to respond to the increasing burden of noncommunicable diseases;
• generate the evidence base to feed into country annual health reviews, to better inform the development of annual operational plans and to guide more effective country and partner investments;
• support national planners in planning and managing health systems (e.g. assessing equitable and appropriate distribution of services, human resources and availability of medicines and supplies).
Key outputs from SARA form the basis for national and subnational monitoring systems of general service availability and readiness, and service-specific readiness (maternal and child health, HIV/AIDS, tuberculosis, malaria, noncommunicable diseases, surgical care, etc.). SARA products include a regularly updated national database of public and private facilities, and an analytical report of core indicators to assess and monitor availability of health services and readiness to provide services.
QUESTIONS ANSWERED BY SERVICE AVAILABILITY AND READINESS ASSESSMENT (SARA)
• What is the availability of basic packages of essential health services offered by public and private health facilities?
• Is there an adequate level of qualified staff?
• Are resources and support systems available to assure a certain quality of services?
• How well prepared are facilities to provide high-priority services such as reproductive health services, maternal and child health services, and infectious disease diagnosis and treatment (e.g. HIV, sexually transmitted infections, tuberculosis and malaria)?
• Are facilities ready to respond to the increasing burden of noncommunicable diseases?
• What are the strengths and weaknesses in the delivery of key services at health-care facilities?
Table of contents Abbreviations ....................................................................................................................6
CHAPTER 1 | OVERVIEW ....................................................................................................7
1.1 Background .................................................................................................................................... 9
1.2. Survey overview ...........................................................................................................................11
1.3 Pre-survey preparation ................................................................................................................17
1.4. Planning the survey ......................................................................................................................23
1.5. Training field supervisors data collectors and data entry personnel ...........................................26
1.6. Preparing for data collection in the field .....................................................................................31
1.7. Data collection in the field ...........................................................................................................37
1.8 Data entry and processing ...........................................................................................................41
1.9. Data analysis ................................................................................................................................47
1.10. Data archiving ..............................................................................................................................56
References ..............................................................................................................................................64
CHAPTER 2 | CORE INSTRUMENT ..................................................................................... 65
CHAPTER 3 | FACILITY REPORTING DATA VERIFICATION TOOL ........................................ 119
CHAPTER 4 | INDICATORS INDEX .................................................................................... 157
4.1 Indicators ID numbers ................................................................................................................159
4.2 SARA general service availability indicators ...............................................................................159
4.3 SARA general service readiness indicators ................................................................................163
4.4 SARA service specific availability and readiness indicators .......................................................168
Download https://datacatalog.ihsn.org//catalog/5888/download/70048
Reports
Tanzania - Service Availability and Readiness Assessment (SARA) 2012 - Final Report
Download [PDF, 1.37 MB]
Author(s) Honorati Masanja and Paul Smithson, Ifakara Health Institute
Date 2013-07-01
Country Tanzania
Language English
Publisher(s) Ifakara Health Institute Plot 463, Kiko Avenue, Mikocheni P.O.Box 78373, Dar es Salaam, Tanzania www.ihi.or.tz info@ihi.or.tz Tel.: +255222774756 Fax: +255222771714
Description Published report of the data findings.
Summary and indicators calculations
Table of contents FOREWORD ..................................................................................................................................................... II
ACKNOWLEDGEMENTS ...................................................................................................................................III
EXECUTIVE SUMMARY ................................................................................................................................... IV
TABLE OF CONTENTS ..................................................................................................................................... VII
LIST OF TABLES .............................................................................................................................................. IX
LIST OF FIGURES ............................................................................................................................................. XI
ACRONYMS ................................................................................................................................................... XII
1 INTRODUCTION ...................................................................................................................................... 1
1.1 THE SARA INSTRUMENT................................................................................................................................. 1
1.2 SAMPLE AND SAMPLE WEIGHTS ........................................................................................................................ 1
1.3 DATA COLLECTION AND ANALYSIS ..................................................................................................................... 3
1.4 DATA LIMITATIONS ........................................................................................................................................ 4
1.5 INTERPRETATION OF RESULTS ........................................................................................................................... 4
2 SERVICE AVAILABILITY ............................................................................................................................ 5
2.1 HEALTH INFRASTRUCTURE ............................................................................................................................... 5
2.2 HEALTH WORKFORCE ..................................................................................................................................... 8
3. GENERAL SERVICE READINESS .................................................................................................................... 9
3.1 BASIC AMENITIES ........................................................................................................................................... 9
3.2 BASIC EQUIPMENT ....................................................................................................................................... 10
3.3 STANDARD PRECAUTIONS FOR INFECTION PREVENTION ....................................................................................... 11
3.4 DIAGNOSTIC CAPACITY .................................................................................................................................. 12
3.5 ESSENTIAL TRACER MEDICINES ........................................................................................................................ 14
3.5 GENERAL SERVICE READINESS ........................................................................................................................ 15
4. SERVICE SPECIFIC AVAILABILITY AND READINESS ................................................................................. 17
4.1 FAMILY PLANNING ....................................................................................................................................... 18
4.2 ANTENATAL CARE SERVICES ........................................................................................................................... 21
4.3 DELIVERY SERVICES: EMERGENCY OBSTETRIC AND NEW BORN CARE ....................................................................... 24
4.4 CHILD IMMUNISATION SERVICES ..................................................................................................................... 28
4.5 CHILD HEALTH SERVICES: PREVENTATIVE AND CURATIVE CARE ............................................................................... 31
4.6 ADOLESCENT HEALTH SERVICES ...................................................................................................................... 35
4.7 MALARIA ................................................................................................................................................... 38
4.8 TUBERCULOSIS ............................................................................................................................................ 41
4.9 HIV COUNSELLING AND TESTING ..................................................................................................................... 44
4.10 HIV CARE AND SUPPORT SERVICES ............................................................................................................. 47
4.11 ARV PRESCRIPTION AND CLIENT MANAGEMENT SERVICES ............................................................................... 50
4.12 PREVENTING MOTHER-TO-CHILD TRANSMISSION (PMTCT) OF HIV/AIDS......................................................... 53
4.13 SEXUALLY TRANSMITTED INFECTIONS .......................................................................................................... 56
4.14 DIABETES DIAGNOSIS AND TREATMENT ....................................................................................................... 59
4.15 CARDIOVASCULAR DISEASE DIAGNOSIS AND MANAGEMENT ............................................................................. 62
4.16 CHRONIC RESPIRATORY DISEASE SERVICES ................................................................................................... 65
4.17 BASIC SURGICAL SERVICES ......................................................................................................................... 68
4.18 ADVANCED LEVEL DELIVERY SERVICES .......................................................................................................... 71
4.19 BLOOD TRANSFUSION .............................................................................................................................. 74
5. CONCLUDING REMARKS ....................................................................................................................... 77
5.1 GENERAL REMARKS ...................................................................................................................................... 77
5.2 GENERAL SERVICE AVAILABILITY ...................................................................................................................... 78
5.3 GENERAL SERVICE READINESS ......................................................................................................................... 78
5.4 SPECIFIC SERVICE AVAILABILITY ....................................................................................................................... 79
5.5 SPECIFIC SERVICE READINESS .......................................................................................................................... 79
Download https://datacatalog.ihsn.org//catalog/5888/download/70046
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