| Abstract |
The Uganda Ministry of Health in collaboration with Makerere University College of Health Sciences and World Health Organization (WHO) implemented a Service Availability and Readiness Assessment (SARA) in 2014. The aim of the SARA 2014 was to generate reliable information on health service availability and readiness to support efforts to improve service delivery in the country.
The SARA 2014 covered 147 hospitals and 188 level IV primary care facilities across the country.
This report presents findings of the SARA census survey in hospitals and level IV primary care facilities (also known as health centre IV (HC IV)) in Uganda. The first part of the report examines access to services at hospitals and level IV primary care facilities. Specifically, it examines the hospitals/HC IV density, specific service density, and proportion of hospitals/HC IVs with a specific service. The second part of the report focuses on quality and safety at hospitals/HC IVs in Uganda. The key dimensions of quality and safety examined in the second part of the report include the readiness or ability of hospitals/HC IVs to provide services to the desired standards, infection prevention and control, institutional mortality rates (maternal mortality, stillbirths, and neonatal mortality), rate of caesarean sections, and the availability of systems and practices to ensure safe delivery of health care services. The third part of the report focuses on the health system functions. The key dimensions of the health system examined in the third of the report are hospitals/HC IV governance, health workforce and health care financing. The fourth part of the report focuses on the hospitals/HC IV efficiency.
|
