Abstract |
The Ministry of Health in collaboration with World Health Organization (WHO) implemented the 2016 Service Availability and Readiness Assessment (SARA) in order to inform the mid-term review of Kenya’s Health Sector Strategic and Investment Plan (KHSSP) 2014-2018. The overarching objective of the mini-SARA 2016 was to generate reliable information on health 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.
The survey was conducted in a nationally representative sample of 250 facilities across 19 counties in Kenya. Structured interviews with key informants on the availability of services and capacity of health facilities to provide the services were conducted using the adapted Service Availability and Readiness Assessment Mapping (SARAM) 2013 questionnaire. The health facilities were selected through multistage stratified random sampling designed to give a representative national sample.
This report covers the following categories of indicators:
1. General service availability
• Health infrastructure density
• Health workforce density
• Service utilization
2. General service readiness
• Basic amenities
• Basic equipment
• Standard precautions for infection prevention
• Diagnostic capacity
• Essential medicines
3. Service specific availability and readiness
• Maternal, child health and family health
• Preventive and curative services for children under five years of age
• Antenatal care
• Non-communicable diseases
• Adolescent health
• Neglected tropical diseases
• Malaria
• Tuberculosis
• HIV counselling and testing
• HIV/AIDS care and support
• Antiretroviral therapy (ART) prescription and client management
• Prevention of mother-to-child transmission of HIV (PMTCT) to HIV
• Sexually-transmitted infections
• Blood transfusion
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