Rapport d’enquête sur les services de sante, Disponibilité et capacité opérationnelle des services de santé au Bénin 2013
Translated Title
Health Services Survey Report, Availability and Operational Capacity of Health Services in Benin, 2013
Country
Name
Country code
Benin
BEN
Study type
Service Availability and Readiness Assessment [hfa/sara]
Abstract
The Ministry of Health with technical support from the World Health Organization (WHO) implemented the 2013 Service Availability and Readiness Assessment (SARA) for Benin. The objective of the 2013 SARA was to assess the availability and operational capacity of services and the quality of the data in the National Health Information and Management System in Benin.
The 2013 SARA survey covered 189 health facilities in all 34 health zones in the country.
This report covers three categories of indicators:
1. Service availability
• Health infrastructure
• Health workforce
• Health 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
• Family planning services
• Antenatal care (ANC)
• Emergency obstetric and newborn care
• Routine child immunization
• Child curative and growth monitoring services
• Tuberculosis
• HIV counselling and testing
• HIV/AIDS care and support
• Antiretroviral prescription and client management
• Prevention of mother-to-child transmission (PMTCT) of HIV
• Sexually-transmitted infections services
• Basic surgical services
• Comprehensive surgical care
• Blood transfusion services
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health facilities
Version
Version Description
Final report (SARA 2013)
Version Date
2013-06-01
Scope
Notes
The SARA survey is designed to generate a set of core indicators on key inputs and outputs of the health system, which can be used to measure progress in health system strengthening over time. The SARA focuses on three main areas: service availability, general service readiness and service-specific readiness.
A basic approach to SARA is to collect data that are comparable both across countries and within countries (i.e. across regions and/or districts) using a standard core questionnaire developed by WHO in collaboration with the United States Agency for International Development (USAID). Usually, a country adopts the standard core questionnaire with adaptations to certain elements such as types of facilities, managing authority of facilities, national guidelines for services, staffing categories and national policies for medicines (e.g. for tuberculosis, HIV/AIDS). The SARA survey requires visits to health facilities with data collection based on key informant interviews and observation of key items. The survey can either be carried out as a sample or a census; the choice between these methodologies will depend on a number of elements including the country's resources, the objectives of the survey and the availability of a master facility list (MFL).
Coverage
Geographic Coverage
Nationally representative, as well as representative at zone level
Universe
The survey covered 189 health facilities in all the 34 health zones in the country.
Producers and sponsors
Primary investigators
Name
Ministry of Health
Producers
Name
Role
World Health Organization
Technical guidance
Sampling
Sampling Procedure
A list of health facilities (public and private) that provide information to the National Health Information System was used as a sampling frame. Health facilities were selected using stratified random sampling. Stratas were group by facility type: stratum 1 was hospitals (public and private); stratum 2 was health centers (health centers that include complete health centres, maternity hospitals and dispensaries);and stratum 3 was primary health care centres, which include isolated maternity hospitals and dispensaries, school infirmaries, and school infirmaries.
Data Collection
Dates of Data Collection
Start
End
2013-02-25
2013-03-09
Data Collection Mode
Face to face
Data Collection Notes
A standardized questionnaire, adapted to the national context was developed and pre-tested before data collection. A total of 24 interviewers were recruited and divided into pairs for data collection. The data collectors (nurses, midwives) and supervisors (doctors, statisticians, planners) were trained for three months.
Questionnaires
Questionnaires
The SARA core questionnaires overview:
Section 1: Cover page
Section 2: Staffing
Section 3: Inpatient and observation beds
Section 4: Infrastructure
Section 5: Available services
Section 6: Diagnostics
Section 7: Medicines and commodities
Section 8: Interviewers observations