Indice de Disponibilité et de Capacité Opérationnelle des Services de Santé (SARA) Chad 2015
Translated Title
Service Availability and Readiness Assessment (SARA) Chad 2015
Country
Name
Country code
Chad
TCD
Study type
Service Availability and Readiness Assessment [hfa/sara]
Abstract
The Ministry of Public Health in collaboration with the World Health Organization (WHO) implemented the 2015 Service Availability and Readiness Assessment (SARA) for Chad. The 2015 SARA aimed to generate reliable and regular information on the availability of health services (the availability of infrastructure, essential human resources) and the operational capacity of health facilities to deliver basic family planning interventions, pediatric health services, essential and comprehensive obstetric care, HIV/AIDS, tuberculosis, malaria and non-communicable diseases.
The survey covered 332 health facilities across the country.
This report covers three categories of indicators:
1. General service availability
• Health infrastructure density
• Health workforce density
• Service utilization
2. General service readiness
• Basic amenities and comfort elements
• Basic equipment
• Standard precautions for infection prevention
• Diagnostic capacity
• Essential medicines
3. Service specific availability and readiness
• Family planning
• Antenatal care
• Obstetric care
• Neonatal care
• Preventive and curative care services for the child
• Adolescent health services
• Malaria
• HIV/AIDS counselling and testing services
• Tuberculosis
• HIV/AIDS care and support services
• Prevention of mother-to-child transmission (PMTCT) of HIV
• Sexually transmitted infections
• Malaria
• Tuberculosis
• Non-communicable diseases
• Basic surgical services
• Comprehensive surgical services
• Advanced diagnostic services
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health facilities
Version
Version Description
Final report (2015)
Version Date
2015-12-31
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 district level
Universe
The survey covered 332 health facilities
Producers and sponsors
Primary investigators
Name
Ministry of Public Health
Producers
Name
Role
World Health Organization
Technical support
Sampling
Sampling Procedure
A national sample of 333 facilities was drawn from a sampling frame of 1,571 health facilities in the Health Information System database, representing 20% of the facilities. Stratified sampling was used to select the health facilities. The strata were grouped by facility type, management authority, and location.
Data Collection
Dates of Data Collection
Start
End
2015-05-17
2015-06-15
Data Collection Mode
Face-to-face [f2f]
Questionnaires
Questionnaires
The SARA core questionnaires overview is as follows:
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