| Abstract |
The Ministry of Health in collaboration with WHO implemented the 2013 Service Availability and Readiness Assessment
Mapping (SARAM) for Kenya. The SARAM was a national census involving all units involved in health including health
facilities (public, and private), and management levels in Kenya that was carried out between April and May 2013. The
SARAM survey was designed with an aim to provide an understanding of the capacity for service provision across counties in Kenya. It’s objective is to generate reliable information on service delivery, availability of basic inputs to provide different services, and on the readiness of health facilities to provide basic health-care interventions. It provides a mapping of: (i) status of Kenya Essential Package for Health (KEPH) provision across the Country (health outcomes), (ii) capacity to provide services with a focus on availability of critical inputs needed for provision of services and functionality of critical inputs needed for provision of services, and (iii) readiness of critical inputs needed for provision of services.
A standard set of data was collected from each facility and management unit based on a pre-designed questionnaire that
collected three sets of information:
(i) Basic information: Location, ownership, geocodes;
(ii) Service availability: Service interventions provided by the facility, and available human resources for health (HRH),
infrastructure (physical, equipment and communication) and health products to facilitate provision of the interventions; and
(iii) Service readiness: Health service delivery organization, and leadership capacity needed to provide the services.
This report covers the following categories of indicators:
1. General service availability
• Health infrastructure
• Health workforce
• 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
• HIV/AIDS
• Tuberculosis
• Non-communicable diseases
• Malaria
• Maternal and child health
• HIV counseling and testing
• HIV/AIDS care and support
• Antiretroviral prescription and client management
• Prevention of mother-to-child transmission of HIV (PMTCT)
• Surgical services
4. Health leadership and partnership readiness
• Service delivery organization readiness
• Health stewardship readiness
• Health partnership readiness
• Health governance readiness
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