Enquete SARA-DQR-QOC 2017 Guinee
Guinea, 2017
Reference ID
GUINEE-MOH-SARA-2017-vFINAL
Producer(s)
Ministry of Health
Created on
Jan 12, 2022
Last modified
May 23, 2022
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Identification
Survey ID Number
GUINEE-MOH-SARA-2017-vFINAL
Title
Enquete SARA-DQR-QOC 2017 Guinee
Translated Title
Services Availability and Readiness Assessment (SARA)- DQR- QOC Survey 2017 Guinee
Country
| Name |
|---|
| Guinea |
Study type
Service Availability and Readiness Assessment Mapping Survey [HFA/SARAM]
Abstract
The Ministry of Health through the Strategic and Development Office (SDO), and National Institute of Statistics (INS) in collaboration with the World Health Organization (WHO) implemented a second edition of the Guinea Service Availability and Readiness Assessment (SARA), Data Quality Assessment (DQA) and Quality of Care (QoC) in 2017. The 2017 SARA aimed to generate reliable and regular information on the availability of health services (the availability of infrastructure and 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 objective of the DQA survey was to contribute to improving the quality of health data at the health facility level.
The SARA survey covered all health facilities whereas representative samples were used for the DQR and QoC surveys.
This report provides information on the following set of tracer indicators for the 2017 SARA :
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
• Maternal, newborn and child health (MNCH)
• Family planning
• Adolescent health
• Immunization services
• 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
• Diabetes
• Cardiovascular diseases
• Chronic respiratory diseases
• Non-communicable diseases (NCDs)
• Basic surgical services
• Blood transfusion
The report also presents findings from the DQA and QoC assessments.
The SARA survey covered all health facilities whereas representative samples were used for the DQR and QoC surveys.
This report provides information on the following set of tracer indicators for the 2017 SARA :
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
• Maternal, newborn and child health (MNCH)
• Family planning
• Adolescent health
• Immunization services
• 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
• Diabetes
• Cardiovascular diseases
• Chronic respiratory diseases
• Non-communicable diseases (NCDs)
• Basic surgical services
• Blood transfusion
The report also presents findings from the DQA and QoC assessments.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health facilities
Version
Version Description
Final report
Version Date
2018-08-01
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).
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 rural and urban levels
Universe
The SARA survey covered all health facilities whereas representative samples were used for the DQR and QoC surveys.
Producers and sponsors
Primary investigators
| Name |
|---|
| Ministry of Health |
Producers
| Name | Role |
|---|---|
| World Health Organization | Technical support |
Sampling
Sampling Procedure
This was a census-type survey. All public and private health facilities will be eligible for the SARA. A sample of 417 health facilities were selected for the surveys on quality of data/reporting (DQR) and quality of care (QoC).In addition, at each facility, at the time of the survey, a maximum of ten patients were systematically selected to carry out the satisfaction survey.
Data Collection
Dates of Data Collection
| Start | End |
|---|---|
| 2017-03-01 | 2017-05-12 |
Data Collection Mode
Face-to-face [f2f]
Data Collection Notes
Training of the survey team was in two phases. First phase was a training of trainers (managers from the Ministry of Health) who were field supervisors. The second phase of training involved enumerators or field agents. The survey team comprised 107 investigators, 22 team leaders, 15 regional supervisors and 4 national supervisors.
Data collection was done on tablets. A data collection program was developed on CSPRO and Survey Solutions software. However, some paper questionnaires were printed as a backup.
Data collection was done on tablets. A data collection program was developed on CSPRO and Survey Solutions software. However, some paper questionnaires were printed as a backup.
Questionnaires
Questionnaires
Three types of questionnaires were used: a SARA questionnaire, a Data Quality Questionnaire (DQR) and a quality of care questionnaire (QoC).
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
The following is an overview of the DQR questionnaire:
Section 1: Identification of health facilities
Section 2: Malaria Management
o Facility and patient eligibility criteria
o Clinical examination
o Assessment of symptoms
o Diagnosis and treatment of malaria
Section 3: PMTCT
o Eligibility criteria for the health facility and the patient
o Management
Section 4: HIV Antiretroviral Treatment Management
o Eligibility criteria for the health facility and the patient
o Management
Section 5: Management of Tuberculosis Treatment
o Eligibility criteria for the health facility and the patient
o Management
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
The following is an overview of the DQR questionnaire:
Section 1: Identification of health facilities
Section 2: Malaria Management
o Facility and patient eligibility criteria
o Clinical examination
o Assessment of symptoms
o Diagnosis and treatment of malaria
Section 3: PMTCT
o Eligibility criteria for the health facility and the patient
o Management
Section 4: HIV Antiretroviral Treatment Management
o Eligibility criteria for the health facility and the patient
o Management
Section 5: Management of Tuberculosis Treatment
o Eligibility criteria for the health facility and the patient
o Management
Metadata production
DDI Document ID
DDI-GUINEE-SARA-2017-vFINAL
Producers
| Name | Abbreviation | Role |
|---|---|---|
| World Health Organization | WHO | Documentation of assessment |
Date of Metadata Production
2021-12-10
DDI Document version
Final version