Service Availability Mapping (SAM) in Uganda was conducted by Uganda’s Ministry of Health (MoH) in collaboration with the World Health Organization (WHO) in March 2004. The goal was to collect information on the availability and distribution of key health services across the country. SAM provides baseline monitoring information for the scale-up of key HIV/AIDS-related services such as antiretroviral therapy (ART), prevention of mother-to-child transmission (PMTCT) of HIV, and counselling and HIV testing.
The SAM survey covered 54 districts. Four districts could not be assessed due to security concerns. Using personal digital assistants (PDAs) for data entry in the field, data were uploaded in WHO's Health Mapper and linked to a global positioning system (GPS) database containing the geographic coordinates for health facilities in the country. This information was used to produce maps for selected services.
This SAM report for Uganda covers the following indicators:
1. The availability of services and service providers:
• Human resources
• Hospital beds
• Blood transfusion services
• Laboratory services
• Communication and technology
• Injection practices
• Sterilization equipment
2. Estimated coverage of specific interventions:
• Percentage of facilities in the district with access to safe water
• Percentage of facilities in the district with functioning piped water supply
• Percentage of facilities in the district with health workers trained in safe motherhood
• Percentage of facilities in the district with health workers trained in IMCI
• Percentage of facilities in the district with HIV testing sites
• Percentage of facilities in the district with TB treatment sites that had a stock out
3. Facilities providing selected services
• HIV counselling and testing
• TB diagnostic lab facilities
• ALERT system
• Caesarean section
• Emergency blood transfusion
• Family planning
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health facilities and district health offices
Version
Version Description
vFINAL: Final report
Version Date
2006-01-09
Scope
Notes
The SAM is designed to support decision making by providing national and district planners with the skills and tools to routinely map services and resource availability. Designed as a district-owned system, SAM can be implemented as a standalone system or integrated into the routine health information system as a supervisory tool. As a monitoring tool, SAM is recommended every six months to one year. The frequency of implementation may be adjusted to suit program needs when utilized as a periodic evaluation tool. The Facility SAM covers availability of the health equipment, staffing, drugs and commodities, and the services offered. The District SAM covers health infrastructure, human resources, and services available in the district.
Coverage
Geographic Coverage
Nationally representative as well as at regional and district levels
Universe
The survey covered district health offices and health facilities in 54 districts across the country.
Producers and sponsors
Primary investigators
Name
Ministry of Health
Producers
Name
Role
World Health Organization
Technical support
Sampling
Sampling Procedure
A census of selected health facilities in the 54 districts was implemented for the district questionnaire. In Jinja, Kiboga, and Mbarara a more detailed assessment was done by visiting all health facilities after the main district-level SAM fieldwork was completed.
Data Collection
Dates of Data Collection
Start
End
2004-03-01
2004-03-31
Data Collection Mode
Face-to-face [f2f]
Data Collection Notes
The SAM questionnaires are applied using Personal Digital Assistants (PDAs); Global Positioning System (GPS) units are used to obtain the geographical coordinates of health care facilities. District teams are provided with the hardware, software and training required to assure ongoing data collection and integration into existing supervisory and monitoring practices.
Four teams collected data. Each team covered 14 districts using a GPS and a PDA to collect data and satellite geo-coordinates used in the formulation of the national maps.
Questionnaires
Questionnaires
District Questionnaire overview:
Section 1: Availability of services and service providers, by district
Section 2: Estimated coverage of specific interventions, by district
Section 3: Checklist of health facilities, by facility
This questionnaire is applied in all districts (or equivalent administrative unit) by health teams. The respondents of this questionnaire are district medical officers and their teams.
Facility Questionnaire overview:
Section 1: General characteristics, including infrastructure
Section 2: General purpose equipment
Section 3: Injection and sterilization equipment
Section 4: Human resources
Section 5: Trained staff
Section 6: Drugs and commodities
Section 7: Laboratory tests
Section 8: Information on interventions available in the facility
The respondents of this questionnaire are the facility directors and their teams.
The template questionnaires are developed in English, and both questionnaires are provided as external resources.
Data Processing
Data Editing
The SAM data are entered using PDAs and the data in the PDAs is transferred to a computer. Once the data are in the computer, structure checking and completeness as well as checking of the double data entry and data entry errors are checked.