Service Availability Mapping (SAM) United Republic of Tanzania 2005-2006
United Republic of Tanzania, 2005 - 2006
Reference ID
TZA-MOHSW-SAM-2005-06-vFINAL
Producer(s)
Ministry of Health and Social Welfare
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Created on
Jan 24, 2022
Last modified
May 23, 2022
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Identification
Survey ID Number
TZA-MOHSW-SAM-2005-06-vFINAL
Title
Service Availability Mapping (SAM) United Republic of Tanzania 2005-2006
Country
| Name | Country code |
|---|---|
| United Republic of Tanzania | TZA |
Study type
Service Availability Mapping [HFA/SAM]
Abstract
The Ministry of Health and Social Welfare (MoHSW) Tanzania in collaboration with WHO implemented a survey on Service Availability Mapping (SAM) from December 2005 to February 2006. The Tanzania SAM aimed to complement existing information on health services and provide the country with information on the distribution of facilities, human resources, and basic health services.
The SAM included a national survey of all districts in Tanzania, a SAM of facilities in all districts of Dar es Salaam and Mwanza regions, Zanzibar, and the district of Kibaha in Pwani; and an HIV prevention-focused SAM of schools, workplaces and priority prevention areas in Mwanza region. District medical officers and their teams were asked about the availability of services in the district.
This SAM Survey Report for Tanzania covers the following categories of indicators:
1. The availability of services and service providers:
• Human resources
• Hospital beds
• Blood transfusion services
• Laboratory services
• Communication and technology
• Injection and sterilization practices
• Medical 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 Integrated Management of Childhood Illness (IMCI)
3. Facilities providing selected services:
• HIV/AIDS
• Malaria
• Tuberculosis control
• Sexually transmitted infections (STIs)
• Non-communicable diseases
• Family planning
4. HIV prevention-focused SAM of schools, workplaces and priority prevention areas in Mwanza region:
• Percentage of schools providing specific services related to HIV/AIDS
• Percentage of schools with specific human resources for HIV/AIDS-related activities
• Percentage of schools with teaching aids and commodities for HIV/AIDS-related activities
• Percentage of workplaces with HIV/AIDS-related activities, human resources and services
The SAM included a national survey of all districts in Tanzania, a SAM of facilities in all districts of Dar es Salaam and Mwanza regions, Zanzibar, and the district of Kibaha in Pwani; and an HIV prevention-focused SAM of schools, workplaces and priority prevention areas in Mwanza region. District medical officers and their teams were asked about the availability of services in the district.
This SAM Survey Report for Tanzania covers the following categories of indicators:
1. The availability of services and service providers:
• Human resources
• Hospital beds
• Blood transfusion services
• Laboratory services
• Communication and technology
• Injection and sterilization practices
• Medical 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 Integrated Management of Childhood Illness (IMCI)
3. Facilities providing selected services:
• HIV/AIDS
• Malaria
• Tuberculosis control
• Sexually transmitted infections (STIs)
• Non-communicable diseases
• Family planning
4. HIV prevention-focused SAM of schools, workplaces and priority prevention areas in Mwanza region:
• Percentage of schools providing specific services related to HIV/AIDS
• Percentage of schools with specific human resources for HIV/AIDS-related activities
• Percentage of schools with teaching aids and commodities for HIV/AIDS-related activities
• Percentage of workplaces with HIV/AIDS-related activities, human resources and services
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health facilities and district health offices
Version
Version Description
vFINAL: Final report, revised from first draft
Version Date
2007-01-15
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 health facilities and district health offices from 128 districts of Tanzania. Only 1 district in the country was excluded from the assessment.
Producers and sponsors
Primary investigators
| Name |
|---|
| Ministry of Health and Social Welfare |
Producers
| Name | Role |
|---|---|
| World Health Organization | Technical support |
| MEASURE Evaluation | Technical support |
Funding Agency/Sponsor
| Name | Abbreviation | Role |
|---|---|---|
| President’s Initiative Emergency Plan to Fight HIV/AIDS of the United States Agency | PEPFAR | Financial assistance |
| World Health Organization | WHO | Financial assistance |
| United Nations Programme on HIV/AIDS | UNAIDS | Financial assistance |
Sampling
Sampling Procedure
All except one of the 129 districts in Tanzania were included in the sample.
Data Collection
Dates of Data Collection
| Start | End |
|---|---|
| 2005-11-01 | 2006-01-31 |
Data Collection Mode
Face-to-face [f2f]
Data Collection Notes
The assessment started with a two-day workshop with the regional health authorities to discuss the SAM and adapt the instruments to the local situation as needed. This was followed by a one week training course for the district teams. The interviewer teams consisted of national, regional and district staff from the Ministry of Health and Social Welfare. The fieldwork was conducted by district teams with facilitators from September to October 2005.
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.
While the questionnaire was based on the standard list of questions that had been used in district SAM in Kenya, Uganda, and Zambia, local adaptations were made as necessary, e.g. on first- and second-line antimalarial drugs. In addition to a number of general questions on the basic availability of service components—human resources, equipment, drugs and commodities, guidelines—the district team was asked specific questions for each facility listed by name on the availability of specific services including ART, PMTCT, caesarean section, emergency blood transfusion and diagnosis of tuberculosis.
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.
While the questionnaire was based on the standard list of questions that had been used in district SAM in Kenya, Uganda, and Zambia, local adaptations were made as necessary, e.g. on first- and second-line antimalarial drugs. In addition to a number of general questions on the basic availability of service components—human resources, equipment, drugs and commodities, guidelines—the district team was asked specific questions for each facility listed by name on the availability of specific services including ART, PMTCT, caesarean section, emergency blood transfusion and diagnosis of tuberculosis.
Data Processing
Data Editing
The SAM data are entered using personal digital assistants (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.
Access policy
Access authority
| Name | Affiliation | |
|---|---|---|
| World Health Organization | WHO | permissions@who.int |
Metadata production
DDI Document ID
DDI-TZA-SAM-2005-06-vFINAL
Producers
| Name | Abbreviation | Role |
|---|---|---|
| World Health Organization | WHO | Documentation of assessment |
Date of Metadata Production
2021-11-15
DDI Document version
DDI-TZ-SAM-2005-06-v02