| Abstract |
The Ministry of Health and Social Welfare in collaboration with WHO implemented the 2012 Service Availability and
Readiness Assessment (SARA) for Tanzania. The survey was conducted by Ifakara Health Institute (IHI) in three rounds
from May to December 2012. The objective of the survey was to generate reliable and regular information on service delivery including service availability, such as the availability of key human and infrastructure resources, and on the readiness of health facilities to provide basic health-care interventions relating to family planning, child health services, basic and comprehensive obstetric care, HIV/AIDS, tuberculosis, malaria and noncommunicable diseases.
The survey was conducted in a nationally-representative sample of 27 districts, with a target sample of 1908 health facilities and a final sample of 1297 health facilities, representing more than 18% of all health facilities in the country. The sample comprised non-government as well as government health facilities and results were stratified by facility level, operating authority, ownership and urban/rural areas.
This report provides an important insight into service availability and readiness – both for health care in general and for a
range of specific services. Further, the report covers three categories of indicators:
1. Service availability
• Health infrastructure
• Health workforce
2. General service readiness
• Basic amenities
• Basic equipment
• Standard precautions for infection prevention
• Diagnostic capacity
• Essential tracer medicines
3. Service specific availability and readiness
• Family planning services
• Delivery services (normal delivery and basic emergency obstetric care)
• Routine child immunization
• Preventive and curative services for children under five years of age
• Adolescent health services
• Malaria services
• Tuberculosis diagnosis and treatment
• HIV counseling and testing
• HIV/AIDS care and support
• Antiretroviral prescription and client management
• Prevention of mother-to-child transmission of HIV (PMTCT)
• Sexually-transmitted infections services
• Diabetes services
• Cardiovascular disease services
• Chronic respiratory disease management
• Basic surgical services
• Advanced delivery
• Blood transfusion services |
