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District Health Assessment (DHA) United Republic of Tanzania 2008-2009

United Republic of Tanzania, 2008 - 2009
Reference ID
TZA-NIMR-DHA-2008-2009-vFINAL
Producer(s)
National Institute for Medical Research
Collections
Service Availability and Readiness Assessment (SARA)
Metadata
DDI/XML JSON
Created on
Jan 29, 2022
Last modified
May 23, 2022
Page views
595
Downloads
136
  • Study Description
  • Downloads
  • Identification
  • Version
  • Scope
  • Coverage
  • Producers and sponsors
  • Sampling
  • Data Collection
  • Metadata production

Identification

Survey ID Number
TZA-NIMR-DHA-2008-2009-vFINAL
Title
District Health Assessment (DHA) United Republic of Tanzania 2008-2009
Country
Name Country code
United Republic of Tanzania TZA
Study type
Service Availability and Readiness Assessment Survey [HHFA/SARA]
Abstract
The National Institute for Medical Research (NIMR), with technical assistance from WHO implemented the 2008-2009 District Health Assessment (DHA) for United Republic of Tanzania.

The DHA included a facility census, household survey and a records review. The facility census was conducted in 15 districts to capture basic information on the availability and readiness of health services. This included an inventory of basic infrastructure and amenities, basic equipment, human resources and training, guidelines, infection control, medicines and commodities, and laboratory diagnostic capacity. The household survey was designed to provide information in the 15 districts on intervention coverage and risk factors, as well as health expenditures to inform the National Health Accounts (NHA) exercise. It covered 625 households. The records review was conducted to collect information related to the burden of HIV/AIDS, tuberculosis (TB), and malaria as reflected in in-patient diagnoses (hospital admissions), frequency of blood transfusion (malaria), and birth weight (malaria) in 2-3 health facilities.

This summary report presents the results of the DHA survey conducted between March 2008 to October 2009, and referred to as the District Comprehensive Assessment (DCA). The report summarizes the main findings and is supported by a full report with a more extensive description of the methods, results and survey instruments.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health facilities and households

Version

Version Description
vFINAL: Summary of findings report
Version Date
2021-11-16

Scope

Notes
The scope of the DHA survey includes a facility census, household survey and a records review.
- A facility census captured basic information on the availability and readiness of health services which included an inventory of basic infrastructure and amenities, basic equipment, human resources and training, guidelines, infection control, medicines and commodities, and laboratory diagnostic capacity
- Household survey collected information on intervention coverage and risk factors, as well as health expenditures
- Records review collected information related to the burden of HIV/AIDS, tuberculosis (TB), and malaria as reflected in in-patient diagnoses (hospital admissions), frequency of blood transfusion (malaria), and birth weight (malaria) in selected health facilities

Coverage

Geographic Coverage
Nationally representative, as well as representative at district level
Universe
The survey covered all health facilities and 625 households in 15 districts

Producers and sponsors

Primary investigators
Name
National Institute for Medical Research
Producers
Name Role
Ministry of Health Co-investigator
World Health Organization Technical support

Sampling

Sampling Procedure
The facility assessment methodology was a census of all health facilities in the selected districts, including hospitals, health centres, dispensaries, and specialized clinics such as dental and eye clinics not attached to a particular general facility unit. All health facilities, including public, private for-profit and private not for profit, were involved. In addition to hospitals, health centres and dispensaries, it was also agreed that, since many community members buy medicines from drug outlets without medical prescription, all stand-alone pharmacies and drug shops should be included.

For the household survey, a randomly selected sample of 625 households in 25 clusters or enumeration areas (EA) per district. The facility records review was conducted in 2 to 3 health facilities which had data for at least three years.

Data Collection

Dates of Data Collection
Start End
2008-03-03 2008-10-31
2009-06-01 2009-11-30
Data Collection Mode
Face-to-face [f2f]
Data Collection Notes
Training for data collection activities was carried out in February 2008 in Morogoro. Data collection was carried out from March to October 2008 and June to November 2009. The extended duration of data collection reflects an interruption in the flow of funding.

Metadata production

DDI Document ID
DDI-TZA-DHA-2008-2009-vFINAL
Producers
Name Abbreviation Role
World Health Organization WHO Documentation of Assessment
Date of Metadata Production
2022-01-25
DDI Document version
Final version (summary of findings report only)
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