| Abstract |
The Ministry of Health (MoH) in Eswatini implemented a Service Availability and Readiness Assessment (SARA) in 2017.
The purpose of this assessment was to ensure that the Eswatini Ministry of Health has an evidence-based understanding of service availability, readiness and the quality of health services that are provided in all public and private facilities, using the Eswatini Essential Health Care Package (EHCP) as the guiding framework. The 2017 SARA survey used census sampling where all health facilities providing any health sector-based interventions were surveyed regardless of ownership and facility type. The assessment had three parts which were concurrently conducted: i) a cross-sectional survey of health facilities to assess readiness ii) a data quality review (DQR) that was conducted by an independent contractor and (iii) a quality of care assessment.
This report covers the following categories of indicators:
1. General service availability and readiness
• Basic amenities
• Basic equipment
• Standard precautions for infection prevention
• Diagnostic capacity
• Essential medicines
2. Service-specific availability
• Sexual and reproductive health including maternal and neonatal health services (MNH), antenatal care (ANC), obstetric
emergencies, family planning (FP) and adolescent youth health services
• Communicable diseases including malaria treatment, TB screening and treatments, HIV counselling and testing, prevention of mother to child transmission (PMTCT), sexually transmitted diseases prevention and treatment services (STI), HIV care and support services and ARVs prescription and client management services.
• Non-communicable diseases including cardiovascular diseases, cervical cancer, chronic respiratory disease and diabetes.
• Allied services including basic surgical, comprehensive surgical and blood transfusion services
3. Tracer medicines availability and readiness
• Medicines for communicable disease
• Non-communicable diseases medicines
• Mental health and neurological medicines
• Palliative care medicines
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