Rapport de L’evaluation de la Disponibilite de la Capacite Operationnelle des Services de Sante avec les Outils SARA et DQR Niger 2015
Niger, 2015
Reference ID
NER-MOPH-SARA-2015-vFINAL
Producer(s)
Ministry of Public Health, National Institute of Statistics
Created on
Mar 29, 2022
Last modified
May 31, 2022
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Identification
Survey ID Number
NER-MOPH-SARA-2015-vFINAL
Title
Rapport de L’evaluation de la Disponibilite de la Capacite Operationnelle des Services de Sante avec les Outils SARA et DQR Niger 2015
Translated Title
Report on the Evaluation of the Availability of Operational Capacity of Health Services with the SARA and DQR Tools 2015
Country
| Name | Country code |
|---|---|
| Niger | NER |
Study type
Service Availability and Readiness Assessment Surveys [hhfa/sara]
Abstract
The Directorate of Statistics of the Ministry of Public Health in collaboration with the National Institute of Statistics (INS) implemented Service Availability and Readiness Assessment (SARA) survey in 2015. The overall objective of the 2015 SARA survey was to assess the availability and operational capacity of health services throughout the country. Specifically, the 2015 SARA survey
(i) evaluated the availability of health services in the facilities at all levels of care measuring the availability of basic equipment;
(ii) evaluated the availability of drugs and other medical products;
(iii) assessed the availability of treatment guidelines and diagnostic tools;
(iv) assessed the operational capacity of health facilities to provide specific health services such as child health, reproductive health, malaria, tuberculosis and HIV/AIDS; and
(v) evaluated the quality of routine national health information systems data.
The 2015 SARA survey collected data on a sample of 376 health facilities including public and private sector facilities distributed in urban and rural areas, over the country's eight regions.
This descriptive report presents the methodology used by this survey and the findings.
(i) evaluated the availability of health services in the facilities at all levels of care measuring the availability of basic equipment;
(ii) evaluated the availability of drugs and other medical products;
(iii) assessed the availability of treatment guidelines and diagnostic tools;
(iv) assessed the operational capacity of health facilities to provide specific health services such as child health, reproductive health, malaria, tuberculosis and HIV/AIDS; and
(v) evaluated the quality of routine national health information systems data.
The 2015 SARA survey collected data on a sample of 376 health facilities including public and private sector facilities distributed in urban and rural areas, over the country's eight regions.
This descriptive report presents the methodology used by this survey and the findings.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health facilities
Version
Version Description
vFINAL: Final report
Version Date
2016-02-01
Scope
Notes
The SARA survey is designed to generate a set of core indicators on key inputs and outputs of the health system, which can be used to measure progress in health system strengthening over time. The SARA focuses on three main areas: service availability, general service readiness and service-specific readiness.
A basic approach to SARA is to collect data that are comparable both across countries and within countries (i.e. across regions and/or districts) using a standard core questionnaire developed by WHO in collaboration with the United States Agency for International Development (USAID). Usually, a country adopts the standard core questionnaire with adaptations to certain elements such as types of facilities, managing authority of facilities, national guidelines for services, staffing categories and national policies for medicines (e.g. for tuberculosis, HIV/AIDS). The SARA survey requires visits to health facilities with data collection based on key informant interviews and observation of key items. The survey can either be carried out as a sample or a census; the choice between these methodologies will depend on a number of elements including the country's resources, the objectives of the survey and the availability of a master facility list (MFL).
A basic approach to SARA is to collect data that are comparable both across countries and within countries (i.e. across regions and/or districts) using a standard core questionnaire developed by WHO in collaboration with the United States Agency for International Development (USAID). Usually, a country adopts the standard core questionnaire with adaptations to certain elements such as types of facilities, managing authority of facilities, national guidelines for services, staffing categories and national policies for medicines (e.g. for tuberculosis, HIV/AIDS). The SARA survey requires visits to health facilities with data collection based on key informant interviews and observation of key items. The survey can either be carried out as a sample or a census; the choice between these methodologies will depend on a number of elements including the country's resources, the objectives of the survey and the availability of a master facility list (MFL).
Coverage
Geographic Coverage
Nationally representative, as well as representative at regional level.
Universe
The survey covered 376 health facilities from all three levels of the health pyramid, including public and private sector facilities spread across urban and rural areas in the country's eight regions.
Producers and sponsors
Primary investigators
| Name |
|---|
| Ministry of Public Health |
| National Institute of Statistics |
Producers
| Name | Role |
|---|---|
| World Health Organization | Technical support |
Funding Agency/Sponsor
| Name | Abbreviation | Role |
|---|---|---|
| United Nations Population Fund | UNFPA | Financial support |
| The Global Fund to Fight Against AIDS, Tuberculosis and Malaria | Financial support |
Sampling
Sampling Procedure
The sampling frame used for this survey was the National Reference List of Health Facilities, which consisted of 1007 health facilities existing in Niger in 2013. A mixed sampling method was used i.e., probability sampling with a simple random draw for health centrers, clinics and medical offices and non-probability and exhaustive sampling for public and private hospitals.Two strata were formed for the sampling where stratum 1 included national hospitals, regional hospitals, district hospitals, private hospitals, the national reference maternity hospital, mother and child health centrers and private clinics/polyclinics; and stratum 2 which included integrated health centers, medical offices and isolated maternity units.
The sample size for the survey was calculated using the Schwartz formula with a 15% margin of error. In total, a theoretical sample of 376 health care facilities was constituted for an analysable sample of 372 facilities assuming elimination of 2 duplicates and 2 cases of refusal.
The sample size for the survey was calculated using the Schwartz formula with a 15% margin of error. In total, a theoretical sample of 376 health care facilities was constituted for an analysable sample of 372 facilities assuming elimination of 2 duplicates and 2 cases of refusal.
Data Collection
Dates of Data Collection
| Start | End | Cycle |
|---|---|---|
| 2015-08-17 | 2015-08-19 | 1 |
| 2015-11-10 | 2015-10-26 | 2 |
Data Collection Mode
Face-to-face [f2f]
Data Collection Notes
Data was collected by 50 interviewers divided into pairs and 25 supervisors acting as team leaders. It was carried out in two phases:(i)first phase of data collection was in the region of Niamey from 17 to 19/08/2015; and (ii) second phase of data collection was in the remaining 7 regions of the country from 26/10 to 10/11/2015.
Questionnaires
Questionnaires
A facility inventory questionnaire to obtain information on how the facilities are prepared to provide each of the priority services was used. The facility inventory questionnaire collects information on the availability of specific items (including their location and functional status), components of support systems (e.g., logistics, maintenance, and management), and facility infrastructure, including the service delivery environment.
The SARA core questionnaires overview:
Section 1: Cover page
Section 2: Staffing
Section 3: Inpatient and observation beds
Section 4: Infrastructure
Section 5: Available services
Section 6: Diagnostics
Section 7: Medicines and commodities
Section 8: Interviewers observations
The DQR survey was divided into 3 modules:
Module 1: Routine data verification tool
Module 2: Facility-level information system assessment tool
Module 3: District-level information system assessment tool
The SARA core questionnaires overview:
Section 1: Cover page
Section 2: Staffing
Section 3: Inpatient and observation beds
Section 4: Infrastructure
Section 5: Available services
Section 6: Diagnostics
Section 7: Medicines and commodities
Section 8: Interviewers observations
The DQR survey was divided into 3 modules:
Module 1: Routine data verification tool
Module 2: Facility-level information system assessment tool
Module 3: District-level information system assessment tool
Data Processing
Data Editing
Data entry and cleaning was done using a data entry mask designed by WHO on CSPro. The cleaned data were exported to the SARA excel analysis tool (chartbook) which automatically generated the different results in the form of tables and graphs.
Metadata production
DDI Document ID
DDI-NER-MPH-SARA-2015-vFINAL
Producers
| Name | Abbreviation | Role |
|---|---|---|
| World Health Organization | WHO | Documentation of assessment |
Date of Metadata Production
2022-03-27
DDI Document version
Final version (report)