DDI-UGA-SARA-2014-vFINAL World Health Organization 2022-04-04 NADA Final version (2014) Uganda Hospital and Health Centre IV Census Survey 2014 UGA-MOH-SARA-2014-vFINAL Ministry of Health World Health Organization NADA African Development Bank Service Availability and Readiness Assessment [HFA/SARA] vFINAL: Survey report The Uganda Ministry of Health in collaboration with Makerere University College of Health Sciences and World Health Organization (WHO) implemented a Service Availability and Readiness Assessment (SARA) in 2014. The aim of the SARA 2014 was to generate reliable information on health service availability and readiness to support efforts to improve service delivery in the country. The SARA 2014 covered 147 hospitals and 188 level IV primary care facilities across the country. This report presents findings of the SARA census survey in hospitals and level IV primary care facilities (also known as health centre IV (HC IV)) in Uganda. The first part of the report examines access to services at hospitals and level IV primary care facilities. Specifically, it examines the hospitals/HC IV density, specific service density, and proportion of hospitals/HC IVs with a specific service. The second part of the report focuses on quality and safety at hospitals/HC IVs in Uganda. The key dimensions of quality and safety examined in the second part of the report include the readiness or ability of hospitals/HC IVs to provide services to the desired standards, infection prevention and control, institutional mortality rates (maternal mortality, stillbirths, and neonatal mortality), rate of caesarean sections, and the availability of systems and practices to ensure safe delivery of health care services. The third part of the report focuses on the health system functions. The key dimensions of the health system examined in the third of the report are hospitals/HC IV governance, health workforce and health care financing. The fourth part of the report focuses on the hospitals/HC IV efficiency. Uganda Nationally representative as well as at regional and district levels Health facilities The survey covered 147 hospitals and 188 level IV primary care facilities across the country Sample survey data [ssd] 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). Face-to-face [f2f] 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 questionnaires were adapted to the Uganda context. Trained data collectors used both paper questionnaires and mobile electronic devices that had CSPro application. Prior to the survey, data collection tools were piloted in six health facilities: at the national referral hospital, one regional referral hospital, one public general hospital, one private-not-for-profit general hospital, one private-for-profit general hospital, and one level IV primary care facility. A data manager reviewed data for completeness and erroneous entries such as typos, missing data, inconsistency and out of range entries. Data from the electronic devices were consolidated into one database and backed up on a memory stick. Ministry of Health