{"doc_desc":{"title":"Uganda SARA 2018","idno":"DDI-UGA-SARA-DQR-2018-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2022-04-04","version_statement":{"version":"Final version (2019)"}},"study_desc":{"title_statement":{"idno":"UGA-MOH-SARA-DQR-2018-vFINAL","title":"Service Availability and Readiness Assessment (SARA) & Data Quality Review (DQR) 2018 for Uganda"},"authoring_entity":[{"name":"Ministry of Health"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical assistance"}]},"series_statement":{"series_name":"Service Availability and Readiness Assessment [hfa\/sara]"},"version_statement":{"version":"vFINAL: Survey report","version_date":"2019-06-01"},"study_info":{"abstract":"The Uganda Ministry of Health implemented a Service Availability and Readiness Assessment (SARA) and Data Quality Review (DQR) in January 2018. The aim of the SARA 2018 was to generate reliable information on health services availability and readiness to support efforts to improve service delivery in the country. The focus of the SARA 2018 was on the assessment of availability and ability of health care facilities to provide essential services including family planning, child health services, basic and comprehensive obstetric care, HIV\/AIDS, tuberculosis, malaria and noncommunicable diseases. \n\nThe SARA 2018 covered 215 facilities across the country. \n\nThis report covers the following categories of indicators:\n1. General service availability \n\u2022 Health infrastructure density\n\u2022 Health workforce density\n\u2022 Service utilization\n\n2. General service readiness\n\u2022 Basic amenities\n\u2022 Basic equipment\n\u2022 Standard precautions for infection prevention\n\u2022 Diagnostic capacity\n\u2022 Essential medicines\n\n3. Service specific availability and readiness\n\u2022 Family planning \n\u2022 Antenatal care\n\u2022 Basic obstetric care \n\u2022 Comprehensive obstetric care \n\u2022 Child immunization \n\u2022 Preventive and curative services for children under five years of age\n\u2022 Adolescent health \n\u2022 Maternal, newborn, child, and adolescent health (MNCAH)\n\u2022 Malaria\n\u2022 Tuberculosis \n\u2022 HIV and antiretroviral therapy (ART)\n\u2022 Prevention of mother-to-child transmission of HIV (PMTCT)\n\u2022 Sexually-transmitted infections \n\u2022 Non-communicable diseases\n\u2022 Surgical services\n\u2022 Blood transfusion\n\u2022 Advanced diagnostic\n\u2022 High level diagnostic equipment","coll_dates":[{"start":"2018-01-02","end":"2018-01-31"}],"nation":[{"name":"Uganda","abbreviation":"UGA"}],"geog_coverage":"Nationally representative as well as at regional and district levels","analysis_unit":"Health facilities","universe":"A sample of 215 health facilities across the country was used for the survey","data_kind":"Sample survey data [ssd]","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.\n\nA 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).\n\nThe SARA questionnaire was administered together with a data verification tool. Data verification is a measure of internal consistency of data. It is one of the methods recommended by the World Health Organization for assessing quality of routine health facility data. It verifies whether information contained in the source documents has been transmitted correctly to the next level of reporting. Data verification allows for the identification of systemic errors in reporting data as well as the extent or degree of the errors. Data verification can be done for any indicator and for any reporting level of interest. The process involves a physical count of values for an indicator in the source document for a specified reporting period and then comparing it to the value for the same indicator that has been reported to the next reporting level for the same period. Reasons for any discrepancy between the values in the source document and reported values were then explored to facilitate efforts to improve accuracy of reporting."},"method":{"data_collection":{"sampling_procedure":"Health facilities were sampled through a multi-stage stratified random sampling method designed to give a representative national sample","coll_mode":["Face-to-face [f2f]"],"research_instrument":"The SARA core questionnaires overview:\nSection 1: Cover page\nSection 2: Staffing\nSection 3: Inpatient and observation beds\nSection 4: Infrastructure\nSection 5: Available services\nSection 6: Diagnostics\nSection 7: Medicines and commodities\nSection 8: Interviewers observations\n\nSections of the questionnaire were adapted to capture some specific contexts in Uganda.","coll_situation":"Data collectors for this survey were qualified clinicians, nurses, midwives and biostatisticians working in the national health system. A three day training was conducted for the data collectors and supervisors. Prior to the survey, a pre-test of the adapted questionnaires was conducted.","cleaning_operations":"Data was entered into the Census and Survey Processing System (CSPro) and thereafter cleaned.","method_notes":"Data analysis was carried out using STATA V.15.0"}},"data_access":{"dataset_use":[]},"distribution_statement":[]}}