{"doc_desc":{"title":"Mozambique SARA 2018","idno":"DDI-MOZ-SARA-2018-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2021-11-14","version_statement":{"version":"Final version (2019)"}},"study_desc":{"title_statement":{"idno":"MOZ-MOH-SARA-2018-vFINAL","title":"Mozambique SARA 2018 Invent\u00e1rio Nacional","translated_title":"Mozambique Service Availability and Readiness Assessment (SARA) 2018 National Inventory"},"authoring_entity":[{"name":"Ministry of Health"},{"name":"National Institute of Health (INS)"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical support"}]},"series_statement":{"series_name":"Service Availability and Readiness Assessments [hfa\/sara]"},"version_statement":{"version":"Final report (2019)","version_date":"2020-01-02"},"study_info":{"abstract":"National Institute of Health (NIH) in partnership with the Directorate of Planning and Cooperation (DPC) under the Ministry of Health of Mozambique implemented Service Availability and Readiness Assessment (SARA) plus with technical support from the World Health Organization (WHO) in 2018. The SARA plus 2018 aimed to generate information on the availability and readiness of health resources and health services, aligned with information needs for planning and reform of the health system. \n\nThe census covered 1,643 public health facilities, of which 1,575 were primary level facilities, 54 were secondary level facilities, and 7 were tertiary and quarternary level facilities at the time of the survey. Data collection started in April 2018 and was completed in August 2018. \n\nThis report covers the following categories of indicators:\n\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\n\u2022 Family planning (contraception) \n\u2022 Prenatal care\n\u2022 Prevention of vertical transmission\n\u2022 Obstetric and neonatal care, including cesarean section when applicable \n\u2022 Voluntary interruption of pregnancy\n\u2022 Gender-based violence\n\u2022 Extensive vaccination program\n\u2022 Preventive and curative care for children\n\u2022 Adolescent health\n\u2022 HIV\/AIDS counselling and testing for adults\n\u2022 HIV\/AIDS counselling and testing for adolescents\n\u2022 HIV\/AIDS care, treatment and psycho-social support\n\u2022 Sexually Transmitted Infections\n\u2022 Tuberculosis\n\u2022 Malaria\n\u2022 Non-communicable diseases\n\u2022 Surgery, including surgical services for obstetric fistula\n\u2022 Blood transfusion","coll_dates":[{"start":"2018-08-08","end":"2018-11-04"}],"nation":[{"name":"Mozambique","abbreviation":"MOZ"}],"geog_coverage":"Nationally representative, as well as at provincial level","analysis_unit":"Health facilities","universe":"The survey covered 1,643 public health facilities, of which 1,575 were primary level facilities, 54 were secondary level facilities, and 7 were tertiary and quarternary level facilities","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)."},"method":{"data_collection":{"sampling_procedure":"A sampling frame of existing health facilities in the country provided by the Ministry of Health was used.","coll_mode":["Face-to-face [f2f]"],"research_instrument":"The standard data collection instruments of this inventory were adapted to the national context and national health care standards, in order to guarantee the collection of all information of current programmatic interest. The adaptation of the questionnaire to the Mozambique context  aimed to collect more information on inventory of public and private health units and private health units, gender perspective, more comprehensive service indicators for women's and children's health as well as other key health service indicators. \n\nTwo recording instruments were used, based on the standard SARA instrument (WHO 2015). SARA standard instrument, which served to capture information related to the availability and readiness of services, human resources, equipment, drugs, and medical articles and another designed to capture information related to public and private infrastructure.\n\nThe SARA core questionnaires overview is as follows:\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","coll_situation":"Data collection was done using the CSPro software application embedded in tablets. Alternatively, the teams had paper questionnaires that were used in case of an operational problem with the electronic data collection platform. Thirty-seven health technicians (14 from INS, 7 from the DPC-DIS, and 16 from the WHO) were trained to assist in the coordination and technical supervision of the survey. Eighty nine (89) health professionals were mobilized from all provinces of the country, making 26 field teams.\n\nAt the end of each day, the teams performed data consistency checks and data synchronization to a server. The geographic positioning system (GPS) coordinates were recorded twice. Furthermore, the central technical team carried out data validation by repeating the surveys in 10% of the health facilities, chosen randomly from among the facilities surveyed in the 2-week period."}},"data_access":{"dataset_use":[]},"distribution_statement":[]}}