DDI-BEN-MOH-SARA-2013-vFINAL World Health Organization 2022-03-29 NADA Final version (2013) Rapport d’enquête sur les services de sante, Disponibilité et capacité opérationnelle des services de santé au Bénin 2013 Health Services Survey Report, Availability and Operational Capacity of Health Services in Benin, 2013 BEN-MOH-SARA-2013-vFINAL Ministry of Health World Health Organization NADA Service Availability and Readiness Assessment [hfa/sara] Final report (SARA 2013) The Ministry of Health with technical support from the World Health Organization (WHO) implemented the 2013 Service Availability and Readiness Assessment (SARA) for Benin. The objective of the 2013 SARA was to assess the availability and operational capacity of services and the quality of the data in the National Health Information and Management System in Benin. The 2013 SARA survey covered 189 health facilities in all 34 health zones in the country. This report covers three categories of indicators: 1. Service availability • Health infrastructure • Health workforce • Health service utilization 2. General service readiness • Basic amenities • Basic equipment • Standard precautions for infection prevention • Diagnostic capacity • Essential medicines 3. Service specific availability and readiness • Family planning services • Antenatal care (ANC) • Emergency obstetric and newborn care • Routine child immunization • Child curative and growth monitoring services • Tuberculosis • HIV counselling and testing • HIV/AIDS care and support • Antiretroviral prescription and client management • Prevention of mother-to-child transmission (PMTCT) of HIV • Sexually-transmitted infections services • Basic surgical services • Comprehensive surgical care • Blood transfusion services Benin Nationally representative, as well as representative at zone level Health facilities The survey covered 189 health facilities in all the 34 health zones in 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). Data collection for the survey took place from October 17 to November 6, 2016 A list of health facilities (public and private) that provide information to the National Health Information System was used as a sampling frame. Health facilities were selected using stratified random sampling. Stratas were group by facility type: stratum 1 was hospitals (public and private); stratum 2 was health centers (health centers that include complete health centres, maternity hospitals and dispensaries);and stratum 3 was primary health care centres, which include isolated maternity hospitals and dispensaries, school infirmaries, and school infirmaries. Face to face 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 A standardized questionnaire, adapted to the national context was developed and pre-tested before data collection. A total of 24 interviewers were recruited and divided into pairs for data collection. The data collectors (nurses, midwives) and supervisors (doctors, statisticians, planners) were trained for three months.