DDI-BEN-MOH-SARA-2015-vFINAL World Health Organization 2022-03-29 NADA Final version (2015) Disponibilité et capacité opérationnelle des services de Sante, Enquête SARA Bénin 2015 Availability and Operational Capacity of Health Services, Benin SARA Survey 2015 BEN-MOH-SARA-2015-vFINAL Ministry of Health World Health Organization NADA Service Availability and Readiness Assessment [hfa/sara] Final report (SARA 2015) The Ministry of Health with technical support from the World Health Organization (WHO) implemented the 2015 Service Availability and Readiness Assessment (SARA) for Benin. The objective of the 2015 SARA was to evaluate the availability and operational capacity of health services and the quality of data in the National Health Information and Management System in Benin. The 2015 SARA survey covered 788 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 788 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 public and private health facilities that provide information to the National Health Information System (NHIS) was used as a sampling frame. Purposive sampling was used to select health facilities. All public hospitals and health centres (including private) that provide reports to NHIS and that perform at least 100 consultations on average per month were included in the sample. Face to face The first questionnaire was the SARA core questionnaire which had the following sections: 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 second questionnaire was on data quality review (DQR). A total of 48 data collectors and 18 supervisors (departmental and national) were mobilized for data collection. Data collectors were trained for 5 days. A pilot was conducted before data collection. Computerized tools (PDA) were used to administer the two questionnaires in the health facilities. The data were collected with the CSPro application. CSPro was used for data cleaning and tabulation used the Chart Book developed in Excel