DDI-TCD-SARA-2015-vFINAL World Health Organization 2021-12-10 NADA Final version (2016) Indice de Disponibilité et de Capacité Opérationnelle des Services de Santé (SARA) Chad 2015 Service Availability and Readiness Assessment (SARA) Chad 2015 TCD-MOPH-SARA-2015-vFINAL Ministry of Public Health World Health Organization NADA Service Availability and Readiness Assessment [hfa/sara] Final report (2015) The Ministry of Public Health in collaboration with the World Health Organization (WHO) implemented the 2015 Service Availability and Readiness Assessment (SARA) for Chad. The 2015 SARA aimed to generate reliable and regular information on the availability of health services (the availability of infrastructure, essential human resources) and the operational capacity of health facilities to deliver basic family planning interventions, pediatric health services, essential and comprehensive obstetric care, HIV/AIDS, tuberculosis, malaria and non-communicable diseases. The survey covered 332 health facilities across the country. This report covers three categories of indicators: 1. General service availability • Health infrastructure density • Health workforce density • Service utilization 2. General service readiness • Basic amenities and comfort elements • Basic equipment • Standard precautions for infection prevention • Diagnostic capacity • Essential medicines 3. Service specific availability and readiness • Family planning • Antenatal care • Obstetric care • Neonatal care • Preventive and curative care services for the child • Adolescent health services • Malaria • HIV/AIDS counselling and testing services • Tuberculosis • HIV/AIDS care and support services • Prevention of mother-to-child transmission (PMTCT) of HIV • Sexually transmitted infections • Malaria • Tuberculosis • Non-communicable diseases • Basic surgical services • Comprehensive surgical services • Advanced diagnostic services Chad Nationally representative as well as representative at district level Health facilities The survey covered 332 health facilities 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). A national sample of 333 facilities was drawn from a sampling frame of 1,571 health facilities in the Health Information System database, representing 20% of the facilities. Stratified sampling was used to select the health facilities. The strata were grouped by facility type, management authority, and location. Face-to-face [f2f] The SARA core questionnaires overview is as follows: 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