DDI-MLI-SARA-2018-vFINAL World Health Organization 2021-11-15 NADA vFINAL (2018) Evaluation de la Disponibilite, de la Capacite Operationnelle des Services de Sante et la Revue de la Qualite des Donnees Mali 2018 Evaluation of the Availability and Operational Capacity of Health Services and Review of Data Quality Mali 2018 MLI-MOPHH-SARA-2018-vFINAL Ministry of Public Health and Hygiene The Global Alliance for Vaccines and Immunization United Nations International Children's Emergency Fund NADA Service Availability and Readiness Assessment [HHFA/SARA] vFINAL: Final report (2018) The Ministry of Public Health and Hygiene (MOPHH) in collaboration with the Private Sector Alliance implemented the 2018 Service Availability and Readiness Assessment (SARA) and a Data Quality Review (DQR) for Mali. The main objective of this survey was to assess the availability and accessibility of health services throughout the country and to produce indicators to measure the quality of National Health Information System data. The survey covered 484 health facilities from the entire national territory except for regions of Kidal, Menaka, Taoudenit and health districts of Youwarou and Tenenkou. This report covers three categories of indicators from the SARA survey: 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 preventive services • Adolescent services • Tuberculosis • HIV counselling and testing • HIV/AIDS care and support • Antiretroviral therapy (ART) • Prevention of mother-to-child transmission (PMTCT) of HIV • Sexually-transmitted infections services • Basic surgical services • Comprehensive surgical care • Blood transfusion services The report also covers the following indicators from the DQR assessment: • Number of first prenatal consultation • Third dose of Pentavalent for children under 1 year of age • Number of patients on ART • Tuberculosis notification rate • Number of confirmed malaria cases. Mali Nationally representative, as well as representative at regional and district levels Health facilities The survey covered 484 from the entire national territory except for the regions of Kidal, Menaka, Taoudenit and the health districts of Youwarou and Tenenkou. 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 database of facilities in the DHIS2 was used as the sampling frame. Sampling method used was stratified sampling by residence, type of facility (public, private), and level (central, intermediate, and peripheral). Facilities were organized by region, type, and setting. A simple random draw was conducted within each strata to select the facilities. Face-to-face [f2f] The first questionnaire was 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 The second questionnaire was the DQR questionnaire which captured the following indicators: • Number of first prenatal consultation • Third dose of Pentavalent for children under 1 year of age • Number of patients on ART • Tuberculosis notification rate • Number of confirmed malaria cases Data collection was done using the tablets.