{"doc_desc":{"title":"Libya SARA 2017","idno":"DDI-LBY-SARA-2017-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2021-12-07","version_statement":{"version":"vFINAL (2017)"}},"study_desc":{"title_statement":{"idno":"LBY-MOH-SARA-2017-vFINAL","title":"Service Availability and Readiness Assessment (SARA) of Public Health Facilities in Libya 2017"},"authoring_entity":[{"name":"Ministry of Health"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical assistance"},[]],"funding_agencies":[{"name":"World Health Organization","abbreviation":"WHO","role":"Provided funding"},{"name":"European Union","abbreviation":"EU","role":"Provided funding"},{"name":"European Civil Protection and Humanitarian Aid Operations","abbreviation":"ECHO","role":"Provided funding"}]},"series_statement":{"series_name":"Service Availability and Readiness Assessment [hfa\/sara]"},"version_statement":{"version":"Final report (2017)","version_date":"2017-12-02"},"study_info":{"abstract":"The Ministry of Health (MoH) in collaboration with the World Health Organization - Regional Office for the Eastern Mediterranean implemented the 2017 Service Availability and Readiness Assessment (SARA) for Libya. The 2017 SARA was a systematic survey which aimed to provide reliable information on availability and readiness of health services delivery.\n\nThe SARA 2017 survey covered 1656 public health facilities in Libya. Data collection for the hospital survey was conducted from August to December 2016, and the primary health care (PHC) level data collection started in September 2016 and ended in February 2017. Additional data on service utilization was provided by the Libyan MoH, while the population estimates for 2017 for Libya\u2019s 22 districts were provided by the Libyan Bureau of Statistics. \n\nThis report covers the following categories of indicators:\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 prevention of infections\n\u2022 Diagnostic capacity \n\u2022 Essential medicines\n\u2022 Laboratory equipment capacity\n\n3. Service specific availability and readiness\n\u2022 Antenatal care\n\u2022 Basic obstetric care\n\u2022 Child immunization\n\u2022 Preventive and curative care for children under fiive\n\u2022 Family planning\n\u2022 Tuberculosis\n\u2022 Adolescents health \n\u2022 Counselling and testing for HIV\n\u2022 Preventing mother-to-child transmission (PMTCT) of HIV \n\u2022 Sexually transmitted infections (STIs)\n\u2022 Leishmaniasis\n\u2022 Brucellosis\n\u2022 Diabetes\n\u2022 Cardiovascular diseases\n\u2022 Chronic respiratory diseases\n\u2022 Cervical and breast cancer\n\u2022 Mental health care\n\u2022 Emergency services\n\u2022 Diagnostic","coll_dates":[{"start":"2017-08-01","end":"2017-12-15"},{"start":"2016-09-01","end":"2017-02-28"}],"nation":[{"name":"Libya","abbreviation":"LBY"}],"geog_coverage":"Nationally representative, as well as representative at district, facility, central and sub central levels","analysis_unit":"Health facilities","universe":"The survey covered 97 hospitals, 1355 primary health care facilities, and 204 other facilities in 22 districts across Libya","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 Master Facility List (MFL) of all known public health facilities was prepared by the Libyan Health Information Centre (HIC), using data from both the SARA survey and the Health Management Information System (HMIS). All facilities were included in the survey regardless of status, even facilities which were known to be closed. The final list included 97 hospitals, 1355 primary care health facilities, and 204 other facilities.","coll_mode":["Face-to-face [f2f]"],"research_instrument":"The survey utilized the tools developed through SARA and modified to Libya context. The SARA questionnaire consisted of a set of questions measuring service availability and readiness that can be used to detect change and measure progress in health system strengthening over time.\n\nThe SARA core questionnaires overview:\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\n\nThe SARA- Hospital tool consists of seven modules:\n1. Outpatient services\n2. Overview, services, governance, management systems, human resources and capacity\n3. Emergency services, procedures and surgical services\n4. Delivery and inpatient services\n5. Blood transfusion, diagnostics and pharmaceutical commodities\n6. Infrastructure and support services\n7. Facility information system and statistics","coll_situation":"The surveyors were all medical doctors employed by MoH. They were trained by staff from the Health Information Centre (HIC) and WHO Eastern Mediterranean Regional Office (EMRO). The Training of Trainers (TOT) trainings were conducted separately from the surveyors of hospitals (17-21 July 2016) and of PHC facilities (3-6 September, 2016) trainings. The TOT trainings were followed by a cascade of trainings conducted in Tripoli and Albeida. Twenty eight surveyors were trained for the hospital assessment, and 73 surveyors were trained for the public health care assessment.","cleaning_operations":"Data entry was done using electronic tablets at the field level. A specific program was developed to facilitate data entry using CSPro, with separate questionnaires for hospitals (the seven SARA-Hospital modules) and primary health care facilities (the single SARA core module). The software included data for quality checks like interview timings, GPS coordinates, contact details of interviewers and pictures of the facility.","method_notes":"Final data editing, cleaning, consistency checks, and analysis was done by a consultant hired by WHO, using SPSS version 21, in accordance with the guidelines for the SARA surveys. This included the analysis of the core SARA indicators for service readiness and availability for hospitals and primary health care (PHC) facilities. The indicators were calculated in the same way for both hospital and PHC facilities. In order to further facilitate planning processes by the various stakeholders in the health sector, indicators were calculated for different geographical regions."}},"data_access":{"dataset_use":[]},"distribution_statement":[]}}