DDI-BFA-SARA-2014-vFINAL World Health Organization 2021-12-09 NADA Final version (report) Enquete Nationale sur les Prestations des Services de Sante et la Qualite des Donnees Sanitaires (EN-PSQD/SARA II) Burkina Faso 2014 National Survey on Health Services and Quality of Health (EN-PSQD/SARA II) BFA-MOH-SARA-2014-vFINAL Ministry of Health General Directorate of Health Information and Health Statistics General Secretariat World Health Organization NADA World Health Organization The Global Fund to fight AIDS, Tuberculosis and Malaria Service Availability and Readiness Assessment Survey [HFA/SARA] Final report The Burkina Faso Service Availability and Readiness Assessment (SARA) was implemented by the Ministry of Health in collaboration with World Health Organization (WHO) in 2014. The SARA survey aimed to assess the availability of services and operational capacity of health facilities to provide them. Specifically, the survey's objectives were to: evaluate the availability of services in the health facilities; measure the availability of basic equipment; assess the availability of drugs and other medical products; assess the availability of treatment guidelines and diagnostic tools; assess the operational capacity of health facilities to provide specific health services such as child health, reproductive health, malaria, tuberculosis and HIV/AIDS; and evaluate the quality of data in the National Health Information System (SNIS). A census of health facilities was conducted between October and November 2014. The SARA survey generated a set of basic indicators on the main inputs and outputs of the health system that can be used to measure progress in strengthening the health system. This report presents findings of a comprehensive analysis with a more detailed description of the SARA and the quality of data in SNIS assessment. Burkina Faso Representative at national and regional levels Health facilities The survey covered 780 health facilities across Burkina Faso 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). Stratified sampling was used.The first stratum was made up of 3rd level health facilities whereas the second stratum was made up of 2nd level health facilities and the 3rd stratum includes the 1st level health facilities. For the selection of the health facilities to be surveyed, the following steps were taken: - a census of all the health facilities for first stratum - a census of all the health facilities for second stratum - a random selection for the health facilities in the third stratum. Face-to-face [f2f] For this assessment, the WHO SARA Version 2.2 questionnaire of July 2014 was used. It was adapted to the country context in some areas. The questionnaire is structured as follows: Section 1: Cover page (identification) Section 2: Personnel Section 3: Inpatient and observation beds Section 4: Infrastructure Section 5: Available services Section 6: Diagnostics Section 7: Drugs and other products Section 8: Investigator's Comments Another questionnaire, the Facility Reported Data Verification Tool version 2.1. was used to assess data quality. This tool was used to verify the provision of specific services in the health facilities as well as the availability and content of source documents and monthly reports. Training of enumerators and supervisors was conducted before data collection. The survey team comprised of technical statisticians and health epidemiology officers from Center for Health Information and Epidemiological Surveillance (CISSE). A total of 70 enumerators were selected for a 20-day data collection. Each team comprised of two enumerators and a team leader. Data collection for SARA 2014 used paper questionnaires. To ensure the quality of the data collected, a counter-survey was conducted where 10% of the health facilities in the sample were revisited. Upon verification and correction in the field by team leaders and survey controllers, the paper-questionnaires were sent to SSD for coding and additional verification before data entry. Data entry and processing was done using a data entry mask designed by WHO on CSPRO (Census and Survey Processing System). After data entry, a multi-disciplinary team was set up to carry out data cleaning with technical support from WHO.