{"doc_desc":{"title":"Libya 2012","idno":"DDI-LIBYA-SARA-2012-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2021-11-15","version_statement":{"version":"Final version (2012)"}},"study_desc":{"title_statement":{"idno":"LIBYA-MOH-SARA-2012-vFINAL","title":"Post Conflict Health Facility Assessment Libya 2012"},"authoring_entity":[{"name":"Ministry of Health"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical assistance"},[]]},"series_statement":{"series_name":"Service Availability and Readiness Assessment [hfa\/sara]"},"version_statement":{"version":"Final report","version_date":"2012-12-02"},"study_info":{"abstract":"The Ministry of Health in collaboration with World Health Organization - Regional Office for the Eastern Mediterranean implemented the 2012 Service Availability and Readiness Assessment (SARA). The SARA for Libya was conducted to: assess the current status of infrastructure, service delivery and system resources including human resources, supply-chain system, technologies and financial resources, assess facilities readiness and any damage which could have been sustained during the conflict, and measure system outputs, service utilization and their adequacy. \n\nSARA Libya survey covered all primary health care (PHC) facilities from each of the 23 districts across the country. A total of 1379 primary health care facilities were included in the survey. Of these, 736 were primary health care units, 496 were primary health care centers and 147 were other types of primary facilities. Data was collected  between February and April 2012. \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 five\n\u2022 Adolescents Health \n\u2022 Preventing mother-to-child transmission of HIV (PMTCT)\n\u2022 Diabetes\n\u2022 Cardiovascular Diseases\n\u2022 Blood Transfusion\n\u2022 Basic Surgery\n\u2022 School Health\n\u2022 Oral Health\n\u2022 Mental Health Care\n\u2022 Cancer Diagnosis and Management","coll_dates":[{"start":"2012-02-01","end":"2012-04-30"}],"nation":[{"name":"Libya"}],"geog_coverage":"Nationally representative, as well as representative at district, facility, central and sub central levels.","analysis_unit":"Health facilities","universe":"The survey covered 1379 primary health facilities. Of these, 736 were primary health care units, 496 were primary health care centers and 147 were other types of primary facilities.","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. \n1.  General service availability (accessibility of health services): health infrastructure (density of facilities and inpatient beds), core health personnel, and inpatient\/outpatient services utilization\n2. General service readiness (capacity of health facilities to provide general health services): presence of infrastructure\/amenities, basic equipment, standard precautions for prevention of infections, laboratory diagnostic capacity, and essential medicines\n3.Specific service availability and readiness (proportion of facilities providing specific key health interventions and their capacity to provide these services): availability of guidelines, trained staff, equipment, diagnostics, and medicines and commodities required to provide the services \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":"The 2012 Libya SARA was a census of all public primary health care facilities (PHC) in Libya. All public primary health care facilities (PHC) in Libya from each of the 23 district were included in the survey. It was decided that all facilities will be covered in this assessment as the impact of the conflict is expected to be uneven across the country. \n\nDue to the absence of a comprehensive Master Facility List (MFL), a preliminary list of facilities was provided by Health Information Center on time. A total of 1402 facility were identified for the survey and contacted. Out of those 23 facilities were found to be general or specialized hospitals and were excluded during the analysis.","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 (Pre and Post conflict).\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","coll_situation":"The survey utilized the tools developed through SARA and modified them to Libya context. Training took place in Libya \u2013 Benghazi with a trainer expert from El-Zanaty who led the training with WHO\/EMRO staff from 15\u201319 January 2012. The SARA tools was piloted in some health facilities. A total number of 26 staff from the District Health Offices were trained in data collection and 81 field staff as interviewing teams carried out the data collection between February and April 2012.","cleaning_operations":"Data were entered using CSPro software."}},"data_access":{"dataset_use":[]},"distribution_statement":[]}}