DDI-BURUNDI-SARA-2017-vFINAL World Health Organization 2021-11-14 NADA Final version Enquête d’évaluation de la disponibilité et de la capacité opérationnelle des services de santé (SARA) Burundi 2017 Health Services Availability and Capacity Assessment (HSAAC) Survey Capacity Assessment (SARA) Burundi 2017 BDI-MSPLS-SARA-2017-vFINAL Ministry of Public Health and the Fight Against AIDS World Health Organization NADA World Bank Service Availability and Readiness Assessment Mapping Survey [HFA/SARAM] Final report (2017) The Ministry of Public Health and the Fight Against AIDS (MSPLS) implemented the first edition of the Service Availability and Readiness Assessment (SARA) survey in 2017, with technical support from the World Health Organization (WHO). The SARA 2017 survey's purpose was to provide regular and reliable information on the progress and performance of the health system. The overall objective of the SARA 2017 was to regularly assess the provision of services (availability and operational capacity) and to conduct data verification in public and private facilities. The survey covered 89 hospitals (44 public, 33 private, 4 denominational and 8 associative), 4 faith-based and 8 association-based) and 125 health centers (68 public, 39 private, 16 faith-based and 2 associative) distributed in all the districts of the provinces. This report covers the following categories of indicators: 1. General service availability and readiness • Basic amenities and comfort elements • Basic equipment • Standard precautions for infection prevention • Diagnostic capacity • Essential medicines 2. Service specific availability and readiness • Maternal, newborn and child health (MNCH) • Family planning • Adolescent health • Immunization services • 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 • PMTCT • Sexually transmitted infections • Diabetes • Cardiovascular diseases • Chronic respiratory diseases (CRI) • Non-communicable diseases (NCDs) • Basic surgical services • Blood transfusion Burundi Nationally representative, as well at provincial and district levels Health facilities The survey covered 89 hospitals (44 public, 33 private, 4 denominational and 8 associative), 4 faith-based and 8 association-based) and 125 health centers (68 public, 39 private, 16 faith-based and 2 associative) distributed in all the districts of the provinces. 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). The survey employed stratified sampling and a census as methodologies for selecting the sample. The census (systematic draw) included all hospitals except specialized hospitals. There were 3 strata where the first strata was at provincial level, the second strata was at the district level and the third strata as the managing authority (public, private, religious and associative). 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 Training of survey teams comprising 44 enumerators and 11 supervisors was conducted. To ensure the quality of the data collected, the supervisors carried out a back check from 10% of the health facilities in the sample in accordance with the SARA survey methodology.