{"doc_desc":{"title":"Kenya SARAM 2013","idno":"DDI-KEN-SARAM-2013-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2021-11-14","version_statement":{"version":"Final version: report"}},"study_desc":{"title_statement":{"idno":"KEN-MOH-SARAM-2013-vFINAL","title":"Service Availability and Readiness Assessment Mapping (SARAM) Kenya 2013"},"authoring_entity":[{"name":"Ministry of Health","affiliation":"Government"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical guidance, analysis and financing report writing"}],"funding_agencies":[{"name":"Department for International Development","abbreviation":"DFID","role":"Financial support"}]},"series_statement":{"series_name":"Service Availability and Readiness Assessment Mapping Survey [HFA\/SARAM]"},"version_statement":{"version":"vFINAL: Final report","version_date":"2014-01-06"},"study_info":{"abstract":"The Ministry of Health in collaboration with WHO implemented the 2013 Service Availability and Readiness Assessment Mapping (SARAM) for Kenya. The SARAM was a national census involving all units involved in health including health facilities (public and private), and management levels in Kenya that was carried out between April and May 2013. The SARAM survey was designed with an aim to provide an understanding of the capacity for service provision across counties in Kenya. Its objective is to generate reliable information on service delivery, availability of basic inputs to provide different services, and on the readiness of health facilities to provide basic health-care interventions. It provides a mapping of: (i) status of Kenya Essential Package for Health (KEPH) provision across the Country (health outcomes), (ii) capacity to provide services with a focus on availability of critical inputs needed for provision of services and functionality of critical inputs needed for provision of services, and (iii) readiness of critical inputs needed for provision of services.\n\nA standard set of data was collected from each facility and management unit based on a pre-designed questionnaire that collected three sets of information:\n(i) Basic information: Location, ownership, geocodes;\n(ii) Service availability: Service interventions provided by the facility, and available human resources for health (HRH), infrastructure (physical, equipment and communication) and health products to facilitate provision of the interventions; and \n(iii) Service readiness: Health service delivery organization, and leadership capacity needed to provide the services. \n\nThis report covers the following categories of indicators:\n1. General service availability\n\u2022 Health infrastructure\n\u2022 Health workforce \n\u2022 Service utilization\n\n2. General service readiness\n\u2022 Basic amenities\n\u2022 Basic equipment\n\u2022 Standard precautions for infection prevention\n\u2022 Diagnostic capacity\n\u2022 Essential medicines\n\n3. Service specific availability and readiness\n\u2022 HIV\/AIDS\n\u2022 Tuberculosis\n\u2022 Non-communicable diseases\n\u2022 Malaria\n\u2022 Maternal and child health\n\u2022 HIV counselling and testing\n\u2022 HIV\/AIDS care and support\n\u2022 Antiretroviral prescription and client management\n\u2022 Prevention of mother-to-child transmission of HIV (PMTCT)\n\u2022 Surgical services\n\n4. Health leadership and partnership readiness\n\u2022 Service delivery organization readiness\n\u2022 Health stewardship readiness\n\u2022 Health partnership readiness\n\u2022 Health governance readiness","coll_dates":[{"start":"2013-04-01","end":"2013-05-30"}],"nation":[{"name":"Kenya","abbreviation":"KEN"}],"geog_coverage":"Nationally representative, as well as representative at zonal  levels","analysis_unit":"Health facilities and health management units","universe":"The survey covered 8,401 health facilities in 10 country zones.","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":"8,401 health facilities in 10 country zones were selected for the sample. The selected health facilities included public health facilities, private not-for-profit facilities and private-for-profit facilities.","coll_mode":["Face-to-face [f2f]"],"research_instrument":"The 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 Kenyan national SARA coordinating committee adapted and reviewed the tool to include indicators on health leadership and partnership readiness. This adapted standard questionnaire was used to collect information on three core areas: \n1. Basic facility information: Location, ownership, geocodes\n2. Service Availability: Service interventions provided by the facility, and available human resources for health (HRH), infrastructure (physical, equipment and Communication) and health products to facilitate provision of the interventions\n3. Service Readiness: Health service delivery organization, and leadership capacity needed to provide the health care service.","coll_situation":"Independent firms were contracted to coordinate data collection in each of the 10 zones of the country. A standard questionnaire was developed, and provided to each firm for use in data collection. The data collection process was automated through use of hand held devices\/computers to enter the data from the field. A DHIS module was opened to facilitate this. A Quality Assurance team was constituted from national and county levels, involving both government and partner representatives. This team provided oversight to the independent firm during the data collection process, to ensure information was being collected as planned. Data verification was carried out during the field work as information was entered into the DHIS module by a national level dedicated team, and corrections required communicated to the field teams during data collection.","method_notes":"Data verification was carried out real-time during the field work as information was entered into the DHIS  module by a national level dedicated team, and corrections required communicated to the field teams \nduring data collection.At the end of the fieldwork, all firms spent 1 week with the National level, reviewing their consolidated information to address inaccuracies in the data."},"analysis_info":{"response_rate":"88%"}},"data_access":{"dataset_use":{"cit_req":"Government of Kenya, 2014: Kenya Service Availability and Readiness Assessment Mapping (SARAM). Ministry of Health, Nairobi Kenya"}}}}