DDI-GH-SAM-2005-vFINAL World Health Organization 2021-11-15 NADA Final version: report Service Availability Mapping (SAM) Ghana 2005 GH-MOH-SAM-2005-vFINAL Ministry of Health

Policy Planning Monitoring and Evaluation Directorate

 World Health Organization NADA Department for International Development World Health Organization Service Availability Mapping [HFA/SAM] vFINAL: Report The report is yet to be finalized. The draft report does not have an executive summary. The Service Availability and Mapping (SAM) 2005 survey for Ghana was implemented by Ghana Ministry of Health in collaboration with the World Health Organization (WHO) country office. The purpose of the SAM Ghana 2005 was to collect information on the the availability and coverage of health services and resources determined to be priorities for Ghana at district and health facility level. The objectives of SAM Ghana 2005 were to (i) provide national planners and decision-makers with information on the distribution of services within the country, with a focus on the district level; (ii) provide the baseline monitoring information for increasing the provision of key services such as antiretroviral therapy (ART), prevention of mother-to-child transmission (PMTCT) of HIV, testing and counselling of HIV/AIDS; and (iii) assess whether SAM, during which all health facilities are visited, can become a useful and feasible planning and monitoring tool at the district level. The SAM Ghana 2005 applied to all 138 districts across the country, where district health officers were asked about the availability of services in the district. Data were collected on the presence of key health personnel and on estimated coverage of selected interventions. This SAM Survey Report for Ghana covers three categories of indicators: 1. The availability of services and service providers: • Human resources • Hospital beds • Blood transfusion services • Laboratory services • Communication and technology • Injection and sterilization practices • Medical equipment 2. Estimated coverage of specific interventions: • Percentage of facilities in the district with access to safe water • Percentage of facilities in the district with functioning piped water supply • Percentage of facilities in the district with health workers trained in safe motherhood • Percentage of facilities in the district with health workers trained in Integrated Management of Childhood Illness (IMCI) 3. Facilities providing selected services: • HIV/AIDS • Malaria • Adolescent sexual and reproductive health • Tuberculosis control • Sexually transmitted infections (STIs) • Non-communicable diseases • Family planning • Antenatal Republic of Ghana Nationally representative, as well as representative at district and regional levels. Health facilities and district health offices The survey covered district health offices and health facilities in all 128 districts. Sample survey data [ssd] Service Availability Mapping (SAM) is a tool used to collect and present basic information on health services namely: health infrastructure, human resources and services provided. The main focus is to enable district health administration to map health services provided in their catchment areas and monitor their performances. The SAM is designed to support decision making by providing national and district planners with the skills and tools to routinely map services and resource availability. Designed as a district-owned system, SAM can be implemented as a standalone system or integrated into the routine health information system as a supervisory tool. As a monitoring tool, SAM is recommended every six months to one year. The frequency of implementation may be adjusted to suit program needs when utilized as a periodic evaluation tool. The Facility SAM covers availability of the health equipment, staffing, drugs and commodities, and the services offered. The District SAM covers health infrastructure, human resources, and services available in the district. A census of all 138 districts was implemented for the district questionnaire. Face-to-face [f2f] District Questionnaire overview: Section 1: Availability of services and service providers, by district Section 2: Estimated coverage of specific interventions, by district Section 3: Checklist of health facilities, by facility This questionnaire is applied in all districts (or equivalent administrative unit) by health teams. The respondents of this questionnaire are district medical officers and their teams. Facility Questionnaire overview: Section 1: General characteristics, including infrastructure Section 2: General purpose equipment Section 3: Injection and sterilization equipment Section 4: Human resources Section 5: Trained staff Section 6: Drugs and commodities Section 7: Laboratory tests Section 8: Information on interventions available in the facility The respondents of this questionnaire are the facility directors and their teams. The template questionnaires are developed in English, and both questionnaires are provided as external resources. A training workshop on Service Availability Mapping (SAM) was conducted in July 2005 for regional health information officers and other selected personnel on the use of the HealthMapper software in generating maps. Subsequent to the July training workshop, data collectors were trained in the regions to collect basic infrastructure and service data from all health facilities both private and public. The SAM questionnaires are applied using Personal Digital Assistants (PDAs); Global Positioning System (GPS) units are used to obtain the geographical coordinates of health care facilities. District teams are provided with the hardware, software and training required to assure ongoing data collection and integration into existing supervisory and monitoring practices. The SAM data are entered using PDAs and the data in the PDAs is transferred to a computer. Once the data are in the computer, structure checking and completeness as well as checking of the double data entry and data entry errors are checked. 100%