{"doc_desc":{"title":"Ghana","idno":"DDI-GH-SAM-2005-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2021-11-15","version_statement":{"version":"Final version: report"}},"study_desc":{"title_statement":{"idno":"GH-MOH-SAM-2005-vFINAL","title":"Service Availability Mapping (SAM) Ghana 2005"},"authoring_entity":[{"name":"Ministry of Health"}],"oth_id":[{"name":"Policy Planning Monitoring and Evaluation Directorate","affiliation":"Ministry of Health","role":"Spearheading and coordinating the Service Availability  Mapping (SAM) Survey"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical assistance in questionnaire development, data collection, data processing, data analysis, and dissemination"}],"funding_agencies":[{"name":"Department for International  Development","abbreviation":"DFID","role":"Financial support"},{"name":"World Health Organization","abbreviation":"WHO","role":"Co-funded SAM survey"}]},"series_statement":{"series_name":"Service Availability Mapping [HFA\/SAM]"},"version_statement":{"version":"vFINAL: Report","version_date":"2007-04-02","version_notes":"The report is yet to be finalized. The draft report does not have an executive summary."},"study_info":{"abstract":"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. \n\nThe 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.\n\nThis SAM Survey Report for Ghana covers three categories of indicators:\n\n1. The availability of services and service providers:\n\u2022 Human resources\n\u2022 Hospital beds\n\u2022 Blood transfusion services\n\u2022 Laboratory services\n\u2022 Communication and technology\n\u2022 Injection and sterilization practices\n\u2022 Medical equipment\n\n2. Estimated coverage of specific interventions:\n\u2022 Percentage of facilities in the district with access to safe water\n\u2022 Percentage of facilities in the district with functioning piped water supply\n\u2022 Percentage of facilities in the district with health workers trained in safe motherhood\n\u2022 Percentage of facilities in the district with health workers trained in Integrated Management of Childhood Illness (IMCI)\n\n3. Facilities providing selected services:\n\u2022 HIV\/AIDS\n\u2022 Malaria\n\u2022 Adolescent sexual and reproductive health\n\u2022 Tuberculosis control\n\u2022 Sexually transmitted infections (STIs)\n\u2022 Non-communicable diseases\n\u2022 Family planning\n\u2022 Antenatal","coll_dates":[{"start":"2005-09-01","end":"2005-10-31"}],"nation":[{"name":"Republic of Ghana","abbreviation":"Gh"}],"geog_coverage":"Nationally representative, as well as representative at district and regional levels.","analysis_unit":"Health facilities and district health offices","universe":"The survey covered district health offices and health facilities in all 128 districts.","data_kind":"Sample survey data [ssd]","notes":"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."},"method":{"data_collection":{"sampling_procedure":"A census of all 138 districts was implemented for the district questionnaire.","coll_mode":["Face-to-face [f2f]"],"research_instrument":"District Questionnaire overview:\nSection 1: Availability of services and service providers, by district\nSection 2: Estimated coverage of specific interventions, by district\nSection 3: Checklist of health facilities, by facility\nThis 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.\n\nFacility Questionnaire overview:\nSection 1: General characteristics, including infrastructure\nSection 2: General purpose equipment\nSection 3: Injection and sterilization equipment\nSection 4: Human resources\nSection 5: Trained staff\nSection 6: Drugs and commodities\nSection 7: Laboratory tests\nSection 8: Information on interventions available in the facility\n\nThe 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.","coll_situation":"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.\n\nThe 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.","cleaning_operations":"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."},"analysis_info":{"response_rate":"100%"}},"data_access":[]}}