DDI-GUINEE-SARA-2017-vFINAL World Health Organization 2021-12-10 NADA Final version Enquete SARA-DQR-QOC 2017 Guinee Services Availability and Readiness Assessment (SARA)- DQR- QOC Survey 2017 Guinee GUINEE-MOH-SARA-2017-vFINAL Ministry of Health World Health Organization NADA Service Availability and Readiness Assessment Mapping Survey [HFA/SARAM] Final report The Ministry of Health through the Strategic and Development Office (SDO), and National Institute of Statistics (INS) in collaboration with the World Health Organization (WHO) implemented a second edition of the Guinea Service Availability and Readiness Assessment (SARA), Data Quality Assessment (DQA) and Quality of Care (QoC) in 2017. The 2017 SARA aimed to generate reliable and regular information on the availability of health services (the availability of infrastructure and essential human resources) and the operational capacity of health facilities to deliver basic family planning interventions, pediatric health services, essential and comprehensive obstetric care, HIV/AIDS, tuberculosis, malaria and non-communicable diseases. The objective of the DQA survey was to contribute to improving the quality of health data at the health facility level. The SARA survey covered all health facilities whereas representative samples were used for the DQR and QoC surveys. This report provides information on the following set of tracer indicators for the 2017 SARA : 1. General service availability • Health infrastructure density • Health workforce density • Service utilization 2.General service readiness • Basic amenities and comfort elements • Basic equipment • Standard precautions for infection prevention • Diagnostic capacity • Essential medicines 3. 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 • Prevention of mother-to-child transmission (PMTCT) of HIV • Sexually transmitted infections • Diabetes • Cardiovascular diseases • Chronic respiratory diseases • Non-communicable diseases (NCDs) • Basic surgical services • Blood transfusion The report also presents findings from the DQA and QoC assessments. Guinea Nationally representative, as well as representative at rural and urban levels Health facilities The SARA survey covered all health facilities whereas representative samples were used for the DQR and QoC surveys. 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). This was a census-type survey. All public and private health facilities will be eligible for the SARA. A sample of 417 health facilities were selected for the surveys on quality of data/reporting (DQR) and quality of care (QoC).In addition, at each facility, at the time of the survey, a maximum of ten patients were systematically selected to carry out the satisfaction survey. Face-to-face [f2f] Three types of questionnaires were used: a SARA questionnaire, a Data Quality Questionnaire (DQR) and a quality of care questionnaire (QoC). 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 The following is an overview of the DQR questionnaire: Section 1: Identification of health facilities Section 2: Malaria Management o Facility and patient eligibility criteria o Clinical examination o Assessment of symptoms o Diagnosis and treatment of malaria Section 3: PMTCT o Eligibility criteria for the health facility and the patient o Management Section 4: HIV Antiretroviral Treatment Management o Eligibility criteria for the health facility and the patient o Management Section 5: Management of Tuberculosis Treatment o Eligibility criteria for the health facility and the patient o Management Training of the survey team was in two phases. First phase was a training of trainers (managers from the Ministry of Health) who were field supervisors. The second phase of training involved enumerators or field agents. The survey team comprised 107 investigators, 22 team leaders, 15 regional supervisors and 4 national supervisors. Data collection was done on tablets. A data collection program was developed on CSPRO and Survey Solutions software. However, some paper questionnaires were printed as a backup.