{"doc_desc":{"title":"Guinea SARA 2017","idno":"DDI-GUINEE-SARA-2017-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2021-12-10","version_statement":{"version":"Final version"}},"study_desc":{"title_statement":{"idno":"GUINEE-MOH-SARA-2017-vFINAL","title":"Enquete SARA-DQR-QOC 2017 Guinee","translated_title":"Services Availability and Readiness Assessment (SARA)- DQR- QOC Survey 2017 Guinee"},"authoring_entity":[{"name":"Ministry of Health"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical support"}]},"series_statement":{"series_name":"Service Availability and Readiness Assessment Mapping Survey [HFA\/SARAM]"},"version_statement":{"version":"Final report","version_date":"2018-08-01"},"study_info":{"abstract":"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. \n\nThe SARA survey covered all health facilities whereas representative samples were used for the DQR and QoC surveys.\n\nThis report provides information on the following set of tracer indicators for the 2017 SARA :\n1. General service availability\n\u2022 Health infrastructure density\n\u2022 Health workforce density\n\u2022 Service utilization\n\n2.General service readiness\n\u2022 Basic amenities and comfort elements\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 Maternal, newborn and child health (MNCH)\n\u2022 Family planning\n\u2022 Adolescent health\n\u2022 Immunization services\n\u2022 Preventive and curative care services for the child\n\u2022 Adolescent health services\n\u2022 Malaria \n\u2022 HIV\/AIDS counselling and testing services\n\u2022 Tuberculosis\n\u2022 HIV\/AIDS care and support services\n\u2022 Prevention of mother-to-child transmission (PMTCT) of HIV\n\u2022 Sexually transmitted infections\n\u2022 Diabetes\n\u2022 Cardiovascular diseases\n\u2022 Chronic respiratory diseases \n\u2022 Non-communicable diseases (NCDs)\n\u2022 Basic surgical services\n\u2022 Blood transfusion\n\nThe report also presents findings from the DQA and QoC assessments.","coll_dates":[{"start":"2017-03-01","end":"2017-05-12"}],"nation":[{"name":"Guinea"}],"geog_coverage":"Nationally representative, as well as representative at rural and urban levels","analysis_unit":"Health facilities","universe":"The SARA survey covered all health facilities whereas representative samples were used for the DQR and QoC surveys.","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":"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.","coll_mode":["Face-to-face [f2f]"],"research_instrument":"Three types of questionnaires were used: a SARA questionnaire, a Data Quality Questionnaire (DQR) and a quality of care questionnaire (QoC).\n\nThe SARA core questionnaires overview is as follows:\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 following is an overview of the DQR questionnaire:\n\nSection 1: Identification of health facilities\nSection 2: Malaria Management\no Facility and patient eligibility criteria\no Clinical examination\no Assessment of symptoms\no Diagnosis and treatment of malaria\nSection 3: PMTCT\no Eligibility criteria for the health facility and the patient\no Management\nSection 4: HIV Antiretroviral Treatment Management\no Eligibility criteria for the health facility and the patient\no Management\nSection 5: Management of Tuberculosis Treatment\no Eligibility criteria for the health facility and the patient\no Management","coll_situation":"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. \n\nData 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."}},"data_access":{"dataset_use":[]}}}