DDI-TZA-SAM-2005-06-vFINAL World Health Organization 2021-11-15 NADA DDI-TZ-SAM-2005-06-v02 Service Availability Mapping (SAM) United Republic of Tanzania 2005-2006 TZA-MOHSW-SAM-2005-06-vFINAL Ministry of Health and Social Welfare World Health Organization MEASURE Evaluation NADA President’s Initiative Emergency Plan to Fight HIV/AIDS of the United States Agency World Health Organization United Nations Programme on HIV/AIDS Service Availability Mapping [HFA/SAM] vFINAL: Final report, revised from first draft The Ministry of Health and Social Welfare (MoHSW) Tanzania in collaboration with WHO implemented a survey on Service Availability Mapping (SAM) from December 2005 to February 2006. The Tanzania SAM aimed to complement existing information on health services and provide the country with information on the distribution of facilities, human resources, and basic health services. The SAM included a national survey of all districts in Tanzania, a SAM of facilities in all districts of Dar es Salaam and Mwanza regions, Zanzibar, and the district of Kibaha in Pwani; and an HIV prevention-focused SAM of schools, workplaces and priority prevention areas in Mwanza region. District medical officers and their teams were asked about the availability of services in the district. This SAM Survey Report for Tanzania covers the following 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 • Tuberculosis control • Sexually transmitted infections (STIs) • Non-communicable diseases • Family planning 4. HIV prevention-focused SAM of schools, workplaces and priority prevention areas in Mwanza region: • Percentage of schools providing specific services related to HIV/AIDS • Percentage of schools with specific human resources for HIV/AIDS-related activities • Percentage of schools with teaching aids and commodities for HIV/AIDS-related activities • Percentage of workplaces with HIV/AIDS-related activities, human resources and services United Republic of Tanzania Nationally representative as well as at regional and district levels Health facilities and district health offices The survey covered health facilities and district health offices from 128 districts of Tanzania. Only 1 district in the country was excluded from the assessment. Sample survey data [ssd] 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. Data was collected from November 2005 to January All except one of the 129 districts in Tanzania were included in the sample. 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. While the questionnaire was based on the standard list of questions that had been used in district SAM in Kenya, Uganda, and Zambia, local adaptations were made as necessary, e.g. on first- and second-line antimalarial drugs. In addition to a number of general questions on the basic availability of service components—human resources, equipment, drugs and commodities, guidelines—the district team was asked specific questions for each facility listed by name on the availability of specific services including ART, PMTCT, caesarean section, emergency blood transfusion and diagnosis of tuberculosis. The assessment started with a two-day workshop with the regional health authorities to discuss the SAM and adapt the instruments to the local situation as needed. This was followed by a one week training course for the district teams. The interviewer teams consisted of national, regional and district staff from the Ministry of Health and Social Welfare. The fieldwork was conducted by district teams with facilitators from September to October 2005. The SAM data are entered using personal digital assistants (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. World Health Organization