{"doc_desc":{"title":"Service Availability Mapping (SAM) United Republic of Tanzania 2005-2006","idno":"DDI-TZA-SAM-2005-06-vFINAL","producers":[{"name":"World Health Organization","abbreviation":"WHO","role":"Documentation of assessment"}],"prod_date":"2021-11-15","version_statement":{"version":"DDI-TZ-SAM-2005-06-v02"}},"study_desc":{"title_statement":{"idno":"TZA-MOHSW-SAM-2005-06-vFINAL","title":"Service Availability Mapping (SAM) United Republic of Tanzania 2005-2006"},"authoring_entity":[{"name":"Ministry of Health and Social Welfare"}],"production_statement":{"producers":[{"name":"World Health Organization","role":"Technical support"},{"name":"MEASURE Evaluation","role":"Technical support"}],"funding_agencies":[{"name":"President\u2019s Initiative Emergency Plan to Fight HIV\/AIDS of the United States Agency","abbreviation":"PEPFAR","role":"Financial assistance"},{"name":"World Health Organization","abbreviation":"WHO","role":"Financial assistance"},{"name":"United Nations Programme on HIV\/AIDS","abbreviation":"UNAIDS","role":"Financial assistance"}]},"series_statement":{"series_name":"Service Availability Mapping [HFA\/SAM]"},"version_statement":{"version":"vFINAL: Final report, revised from first draft","version_date":"2007-01-15"},"study_info":{"abstract":"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. \n\nThe 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.\n\nThis SAM Survey Report for Tanzania covers the following categories of indicators:\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 Tuberculosis control\n\u2022 Sexually transmitted infections (STIs)\n\u2022 Non-communicable diseases\n\u2022 Family planning\n\n4. HIV prevention-focused SAM of schools, workplaces and priority prevention areas in Mwanza region:\n\u2022 Percentage of schools providing specific services related to HIV\/AIDS\n\u2022 Percentage of schools with specific human resources for HIV\/AIDS-related activities\n\u2022 Percentage of schools with teaching aids and commodities for HIV\/AIDS-related activities\n\u2022 Percentage of workplaces with HIV\/AIDS-related activities, human resources and services","coll_dates":[{"start":"2005-11-01","end":"2006-01-31"}],"nation":[{"name":"United Republic of Tanzania","abbreviation":"TZA"}],"geog_coverage":"Nationally representative as well as at regional and district levels","analysis_unit":"Health facilities and district health offices","universe":"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.","data_kind":"Sample survey data [ssd]","notes":"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":{"time_method":"Data was collected from November 2005 to January","sampling_procedure":"All except one of the 129 districts in Tanzania were included in the sample.","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\n\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\nThe respondents of this questionnaire are the facility directors and their teams. \nThe template questionnaires are developed in English, and both questionnaires are provided as external resources.\n\nWhile 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\u2014human resources, equipment, drugs and commodities, guidelines\u2014the 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.","coll_situation":"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.","cleaning_operations":"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."}},"data_access":{"dataset_use":{"contact":[{"name":"World Health Organization","affiliation":"WHO","email":"permissions@who.int"}]}},"distribution_statement":[]}}