DDI-ALB-SAM-2005-vFINAL World Health Organization 2021-11-07 NADA Service Availability Mapping (SAM) Albania 2005 ALB-IPH-SAM-2005-vFINAL Institute of Public Health, Albania

Dr. Silva Bino, Prof. Dr. Eduard Kakarriqi & Dr. Alban Ylli

WHO/ Country Office, WHO/EURO and WHO/HQ

 World Health Organization South-Eastern Europe Health Network NADA Government of Albania Institute of Public Health, Albania Service Availability Mapping [HFA/SAM] vFINAL: Report only Final report - only version available. The Institute of Public Health (Albania) in collaboration with WHO/Regional Office for Europe implemented a Service Availability Mapping (SAM) survey in October 2005. The purpose was to collect information on the availability and coverage of health services and resources determined to be priorities for Albania at the district and health facility level. The SAM Albania 2005 was conducted in all 36 districts where district health officers have been asked about the availability of services in the district. For the facility survey, in 12 districts, all health facilities were surveyed. Data were collected on the presence of key health personnel and on estimated coverage of selected interventions. This SAM Survey Report for Albania covers three categories of indicators: 1. The availability of services and service providers: • Human resources • Hospital beds • Blood transfusion services • Laboratory services • Communication and technology • Injection practices • Sterilization 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 IMCI • Percentage of facilities in the district with HIV testing sites • Percentage of facilities in the district with TB treatment sites that had a stock out 3. Facilities providing selected services • HIV counselling and testing • TB diagnostic lab facilities • ALERT system • Caesarean section • Emergency blood transfusion • Family planning Albania Nationally representative, as well as representative at provincial and district levels Health facilities and district health offices The survey covered district health offices and health facilities in all 36 districts. 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 October to November 2005 A census of all 36 districts was implemented for the district questionnaire. For the facility questionnaire, 12 districts were chosen and a census was done of all the health facilities located in those districts. The 12 districts were at commune level and selected based on the 12 counties of Albania. 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. The 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. Staff from Institute of Public Health and district epidemiologists were trained as enumerators on data collection instruments and protocol of the work. A pilot survey was conducted in 3 health facilities located in 1 district. Each team comprised of two people: an IPH staff and a district epidemiologist. 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. 100% Institute of Public Health, Albania