DDI-YEM-SARA-2013-vFINAL World Health Organization 2021-11-15 NADA Final report Service Availability and Readiness Assessment (SARA) Yemen 2013 YEM-MoPHP-SARA-2013-vFINAL Ministry of Public Health and Population (MoPH&P) World Health Organization NADA Service Availability and Readines Assessment [hfa/sara] Final report The Ministry of Public Health and Population (MoPH&P) of Yemen in collaboration with WHO implemented a survey on Service Availability and Readiness Assessment (SARA) in 2013. The objective of the SARA survey is to generate reliable and regular information on service delivery such as the availability of key human and infrastructure resources, basic equipment, basic amenities, essential medicines, and diagnostic capacities; and on the readiness of health facilities ‘capacity for providing basic health-care interventions relating to family planning, child health services, basic and comprehensive emergency obstetric care, Tuberculosis, malaria, and non-communicable diseases. The SARA survey targeted 10 governorates including Abyan, Sa’ada, Sana’a (capital city), AlBayda, Taiz, Hajjah, Aden, Lahaj, Amran and Al-Jawf. A total of 135 health facilities comprising of 20 general referral level hospitals, 25 district level hospitals, one health center with beds capacity for in-patient, 83 health centers without in-patient beds capacity and 6 polyclinics were assessed. This SARA report for Yemen presents the assessment findings at two levels: 1. At general level in the 10 governorates where the survey was conducted which provides an overall picture of the available services. Coverage indicators were not measured as the data is not representative of all the health facilities. 2. At the level of Abyan and Sa’ada governorates where we can also show the population coverage indicators as the data represents all the health facilities. Yemen Nationally representative, as well as representative at governorates level. Health facilities and district health offices The survey covered 135 health facilities comprising of 20 general referral level hospitals, 25 district level hospitals, one health center with beds capacity for in-patient, 83 health centers without in-patient beds capacity and 6 polyclinics in 10 governorates across Yemen. 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). All the hospitals and health centers (HC) in governorates of Sa’ada and Abyan, due to being enormously affected by protracted conflicts were excluded in the SARA assessment. For the remaining eight governorates 10% of the District Hospitals and 15% of the Health Centers were randomly selected for the assessment. This list of health facilities was selected from a Master Health Facility list, which was provided by the Ministry of Public Health and Population (MoPH&P). Face-to-face [f2f] The SARA core questionnaires overview: 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