DDI-MRT-SARA-2016-vFINAL World Health Organization 2021-11-14 NADA Final version Indice de disponibilité et de capacité opérationnelle des services de santé (SARA) Mauritanie 2016 Availability Index and Operational Capability Readiness and Operational Capability (SARA) Mauritania 2016 MRT-MOH-SARA-2016-vFINAL Ministry of Health World Health Organization NADA World Bank Service Availability and Readiness Assessment Mapping Survey [HFA/SARAM] vFINAL: Final report A second edition of the Service Availability and Readiness Assessment (SARA) survey was implemented by the Ministry of Health of Mauritania in 2016 with technical support from the World Health Organization (WHO). The SARA survey 2016 aimed to assess the availability and operational capacity of health services to provide quality care throughout the national territory. Specifically the survey's objectives were to: assess the availability of health services in the facilities at all levels of care; measure the availability of basic equipment; assess the availability of drugs and other medical products; assess the availability of treatment guidelines and diagnostic tools; and assess the operational capacity of health facilities to provide specific health services such as child health, reproductive health, malaria, tuberculosis and HIV/AIDS. The census covered 288 public and private health facilities across the country. Data was collected from January to February 2016. This reports covers the following categories of indicators: 1.General service availability and readiness • Basic amenities and comfort elements • Basic equipment • Standard precautions for infection prevention • Diagnostic capacity • Essential medicines 2. Service specific availability and readiness • Family planning • Prenatal • Basic obstetrical care • Comprehensive obstetric care • Immunization services • Preventive and curative care services for the child • Adolescent health services • Maternal, newborn and child health services (MNCH) • Malaria control services • HIV/AIDS counselling and testing services • Tuberculosis • HIV/AIDS care and support services • Antiretroviral drugs (ARVs) and medical follow-up of patients • PMTCT • Sexually transmitted infections • Diabetes • Diagnosis and management of cardiovascular diseases • Chronic respiratory diseases (CRI) • Cervical cancer • Non-communicable diseases (NCDs) • Basic surgical services • Comprehensive surgery • Blood transfusion • Advanced diagnostics Mauritania Nationally representative Health facilities The survey covered 288 public and private health facilities 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). Sample size for this survey was 288 public and private health facilities represented at national level. The sample was stratified by type of facility with stratum 1 as hospitals, stratum 2 as health centres and stratum 3 as health posts. The selection was mixed, either random or a census draw. Face-to-face [f2f] The SARA core questionnaires overview is as follows: 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 Training of survey teams comprising 40 enumerators and 10 supervisors was conducted before the survey. The survey pilot was carried out at the end of the training. 82%