DDI-TZA-DHA-2008-2009-vFINAL World Health Organization 2022-01-25 NADA Final version (summary of findings report only) District Health Assessment (DHA) United Republic of Tanzania 2008-2009 TZA-NIMR-DHA-2008-2009-vFINAL National Institute for Medical Research Ministry of Health World Health Organization NADA Service Availability and Readiness Assessment Survey [HHFA/SARA] vFINAL: Summary of findings report The National Institute for Medical Research (NIMR), with technical assistance from WHO implemented the 2008-2009 District Health Assessment (DHA) for United Republic of Tanzania. The DHA included a facility census, household survey and a records review. The facility census was conducted in 15 districts to capture basic information on the availability and readiness of health services. This included an inventory of basic infrastructure and amenities, basic equipment, human resources and training, guidelines, infection control, medicines and commodities, and laboratory diagnostic capacity. The household survey was designed to provide information in the 15 districts on intervention coverage and risk factors, as well as health expenditures to inform the National Health Accounts (NHA) exercise. It covered 625 households. The records review was conducted to collect information related to the burden of HIV/AIDS, tuberculosis (TB), and malaria as reflected in in-patient diagnoses (hospital admissions), frequency of blood transfusion (malaria), and birth weight (malaria) in 2-3 health facilities. This summary report presents the results of the DHA survey conducted between March 2008 to October 2009, and referred to as the District Comprehensive Assessment (DCA). The report summarizes the main findings and is supported by a full report with a more extensive description of the methods, results and survey instruments. United Republic of Tanzania Nationally representative, as well as representative at district level Health facilities and households The survey covered all health facilities and 625 households in 15 districts Sample survey data [ssd] The scope of the DHA survey includes a facility census, household survey and a records review. - A facility census captured basic information on the availability and readiness of health services which included an inventory of basic infrastructure and amenities, basic equipment, human resources and training, guidelines, infection control, medicines and commodities, and laboratory diagnostic capacity - Household survey collected information on intervention coverage and risk factors, as well as health expenditures - Records review collected information related to the burden of HIV/AIDS, tuberculosis (TB), and malaria as reflected in in-patient diagnoses (hospital admissions), frequency of blood transfusion (malaria), and birth weight (malaria) in selected health facilities Data was collected between December 2009 and January 2010. The facility assessment methodology was a census of all health facilities in the selected districts, including hospitals, health centres, dispensaries, and specialized clinics such as dental and eye clinics not attached to a particular general facility unit. All health facilities, including public, private for-profit and private not for profit, were involved. In addition to hospitals, health centres and dispensaries, it was also agreed that, since many community members buy medicines from drug outlets without medical prescription, all stand-alone pharmacies and drug shops should be included. For the household survey, a randomly selected sample of 625 households in 25 clusters or enumeration areas (EA) per district. The facility records review was conducted in 2 to 3 health facilities which had data for at least three years. Face-to-face [f2f] Training for data collection activities was carried out in February 2008 in Morogoro. Data collection was carried out from March to October 2008 and June to November 2009. The extended duration of data collection reflects an interruption in the flow of funding.