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Facility censuses and surveys

Facility censuses and surveys. Shanthi Noriega Minichiello, WHO Josibert Rubona, MoH,Tanzania Meeting on Health System Metrics Glion 28-29 September, 2006. Overview. Facility based information sources Why facility censuses and surveys? Towards developing a "dashboard"

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Facility censuses and surveys

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  1. Facility censuses and surveys Shanthi Noriega Minichiello, WHO Josibert Rubona, MoH,Tanzania Meeting on Health System Metrics Glion 28-29 September, 2006

  2. Overview • Facility based information sources • Why facility censuses and surveys? • Towards developing a "dashboard" • Proposed indicators (examples) • Country example: facility census in Tanzania

  3. Information sources • Facility reporting systems • District key informant censuses • Facility surveys • Facility censuses

  4. Facility based reporting systems Component of country HIS, routinely collected at the facility level and reported to regions; includes information on infrastructure, services and care offered, and treatments administered.

  5. District key informant censuses Census of all districts. Key informant interviews of DMOs and their teams. Includes information on available facilities and HR, coverage of well-defined interventions. Example: District Service Availability Mapping (SAM) census

  6. Facility surveys Periodic survey of a representative sample of public and private health care facilities within a country Example: Service Provision Assessments (SPAs) Carried out in 10 countries (more than once in 2) Over 400 facilities included in samples Carry out inventories, interviews of health workers, observation of provider-patient interaction, and exit interviews

  7. Facility censuses Periodic census of all public and private health care facilities within a country. Example: Facility Service Availability Mapping (SAM) census Completed in 4 countries; on-going in 7; planned in 3 Focus on determining service status, availability of specific services Presence: nurses/midwives* (Region: 70%) Public 72% Private non-profit 71% Private for profit 69% *Hospitals excluded

  8. Why use facility based censuses and surveys? • Incomplete and inaccurate information on health resources, including infrastructure, workforce, and service delivery in many low and middle income countries • Results in limited utility for planning, monitoring and performance assessment • Facility based censuses and surveys can augment facility reporting • Results in a more comprehensive picture of the health system in the areas of service status and the availability of services.

  9. What can these offer to the "Dashboard"? • A core set of indicators for assessing the status of service delivery and availability • TWG on health facility surveys proposed preliminary indicators and indices on infrastructure, infection control, lab capacity, basic equipment, and drugs and commodities. Aim to: • Contribute to health system metrics in the area of availability and health service status • Allow comparability between countries across different surveys and censuses

  10. Potential core indicators:monitoring the status of basic service provision

  11. Potential core indicators: monitoring availability of services Examples of service areas:

  12. Monitoring Health Service Provision:Selected Results and Experiences of SAM in Tanzania

  13. SAM Data collection & analysis, Tanzania 2006 • Facility census of all public and private health care facilities in 22 districts (including all districts in Mwanza, Zanzibar and Dar es Salaam regions) • District key informant surveys carried out in all districts within the country • Used PDAs and GPS for data collection; HealthMapper for map production

  14. Monitoring the status of basic service provision: Infrastructure % of facilities with components NOTE: Preliminary data

  15. Monitoring the status of basic service provision: Equipment % of facilities with components NOTE: Preliminary data

  16. Monitoring the status of basic service provision: drugs and commodities, infection control (indices) NOTE: Preliminary data

  17. Monitoring availability of specific services HIV/AIDS care in Mwanza, SAM 2005

  18. Training of health service providers in HIV/AIDS, by district, Mwanza Region, SAM 2005 Facilities with at least 1 stafftrained in HIV counselling and testing (Region:13%) Facilities with at least 1 staff trained in HIV counselling (Region:16%)

  19. Health facilities able to do on-site testing, by district, Mwanza Region, SAM 2005 Blood counts done on site (Region: 10%) HIV antibody testing (Region: 12%)

  20. Facilities providing HIV counselling and testing

  21. THANK YOU

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