1 / 24

Service Availability Mapping

Service Availability Mapping. Presentation to the MERG Geneva, Switzerland October, 2004. The vision. SAM as a country owned monitoring tool meeting the needs of multiple partners.

niran
Download Presentation

Service Availability Mapping

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Service Availability Mapping Presentation to the MERG Geneva, Switzerland October, 2004

  2. The vision • SAM as a country owned monitoring tool meeting the needs of multiple partners. • At national level, SAM is used to track equity between districts and identify major gaps in service availability. • At district level, SAM is used for monitoring service availability alongside supervisory visits. • Disease-specific programmes use SAM, thus avoiding fragmentation and duplication. • SAM results are widely disseminated and used by health sector and civil society, including other sectors. • National planners are able to map all facilities and all services on a regular basis.

  3. Application 1. Data collected using PDAs by district health teams 2. PDA is synchronized with PC for data transfer 3. Data is analysed and maps produced using HealthMapper

  4. District questionnaire Questionnaire overview: • Section 1: Availability of services and service providers, by district • Section 2: Estimated coverage of specific interventions, by district • Section 3: Availability of services, by facility

  5. Facility questionnaire Questionnaire overview: • Section 1: General characteristics • 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: Lab tests • Section 8: Information on interventions available in the facility

  6. SAM implementation Implemented Uganda Zambia Ongoing Kenya Planned Burkina Faso DR Congo Cote d`Ivoire Mozambique Senegal South Africa Tanzania Sri Lanka Laos Viet Nam Cost ~ USD300 per districts (in- country costs) Time ~ 4-8 weeks

  7. Infrastructure topics • In-patient, maternity, and delivery beds available in all facilities • Blood transfusion services • Laboratory services • Communication and technology resources • Injection practices

  8. Human resource topics • Number of: • Doctors • Nurses • Clinical officers • Dentists • Laboratory technicians • HMIS personnel • Medical records personnel

  9. Using SAM to look at inequities:Health staff by district: (ass.) doctors, nurses, and midwives per 10,000 population, excluding Kampala and Jinja districts Kaberamaido More doctors, more nurses Fewer doctors, more nurses Kalangala Adjumani Kabarole Masindi Yumbe Moroto Luwero Kumi Kotido Kasese Nakapiripirit Kitgum Masaka Arua Moyo Hoima Bundibugyo Kanungu Rukungiri Nebbi Mbale Kayunga Ntungamo Sironko Kisoro Katakwi Kyenjojo Mubende Tororo Kapchorwa Kiboga Palissa Mayuge Kamwenge Kamuli Iganga Kiboga Bushenyi Kibaale Mbarara Soroti (assistant) Doctors per 10,000 Bugiri Nakasongola Lira Rakai Mpigi Mukono Busia Apac National average per 10,000 people 1.1 (ass.) doctors 2.9 nurses & midwives Nurse and midwives per 10,000 Fewer doctors, fewer nurses

  10. HIV/AIDS • Availability of: • PMTCT • T&C • ART therapy • ART drug supply

  11. Percent of districts with ART, PMTCT or HIV testing & counselling services, SAM Uganda, 2004

  12. Percent of districts that have at least one laboratory that can do specified tests, SAM Uganda 2004

  13. Findings • The SAM can provide a snapshot of service availability for HIV/AIDS, health services and other services. • HealthMapper and palm pilot are a useful way of collecting information that will be relevant for health planning and monitoring. • A national monitoring system of the scale up of AIDS-related services needs to be put in place. This should depend on district reports, with special visits to the clinics providing the services. The SAM and HealthMapper can be used to track progress on a regular basis and can also monitor system wide effect on service availability. • Goal is to take the SAM to the district level. The district should be enabled to plan and monitor service availability through mapping of facilities and services on a regular basis related to regular supervision and drug supplies.

  14. THANK YOU

More Related