Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment

O’Neill, Kathryn; Takane, Marina; Sheffel, Ashley; AbouZahr, Carla; Boerma, Ties

doi:10.2471/blt.12.116798

Cited by 152 publications

(186 citation statements)

References 6 publications

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“…Service readiness analyses described availability of essential inputs needed, called tracer items, to deliver service-specific interventions across five areas: (i) trained staff and (ii) relevant, up-to-date guidelines; (iii) functioning equipment; (iv) diagnostic capacities and (v) essential medicines and commodities 22 . Within each area a mean score was calculated and tracer items were given equal weight 22 .…”

Section: Discussionmentioning

confidence: 99%

“…Thus, a representative sample of 52 public health facilities which included six CHUs, 14 referral hospitals (nine CHRR and five CHD) and 32 CSBs was assessed ( Table 1). 18 is a comprehensive approach to evaluate areas including maternal, newborn and child health, and is used widely by global programs and donors, such as GAVI Alliance and Global Fund 22 and is then a reliable standard tool to monitor health facilities and services delivery. The SARA instrument was adapted to focus mainly on service specific readiness and availability for maternal and newborn health.…”

Section: Design Samplingmentioning

confidence: 99%

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Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar

Andriantsimietry¹,

Rakotomanga²,

Rakotovao³

et al. 2016

Afr J Reprod Health

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The Service Availability and Readiness Assessment (SARA) survey was adapted and used to generate information on service availability and the readiness of maternal, newborn and child health facilities to provide basic health care interventions for obstetric care, neonatal and child health in Madagascar. The survey collected data from fifty-two public health facilities, ranging from university hospitals (CHU), referral district and regional hospitals (CHD/ CHRR) to basic health centres (CSB). For basic emergency obstetric and newborn care (BEmONC) readiness, on average, CHU had nine (71.8%), CHD/CHRR had eight and CSB had six out of the thirteen tracer items. Regarding the availability of the eleven tracer items for comprehensive CEmONC services, on average a CHU had nine ( 80.0%), a CHRR had eight (71.1%) and a CHD that is the only type of hospitals in rural area had three tracer items (30.0%). Tracer item availability results are low, indicating the need to strengthen supplies at basic health centers in order to improve the chances of success of Madagascar's Roadmap for accelerating the reduction of the maternal and neonatal mortality 2015-2019, and meeting Sustainable Development Goals 3.1 and 3. (Afr J Reprod Health 2016 (Special Edition); 20[3]: 149-158).Keywords: Madagascar, Maternal and Child health services, Service availability and readiness assessment, Public health facilities Résumé L'Enquête sur la disponibilité du service et l'évaluation de l'état de préparation des services de santé´maternelle, néonatale et infantile (DSEP) a été adaptée et utilisée pour générer des informations sur la disponibilité du service et la disponibilité des établissements de santé maternelle, néonatale et infantile ' à assurer des interventions de soins de santé de base pour les soins obstétriques, la santé néonatale et infantile à Madagascar. L'enquête a recueilli des données à partir de cinquante-deux établissements de santé publique, couvrant des Centres hospitaliers universitaires (CHU), Centres d'orientation du District et les hôpitaux régionaux d'orientation (CHD / CHRR) aux centres de santé primaire(CSB). Pour les soins obstétricaux d'urgence de base et les soins du nouveau-né (SONUB) la préparation, en moyenne, CHU avait neuf (71,8%), CHD / CHRR avait huit et CSB avait six sur treize articles de traçage. En ce qui concerne la disponibilité des onze éléments traceurs pour les services SONUC complets, en moyenne, un CHU en avait neuf (80,0%), un CHRR en avait huit (71,1%) et qui est le seul type d'hôpitaux dans la région rurale avait trois éléments traceurs ( 30,0%) les résultats de la disponibilité des éléments traceurs sont faibles, ce qui indique la nécessité de renforcer l' approvisionnement des centres de santé primaire afin d'améliorer les possibilités de succès de la feuille de route de Madagascar pour accélérer la réduction de la mortalité maternelle et néonatale 2015-2019, et pour accomplir des objectifs de développement durable 3.1 et 3.2. (Afr J Reprod Health 2016 (Edition Spéciale); 20[3]: 149-158).

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Section: Discussionmentioning

confidence: 99%

Section: Design Samplingmentioning

confidence: 99%

Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar

Andriantsimietry¹,

Rakotomanga²,

Rakotovao³

et al. 2016

Afr J Reprod Health

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“…The Service Availability and Readiness Assessment (SARA) is a facilities-based assessment and monitoring tool which evaluates whether (1) facilities offer a variety of preventive and curative health services (availability), and if so, (2) whether they have the items required to deliver that service at the time of the site visit (readiness). [29][30][31][32][33][34] To date SARA has been integrated within the health information systems of more than 20 countries. The goal of this retrospective review is to evaluate surgical availability and readiness in eight African countries, namely Sierra Leone, Uganda, Mauritania, Benin, Zambia, Burkina Faso, Democratic Republic of Congo and Togo.…”

Section: Introductionmentioning

confidence: 99%

Retrospective review of Surgical Availability and Readiness in 8 African countries

et al. 2017

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ObjectivesThe purpose of this study was to assess surgical availability and readiness in 8 African countries using the WHO's Service Availability and Readiness Assessment (SARA) tool.SettingWe analysed data for surgical services, including basic and comprehensive surgery, comprehensive obstetric care, blood transfusion, and infection prevention, obtained from the WHO's SARA surveys in Sierra Leone, Uganda, Mauritania, Benin, Zambia, Burkina Faso, Democratic Republic of Congo and Togo.Primary and secondary outcome measuresAmong the facilities that were expected to offer surgical services (N=3492), there were wide disparities between the countries in the number of facilities per 100 000 population that reported offering basic surgery (1.0–12.1), comprehensive surgery (0.1–0.8), comprehensive obstetric care (0.1–0.8) and blood transfusion (0.1–0.8). Only 0.1–0.3 facilities per 100 000 population had all three bellwether procedures available, namely laparotomy, open fracture management and caesarean section. In all the countries, the facilities that reported offering surgical services generally had a shortage of the necessary items for offering the services and this varied greatly between the countries, with the facilities having on average 27–53% of the items necessary for offering basic surgery, 56–83% for comprehensive surgery, 49–72% for comprehensive obstetric care and 54–80% for blood transfusion. Furthermore, few facilities had all the necessary items present. However, facilities that reported offering surgical services had on average most of the necessary items for the prevention of infection.ConclusionsThere are important gaps in the surgical services in the 8 African countries surveyed. Efforts are therefore urgently needed to address deficiencies in the availability and readiness to deliver surgical services in these nations, and this will require commitment from multiple stakeholders. SARA may be used to monitor availability and readiness at regular intervals, which will enable stakeholders to evaluate progress and identify gaps and areas for improvement.

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“…. " 7(pp15, 16) The second principle is progressive realization of the right to health. This requires countries to move forward toward the right to health and, by implication, not to adopt measures that are regressive.…”

Section: Six Principles Derived From the Right To Healthmentioning

confidence: 99%

Universal Health Coverage and the Right to Health

et al. 2015

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Millions of workers migrate within ASEAN countries each year. Malaysia, Singapore, Thailand and Brunei Darussalam as recipient countries while Indonesia, Philippines, Thailand, Cambodia, Laos and Vietnam as senders of migrant workers. Migrants, who work in both formal and informal sectors, play important roles to increase national income for both sender and recipient countries, unfortunately, they lack of welfare distribution including health insurance by both countries. This research is aimed to find an alternative solution to the problem by proposing the concept of UHC implementation in ASEAN. In the context of ASEAN law, all ASEAN people could enjoy rights of health insurance from ASEAN countries. This research is a normative research, using conceptual and statute approach. The result of the analysis is expected to generate concepts which can be underlying the arrangement of public health insurance in ASEAN countries, subsequently, to be used as material for drafting the ASEAN UHC. Abstrak Jutaan buruh saling bermigrasi dari dan ke negara-negara ASEAN setiap tahunnya. Malaysia, Singapura, Thailand dan Brunai Darusalam sebagai penerima, sementara Indonesia, Philipina, Thaliand, Kamboja, Laos dan Vietnam sebagai negara pengirim. Buruh migran yang bekerja di sektor formal maupun informal dapat meningkatkan pendapatan nasional negara pengirim maupun penerima, namun disisi lain, mereka kurang mendapatkan distribusi kesejahteraan termasuk perlindungan kesehatan, baik oleh negara pengirim maupun negara penerima. Penelitian ini ditujukan untuk mencari alternatif penyelesaian masalah melalui pemberlakuan UHC di ASEAN. Dalam kerangka hukum ASEAN terdapat kehendak agar seluruh masyarakat ASEAN dapat menikmati hak atas kesehatan dari Negara-negara ASEAN. Penelitian ini merupakan penelitian normatif, dengan menggunakan conceptual dan statute approach. Hasil analisis diharapkan menghasilkan konsep-konsep yang melandasi pengaturan jaminan kesehatan masyarakat di negara-negara ASEAN, untuk selanjutnya bisa digunakan sebagai bahan untuk penyusunan rancangan UHC di ASEAN Kata kunci : prinsip perlindungan, buruh migran, health care Introduction In the contexts of the protection of migrant workers' rights in ASEAN, ASEAN countries can be categorized in two groups; Sender countries which are Indonesia, Philippines, Vietnam, Laos, Cambodia, and Myanmar; and recipient countries which are Malaysia, Singapore, Brunei Darussalam and Thailand. This grouping is based on how large the signing of migrant workers to the related countries. This is influenced by job availability in ASEAN countries to gain income , protection also proper life. The indicator is

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Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment

Cited by 152 publications

References 6 publications

Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar

Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar

Retrospective review of Surgical Availability and Readiness in 8 African countries

Universal Health Coverage and the Right to Health

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