Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment.
Objective To describe the Service Availability and Readiness Assessment (SARA) and the results of its implementation in six countries across three continents. Methods The SARA is a comprehensive approach for assessing and monitoring health service availability and the readiness of facilities to deli...
| Publicado en: | Bulletin of the World Health Organization Vol. 91; no. 12; pp. 923 - 932 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
World Health Organization
Dec2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104169302&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104169302 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Dec2013 vid: 91 iid: 12 pid: 437 pub: World Health Organization artinfo: ui: 104169302 92705060 10.2471/BLT.12.116798 NLM24347731 104169302 ppf: 923 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment. aug: au: O¿Neill, Kathryn Takane, Marina Sheffel, Ashley Abou-Zahr, Carla Boerma, Ties affil: Department of Health Statistics and Information Systems, World Health Organization, avenue Appia 20, 1211 Geneva 27, Switzerland sug: subj: Health Care Delivery Evaluation World Health Health Services Accessibility Evaluation Human Scales Health Facilities Evaluation Survey Research Data Analysis Software Descriptive Statistics Burkina Faso Cambodia Haiti Tanzania Zambia Sierra Leone ab: Objective To describe the Service Availability and Readiness Assessment (SARA) and the results of its implementation in six countries across three continents. Methods The SARA is a comprehensive approach for assessing and monitoring health service availability and the readiness of facilities to deliver health-care interventions, with a standardized set of indicators that cover all main programmes. Standardized data-collection instruments are used to gather information on a defined set of selected tracer items from public and private health facilities through a facility sample survey or census. Results from assessments in six countries are shown. Findings The results highlight important gaps in service delivery that are obstacles to universal access to health services. Considerable variation was found within and across countries in the distribution of health facility infrastructure and workforce and in the types of services offered. Weaknesses in laboratory diagnostic capacities and gaps in essential medicines and commodities were common across all countries. Conclusion The SARA fills an important information gap in monitoring health system performance and universal health coverage by providing objective and regular information on all major health programmes that feeds into country planning cycles. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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