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.
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.
Authors: Jennifer Bryce; Cesar G Victora; Jean-Pierre Habicht; J Patrick Vaughan; Robert E Black Journal: Am J Public Health Date: 2004-03 Impact factor: 9.308
Authors: Olga Pm Saweri; Neha Batura; Justin Pulford; M Mahmud Khan; Xiaohui Hou; William S Pomat; Andrew J Vallely; Virginia Wiseman Journal: BMC Pregnancy Childbirth Date: 2022-10-19 Impact factor: 3.105
Authors: Philippe Glaziou; Charalambos Sismanidis; Katherine Floyd; Mario Raviglione Journal: Cold Spring Harb Perspect Med Date: 2014-10-30 Impact factor: 6.915
Authors: Hari S Iyer; Emmanuel Kamanzi; Jean Claude Mugunga; Karen Finnegan; Alice Uwingabiye; Edward Shyaka; Saleh Niyonzima; Lisa R Hirschhorn; Peter C Drobac Journal: Glob Health Action Date: 2015-07-01 Impact factor: 2.640
Authors: Shagoofa Rakhshanda; Koustuv Dalal; Hasina Akhter Chowdhury; Cinderella Akbar Mayaboti; Progga Paromita; A K M Fazlur Rahman; A H M Eanayet Hussain; Saidur Rahman Mashreky Journal: BMC Cancer Date: 2021-06-05 Impact factor: 4.430