Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment
Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment
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DOI：
10.2471/blt.12.116798
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发表时间：
2013-12-01
影响因子：
11.1
通讯作者：
Boerma, Ties
中科院分区：
文献类型：
--
作者：
O'Neill, Kathryn;Takane, Marina;Boerma, Ties
目的描述服务可获得性和就绪性评估(SARA)及其在三大洲六个国家实施的结果。方法SARA是一种评估和监测卫生服务可获得性和设施提供卫生保健干预准备情况的综合方法，具有一套涵盖所有主要方案的标准化指标。标准化数据收集工具用于通过设施抽样调查或普查，从公共和私营卫生设施收集一套确定的选定示踪物的信息。报告展示了六个国家的评估结果。评估结果突出了服务提供方面的重大差距，这些差距是普遍获得卫生服务的障碍。在国家内部和国家之间，在卫生设施基础设施和劳动力的分布以及提供的服务类型方面存在很大差异。实验室诊断能力薄弱以及基本药物和商品方面的差距在所有国家都很常见。结论SARA填补了一个重要的信息空白--通过提供关于所有主要卫生方案的客观和定期信息，监测卫生系统的业绩和全民保健覆盖面，并将其纳入国家规划周期。
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.