Service Provision Assessment (SPA) survey

Health facility assessment that provides a comprehensive overview of a country's health service delivery. Fills an urgent need for monitoring health system strengthening in developing countries. Collects information on the overall availability of different facility-based health services in a country and their readiness to provide those services. Answers 4 broad groups of questions: (1) What is the availability of different health services in a country? Specifically, what proportions of the different facility types offer specific health services? (2) To what extent are facilities prepared to provide health services? Do facilities have the necessary infrastructure, resources and support systems available? For example, what proportions of facilities have regular electricity? What proportions have regular water supply? (3) To what extent does the service delivery process follow generally accepted standards of care? Does the process followed in service delivery meet standards of acceptable quality and content? (4) Are clients and service providers satisfied with the service delivery environment? First check characteristics and sample sizes. See the questionnaires.

• Afghanistan (2018/19)
• Bangladesh (1999/2000, 2014, 2017)
• Democratic Republic of the Congo (2017/18)
• Egypt (2002, 2004)
• Ethiopia (2021/2022)
• Ghana (2002)
• Guatemala (1997)
• Guyana (2004)
• Haiti (2013, 2017/18)
• Kenya (1999, 2004, 2010)
• Malawi (2013/14)
• Namibia (2009)
• Nepal (2015, 2021)
• Rwanda (2001, 2007)
• Senegal (2012-2019)
• Tanzania (2006, 2014/15)
• Uganda (2007)
• Zambia (2005)