Facility-level Infrastructure, Resources, Management, and Support 2014-15 Tanzania Service Provision Assessment (TSPA)
Basic Services General Service Readiness Management Practices Human Resources JHPIEGO/Charles Wanga
Availability of Specific Client Services Among all health facilities (N=1,188), percent offering: Curative care for sick children Child growth monitoring Child vaccination (EPI) Any family planning Antenatal care PMTCT Delivery and newborn care Caesarean delivery HIV testing HIV care and support services HIV treatment services (ART) STI diagnosis or treatment TB diagnosis or treatment Malaria diagnosis or treatment 4 28 35 35 85 82 80 85 80 76 87 98 97 99
Availability of Basic Services Among all health facilities (N=1,188), percent offering: Child curative care 98 Child growth monitoring 84 Child vaccination 81 Any modern method of family planning 80 Antenatal care 85 Services for STIs 97 All basic client services 74
Trends in Availability of Basic Services Among all health facilities, percent offering: Child curative care 2006 2014-15 99 98 Child growth monitoring Child vaccination Any modern method of family planning Antenatal care 81 84 78 81 78 80 82 85 Services for STIs 96 97 All basic client services 72 74
Availability of Basic Services by Facility Type Among all health facilities (N=1,188), percent offering all basic client services: 69 79 75 13 Hospital Health centre Dispensary Clinic
Availability of Basic Services by Managing Authority Among all health facilities (N=1,188), percent offering all basic client services: 91 36 24 16 Government Private-for-profit Parastatal Faith-based
Basic Services General Service Readiness Management Practices Human Resources JHPIEGO/Charles Wanga
Availability of Basic Amenities Among all health facilities (N=1,188), percent with: Visual and auditory privacy 94 Improved water source 68 Regular electricity 67 Emergency transport 58 Communication equipment 51 Client latrine 44 Computer with internet 12
Trends in Availability of Basic Amenities Among all health facilities, percent with: 34 2006 2014-15 Improved water source 68 35 Regular electricity 67
Availability of Basic Equipment Among all health facilities (N=1,188), percent with: Stethoscope 91 Thermometer 83 Blood pressure apparatus 82 Adult scale 76 Child scale 61 Infant scale 38 Light source 16
Infection Control Among all health facilities (N=1,188), percent with: Sterilisation equipment 27 Equipment for high-level disinfection 77 Safe final disposal of sharps waste 35 Safe final disposal of infectious waste 36 Appropriate storage of sharps waste 79 Appropriate storage of infectious waste 44 Disinfectant 57
Infection Control (continued) Among all health facilities (N=1,188), percent with: Syringes and needles 76 Soap and running water or else alcohol-based hand disinfectant 65 Latex gloves 82 Medical masks 15 Gowns 30 Eye protection 6 Guidelines for standard precautions 23
Capacity for Processing of Instruments for Reuse Among all health facilities (N=1,188), percent with: 88 66 20 14 Equipment Equipment and knowledge of process time Equipment, knowledge of process time, and automatic timer Written guidelines for sterilisation or HLD
Diagnostic Capacity: Basic Tests Among all health facilities (N=1,188), percent with: Malaria diagnostic test HIV diagnostic test Syphilis RDT DBS collection Haemoglobin Urine pregnancy test Urine protein Urine glucose Blood glucose General microscopy TB microscopy Liver or renal function test 6 7 28 27 26 23 19 33 45 50 81 83
Diagnostic Capacity: Advanced Diagnostic Tests Among all health facilities (N=1,188), percent with: Stool microscopy CSF/body fluid counts 17 16 Full blood count with differentials Serum electrolytes Gram stain CD4 count 9 9 7 7 Blood typing and cross matching Syphilis serology TB RDT TB culture 2 2 1 0
Diagnostic Capacity: Equipment for Diagnostic Imaging Among all health facilities (N=1,188), percent with: Ultrasonography 5 X-ray machine 3 CT scan <1
Availability of Essential Medicines Among all health facilities (N=1,188), percent with: Ciprofoxacin Amoxicillin Diazepam Cotrimoxazole oral suspension Diclofenac Paracetamol oral suspension Ceftriaxone injectable Omeprazole Captopril Salbutamol inhaler Atenolol Glibenclamide Amitriptyline Simvastatin/atorvastatin 3 16 15 14 12 11 29 58 77 73 72 72 70 69
Basic Services General Service Readiness Management Practices Human Resources JHPIEGO/Charles Wanga
Management Meetings by Facility Type Percent of all facilities with management meetings at least once every 6 months, with observed documentation (N=1,188) 88 75 45 49 24 Hospital Health centre Dispensary Clinic Total
Management Meetings by Managing Authority Percent of all facilities with management meetings at least once every 6 months, with observed documentation (N=1,188) 51 52 38 32 Government Private-for-profit Parastatal Faith-based
Management Meetings with Community Participation by Facility Type Percent of all facilities with management meetings with community participation at least once every 6 months, with observed documentation (N=1,188) 45 47 39 39 10 Hospital Health centre Dispensary Clinic Total
Quality Assurance by Facility Type Percent of all facilities with regular quality assurance activities with observed documentation (N=1,188) 64 32 10 6 15 Hospital Health centre Dispensary Clinic Total
Quality Assurance by Managing Authority Percent of all facilities with regular quality assurance activities with observed documentation (N=1,188) 14 10 6 22 Government Private-for-profit Parastatal Faith-based
Client Feedback by Facility Type Percent of all facilities with system for determining, reviewing, and reporting client opinion (N=1,188) 43 20 8 9 10 Hospital Health centre Dispensary Clinic Total
Client Feedback by Managing Authority Percent of all facilities with system for determining, reviewing, and reporting client opinion (N=1,188) 9 18 10 12 Government Private-for-profit Parastatal Faith-based
Supervisory Visits Percent of all facilities with supervisory visits during the 6 months before the survey (N=1,188) 97 96 90 91 73 Hospital Health centre Dispensary Clinic Total
Supportive Management Practices Among facilities where at last 2 eligible providers were interviewed (N=982), percent of facilities having routine: 80 78 56 Staff training Personal supervision Supportive management practices
Basic Services General Service Readiness Management Practices Human Resources JHPIEGO/Charles Wanga
Staffing Pattern in Facilities Median number of providers assigned to, employed by, or seconded to facility 4 13 76 Doctor Other clinician Nurse Pharmacist Lab staff 3 6 3 10 1 3 4 Hospital Health centre Dispensary Clinic
Key Findings 74% of all facilities offer all basic services. 68% of all facilities have a regular water supply and 67% have regular electricity, a marked improvement from 2006. 58% of health facilities have emergency transport More than 80% of facilities have the ability to diagnose malaria and HIV. 56% of facilities have supportive management practices.