Service Provision Assessment Survey 2014-2015
Tanzania, 2014 - 2015
National Bureau of Statistics (NBS), Office of Chief Government Statistician, Zanzibar (OCGS)
Last modified
April 14, 2016
Page views
8466
Documentation in PDF
Study website
Interactive tools
Metadata
DDI/XML
JSON
Identification
IDNO
TZA_2014_SPA_v01_M
Title
Service Provision Assessment Survey 2014-2015
Countries
| Name | Code |
|---|---|
| Tanzania | TZA |
Study notes
The 2014-15 Tanzania Service Provision Assessment (2014-15 TSPA) is an assessment of all formalsector health facilities in Tanzania. The survey was designed to provide information on the availability of basic and essential health care services and the readiness of health facilities to provide quality services to clients. The 2014-15 TSPA collected information from all facilities managed by the government, private sector, parastatal, and faith-based organisations to provide a comprehensive picture of the strengths and weaknesses of the service delivery environment for each assessed service.
The 2014-15 TSPA provides national and regional-level information for all hospitals, health centres, clinics and dispensaries that offer child health, maternal, and newborn care, family planning, and services for sexually transmitted infections (STI), non-communicable diseases (NCDs) (diabetes, cardiovascular diseases and chronic respiratory diseases), and HIV/AIDS-related conditions. For each of these services, the 2014-15 TSPA assessed whether components considered essential for quality service delivery were present and functioning. The components assessed are those commonly considered important to various programmes supported by the government and development partners. The 2014-15 TSPA also assessed whether more sophisticated components were present, such as higher-level diagnostic and treatment modalities or support systems for health services that are usually introduced after basic-level services have been put in place.
The main objectives of the 2014-15 TSPA were to:
• Assess the availability of basic and essential health services, including maternal and newborn care and child health, family planning, reproductive health services, non-communicable diseases (NCDs), as well as services for certain infectious diseases (HIV/AIDS, STIs, malaria, and TB), in Tanzanian health facilities;
• Assess the preparedness of health facilities in Tanzania to provide quality services;
• Provide comprehensive information on the performance of different types of health facilities that provide these essential services;
• Identify gaps in the support system, resources and processes used to provide health services that may limit the ability of facilities to provide quality services;
• Describe the processes followed in the provision of essential health care services and the extent to which accepted standards for quality service provision are met;
• Compare findings among regions, facility types, and managing authorities.
The 2014-15 TSPA provides national and regional-level information for all hospitals, health centres, clinics and dispensaries that offer child health, maternal, and newborn care, family planning, and services for sexually transmitted infections (STI), non-communicable diseases (NCDs) (diabetes, cardiovascular diseases and chronic respiratory diseases), and HIV/AIDS-related conditions. For each of these services, the 2014-15 TSPA assessed whether components considered essential for quality service delivery were present and functioning. The components assessed are those commonly considered important to various programmes supported by the government and development partners. The 2014-15 TSPA also assessed whether more sophisticated components were present, such as higher-level diagnostic and treatment modalities or support systems for health services that are usually introduced after basic-level services have been put in place.
The main objectives of the 2014-15 TSPA were to:
• Assess the availability of basic and essential health services, including maternal and newborn care and child health, family planning, reproductive health services, non-communicable diseases (NCDs), as well as services for certain infectious diseases (HIV/AIDS, STIs, malaria, and TB), in Tanzanian health facilities;
• Assess the preparedness of health facilities in Tanzania to provide quality services;
• Provide comprehensive information on the performance of different types of health facilities that provide these essential services;
• Identify gaps in the support system, resources and processes used to provide health services that may limit the ability of facilities to provide quality services;
• Describe the processes followed in the provision of essential health care services and the extent to which accepted standards for quality service provision are met;
• Compare findings among regions, facility types, and managing authorities.
Kind of data
Sample survey data [ssd]
Coverage
Geographic coverage
National coverage, the survey was also designed to provide representative results for each of the 25 regions in Tanzania Mainland and the 5 regions in Tanzania Zanzibar, for a total number of 30 survey regions.
Unit of analysis
Health institutions, hospitals, and health centers
Producers and sponsors
Authoring entity
| Name | Affiliation |
|---|---|
| National Bureau of Statistics (NBS) | Government of Tanzania |
| Office of Chief Government Statistician, Zanzibar (OCGS) | Government of Tanzania |
Producer(s)
| Name | Affiliation | Role |
|---|---|---|
| Ministry of Health and Social Welfare | Government of Tanzania | Collaborated in conducting the study |
| Ministry of Health, Zanzibar | Government of Tanzania | Collaborated in conducting the study |
| ICF International | The DHS Prgram | Provided technical assistance |
Funding agencies
| Name | Abbreviation | Role |
|---|---|---|
| Government of Tanzania | GovTZA | Funded the study |
| United States Agency for International Development | USAID | Funded the study |
Sampling
Sampling procedure
The 2014-15 TSPA was designed to be a sample survey of all formal-sector health facilities in Tanzania. A master list of health facilities that consisted of 7,102 verified (active) health facilities in Tanzania was obtained from the Ministry of Health and Social Welfare (MoHSW) on the Tanzania Mainland and the Ministry of Health (MOH) in Zanzibar. The list included hospitals, health centres, dispensaries, and clinics. These facilities were managed by the government, private-for-profit, parastatal, and faith-based entities.
A sample of 1,200 facilities was selected to participate in the survey. The sample was designed to provide nationally representative results by facility type and managing authority and regionally representative results for the 25 Tanzania Mainland regions and the 5 Zanzibar regions (a total of 30 survey regions).
A sample of 1,200 facilities was selected to participate in the survey. The sample was designed to provide nationally representative results by facility type and managing authority and regionally representative results for the 25 Tanzania Mainland regions and the 5 Zanzibar regions (a total of 30 survey regions).
Response rate
1,200 health facilities sampled in the 2014-15 TSPA. Seven sampled facilities refused to be surveyed, 4 had closed down, and one facility could not be reached. The remaining 1,188 facilities were successfully interviewed, with a response rate of 99 percent. Among the surveyed facilities, 256 were hospitals, 379 were health centres, 493 were dispensaries, and 60 were clinics.
Data Collection
Dates of collection
| Start | End |
|---|---|
| 2014-10 | 2015-03 |
Mode of data collection
Face-to-face [f2f]
Questionnaires
Four questionnaires were used to collect the survey data:
• Facility Inventory questionnaire
• Health Provider Interview questionnaire
• Observation Protocols for antenatal care (ANC), family planning, services for sick children, and normal obstetric delivery and immediate newborn care
• Exit Interview questionnaires for ANC and family planning clients and for caretakers of sick children whose consultations were observed.
The Facility Inventory questionnaire was loaded onto tablet computers and administered as computerassisted personal interviews (CAPI). The other questionnaire types were administered as paper questionnaires but with data entry and data editing taking place immediately following data collection and while the team was still in the facility (computer-assisted field editing – CAFE).
• Facility Inventory questionnaire
• Health Provider Interview questionnaire
• Observation Protocols for antenatal care (ANC), family planning, services for sick children, and normal obstetric delivery and immediate newborn care
• Exit Interview questionnaires for ANC and family planning clients and for caretakers of sick children whose consultations were observed.
The Facility Inventory questionnaire was loaded onto tablet computers and administered as computerassisted personal interviews (CAPI). The other questionnaire types were administered as paper questionnaires but with data entry and data editing taking place immediately following data collection and while the team was still in the facility (computer-assisted field editing – CAFE).
Data collector(s)
| Name | Abbreviation | Affiliation |
|---|---|---|
| National Bureau of Statistics | NBS | Government of Tanzania |
Data Processing
Data editing
After completing data collection in each facility, the interviewers reviewed the paper questionnaires (Health Provider Interview, Exit Interview and Observation) and the Inventory data that had been collected directly onto the tablet computer before handing the questionnaires and electronic data over to the team leader, who reviewed them a second time. The paper questionnaires were then entered into the second tablet computer. Once data collection and all data entry were completed in a facility, the team leader conducted consistency and structural checks on the data to identify any errors or missing information. When a team was satisfied that data collection and entry were complete for the facility, the team sent the data to the NBS headquarters in Dar es Salaam via the Internet, using ICF International’s Internet File Steaming System (IFSS). Each team was given a modem device that enabled the tablet computer to send the completed data files to the central office. Questionnaires completed during the 2014-15 TSPA fieldwork were periodically gathered up by quality control teams and taken from the field to be processed at the NBS headquarters in Dar es Salaam. Processing consisted of data entry and the editing of computer-identified errors. The data were processed by a team of 5 data entry clerks, 1 questionnaire administrator, and 2 data entry supervisors. The questionnaire administrator was responsible for receiving the questionnaires from the field. A program developed by ICF International using CSPro software was employed for data entry. At the central office, the data from the paper questionnaires were entered twice (100 percent verification). The concurrent processing of the data was a distinct advantage for data quality because 2014-15 TSPA staff were able to advise the field teams of errors detected during data entry. Data entry started in October 2014, two weeks after the beginning of fieldwork, and ended in March 2015, two weeks after fieldwork ended. All responses with “other” category were reviewed by NBS with assistance from the MoHSW staff and were recorded in categories relevant for data analysis.
Data access
Access authorities
| Name | URI | |
|---|---|---|
| The DHS Program | archive@dhsprogram.com | http://www.DHSprogram.com |
Access conditions
Request Dataset Access
The following applies to DHS, MIS, AIS and SPA survey datasets (Surveys, GPS, and HIV).
To request dataset access, you must first be a registered user of the website. You must then create a new research project request. The request must include a project title and a description of the analysis you propose to perform with the data.
The requested data should only be used for the purpose of the research or study. To request the same or different data for another purpose, a new research project request should be submitted. The DHS Program will normally review all data requests within 24 hours (Monday - Friday) and provide notification if access has been granted or additional project information is needed before access can be granted.
DATASET ACCESS APPROVAL PROCESS
Access to DHS, MIS, AIS and SPA survey datasets (Surveys, HIV, and GPS) is requested and granted by country. This means that when approved, full access is granted to all unrestricted survey datasets for that country. Access to HIV and GIS datasets requires an online acknowledgment of the conditions of use.
Required Information
A dataset request must include contact information, a research project title, and a description of the analysis you propose to perform with the data.
Restricted Datasets
A few datasets are restricted and these are noted. Access to restricted datasets is requested online as with other datasets. An additional consent form is required for some datasets, and the form will be emailed to you upon authorization of your account. For other restricted surveys, permission must be granted by the appropriate implementing organizations, before The DHS Program can grant access. You will be emailed the information for contacting the implementing organizations. A few restricted surveys are authorized directly within The DHS Program, upon receipt of an email request.
When The DHS Program receives authorization from the appropriate organizations, the user will be contacted, and the datasets made available by secure FTP.
GPS/HIV Datasets/Other Biomarkers
Because of the sensitive nature of GPS, HIV and other biomarkers datasets, permission to access these datasets requires that you accept a Terms of Use Statement. After selecting GPS/HIV/Other Biomarkers datasets, the user is presented with a consent form which should be signed electronically by entering the password for the user's account.
Dataset Terms of Use
Once downloaded, the datasets must not be passed on to other researchers without the written consent of The DHS Program. All reports and publications based on the requested data must be sent to The DHS Program Data Archive in a Portable Document Format (pdf) or a printed hard copy.
Download Datasets
Datasets are made available for download by survey. You will be presented with a list of surveys for which you have been granted dataset access. After selecting a survey, a list of all available datasets for that survey will be displayed, including all survey, GPS, and HIV data files. However, only data types for which you have been granted access will be accessible. To download, simply click on the files that you wish to download and a "File Download" prompt will guide you through the remaining steps.
The following applies to DHS, MIS, AIS and SPA survey datasets (Surveys, GPS, and HIV).
To request dataset access, you must first be a registered user of the website. You must then create a new research project request. The request must include a project title and a description of the analysis you propose to perform with the data.
The requested data should only be used for the purpose of the research or study. To request the same or different data for another purpose, a new research project request should be submitted. The DHS Program will normally review all data requests within 24 hours (Monday - Friday) and provide notification if access has been granted or additional project information is needed before access can be granted.
DATASET ACCESS APPROVAL PROCESS
Access to DHS, MIS, AIS and SPA survey datasets (Surveys, HIV, and GPS) is requested and granted by country. This means that when approved, full access is granted to all unrestricted survey datasets for that country. Access to HIV and GIS datasets requires an online acknowledgment of the conditions of use.
Required Information
A dataset request must include contact information, a research project title, and a description of the analysis you propose to perform with the data.
Restricted Datasets
A few datasets are restricted and these are noted. Access to restricted datasets is requested online as with other datasets. An additional consent form is required for some datasets, and the form will be emailed to you upon authorization of your account. For other restricted surveys, permission must be granted by the appropriate implementing organizations, before The DHS Program can grant access. You will be emailed the information for contacting the implementing organizations. A few restricted surveys are authorized directly within The DHS Program, upon receipt of an email request.
When The DHS Program receives authorization from the appropriate organizations, the user will be contacted, and the datasets made available by secure FTP.
GPS/HIV Datasets/Other Biomarkers
Because of the sensitive nature of GPS, HIV and other biomarkers datasets, permission to access these datasets requires that you accept a Terms of Use Statement. After selecting GPS/HIV/Other Biomarkers datasets, the user is presented with a consent form which should be signed electronically by entering the password for the user's account.
Dataset Terms of Use
Once downloaded, the datasets must not be passed on to other researchers without the written consent of The DHS Program. All reports and publications based on the requested data must be sent to The DHS Program Data Archive in a Portable Document Format (pdf) or a printed hard copy.
Download Datasets
Datasets are made available for download by survey. You will be presented with a list of surveys for which you have been granted dataset access. After selecting a survey, a list of all available datasets for that survey will be displayed, including all survey, GPS, and HIV data files. However, only data types for which you have been granted access will be accessible. To download, simply click on the files that you wish to download and a "File Download" prompt will guide you through the remaining steps.
Citation requirements
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download
Data collection locations
The DHS Program
Original archive where collection stored
The DHS Program
http://dhsprogram.com/data/available-datasets.cfm
Cost: None
http://dhsprogram.com/data/available-datasets.cfm
Cost: None
Disclaimer and copyrights
Disclaimer
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Contacts
Contact(s)
| Name | Affiliation | URI | |
|---|---|---|---|
| Information about The DHS Program | The DHS Program | reports@DHSprogram.com | http://www.DHSprogram.com |
| General Inquiries | The DHS Program | info@dhsprogram.com | http://www.DHSprogram.com |
| Data and Data Related Resources | The DHS Program | archive@dhsprogram.com | http://www.DHSprogram.com |
Metadata production
IDNo
DDI_TZA_2014_SPA_v01_M_WB
Producers
| Name | Abbreviation | Affiliation | Role |
|---|---|---|---|
| Development Data Group | DECDG | The World Bank | Documentation of the DDI |
Production date
2016-04-14
Version
Version 01 (March 2016). Metadata is excerpted from "Tanzania Service Provision Assessment Survey 2014-2015" Report.