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Health Facility Survey 2011

Lesotho, 2011
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Reference ID
LSO_2011_MCC-HFS_v01_M
Producer(s)
Millennium Challenge Corporation
Metadata
DDI/XML JSON
Created on
Jan 19, 2021
Last modified
Jan 19, 2021
Page views
5821
Downloads
46
  • Study Description
  • Data Dictionary
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  • Identification
  • Version
  • Scope
  • Coverage
  • Producers and sponsors
  • Sampling
  • Survey instrument
  • Data collection
  • Access policy
  • Contacts
  • Metadata production
  • Identification

    Survey ID number

    LSO_2011_MCC-HFS_v01_M

    Title

    Health Facility Survey 2011

    Country
    Name Country code
    Lesotho LSO
    Abstract

    The main objective of the 2011 Health Facility Survey (HFS) was to establish a baseline for informing the Health Project performance indicators on health facilities, in line with the approved MCA-Lesotho Monitoring and Evaluation Plan and Health Project Activity Monitoring Plan. The specific objectives of the survey were to:

    • Document basic characteristics of health facilities and staffing patterns;
    • Assess the condition of infrastructure and availability and reliability of basic utilities (water, electricity, telephone) for supporting provision of quality essential health services;
    • Assess the availability of drugs, equipment, supplies and essential health services in line with Essential Health Services List of the Ministry of Health and Social Welfare (MOHSW);
    • Assess quality of services and trends in service utilization; and
    • Assess the level of compliance with health care management and infection prevention and control standards.
    Kind of Data

    Other

    Unit of Analysis

    Individual (health staff or client); health facility

    Version

    Version Description

    v01: Edited, anonymous dataset for public distribution.

    Scope

    Topics
    Topic Vocabulary
    Health MCC Sector
    Keywords
    Health Facility Health Center HIV/AIDS TB Maternal health Pharmaceuticals Waste management Health care HMIS

    Coverage

    Geographic Coverage

    National coverage

    Universe

    The survey covered the 138 Health Centers and 14 Hospital Out-patient Departments that were rehabilitated under the Lesotho Compact plus two additional facilities.

    Producers and sponsors

    Primary investigators
    Name
    Millennium Challenge Corporation
    Funding Agency/Sponsor
    Name
    Millennium Challenge Corporation

    Sampling

    Sampling Procedure

    Health facilities: The survey targeted all Health Centers and OPDs receiving support under the Lesotho Compact so no sampling was used at the facility level.

    Facility staff: As a rule this was done with the most senior staff on location. This was normally the person in charge of the facility; the nurse clinician or a medical staff. For hospital OPDs the resident pharmacist of the hospital also needed to be interviewed regarding drugs and supplies. In this case the interviewer documented the name and designation of the person in charge of the facility and the name and designation of the person who was interviewed.

    Clients: The target sample size for clients at each facility was as follows:

    • Two adult women (aged 18 years or over)
    • Two adult men (aged 18 years or over)
    • Two care givers who are bringing dependants to the health facility, i.e. children younger than 18 years, old aged (over 65 years of age) or disabled people

    Wherever possible, consecutive patients exiting the health facility were interviewed, until the sample size had been reached
    for each of the 3 categories to be sampled. If there were no patients from one or more of the 3 categories, there was no
    substitution from other categories.

    Response Rate

    Health facilities: 9 of the 154 facility surveys were not completed for a response rate of 94%
    Clients: 639 out of a targeted 912 clients were interviewed for a response rate of 70%

    Weighting

    No weighting was used

    Survey instrument

    Questionnaires

    The survey included interviews with facility staff; review of facility equipment and supplies; limited sample record review; exit interview with sample of care seekers; inventory of pharmaceuticals; data from registers of attendance; and review of staffing structures.

    The survey instruments covered the following topics:

    • Health facility setting and layout;
    • Health facility operational issues including availability of patient registers and other documentation;
    • Condition of infrastructure, including health facility and staff housing;
    • Availability and reliability of health system support utilities, including water, electricity and sewage facilities;
    • Availability of communication facilities, including internet, office phone lines, cellular communication;
    • Service mix (e.g. essential service package, outreach services etc), direct cost of services and service coverage;
    • Availability of essential drugs, equipment and other supplies;
    • Availability of laboratory services and types of tests;
    • Availability of pharmaceutical services including services for supporting TB and ART diagnosis and monitoring;
    • Staffing levels and patterns including time allocation and workloads;
    • Staff training and competencies (in-service training, continuing education);
    • Staff satisfaction (e.g. perceptions, motivation and retention);
    • Quality of service provision (e.g. waiting time, quality improvement mechanisms);
    • Health care waste management and infection prevention practices;
    • Routine data collection and utilization and health information management system;
    • Care-seeking behaviour, client perceptions and satisfaction including consultation time; and
    • Utilization of services within targeted Hospitals, Health Centers and other health systems by care-seekers

    Data collection

    Dates of Data Collection
    Start End Cycle
    2011-07-22 2011-08-12 Baseline
    Data Collectors
    Name
    ICON-INSTITUT Public Sector GmbH
    NUL-CONSULS

    Access policy

    Location of Data Collection

    Millennium Challenge Corporation

    Archive where study is originally stored

    Millennium Challenge Corporation
    https://data.mcc.gov/evaluations/index.php/catalog/179
    Cost: None

    Contacts

    Contacts
    Name Email
    Monitoring & Evaluation Division of the Millennium Challenge Corporation impact-eval@mcc.gov

    Metadata production

    DDI Document ID

    DDI_LSO_2011_MCC-HFS_v01_M

    Producers
    Name Role
    Millenium Challenge Corporation Review of Metadata
    Date of Metadata Production

    2016-11-05

    Metadata version

    DDI Document version

    Version 1.0 (2016-05-11)
    Version 2.0 (2020-06-02). Edited version based on Version 01 (DDI-MCC-LES-MCC-HFS-2011) that was done by the Millennium Challenge Corporation

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