Health Facility Survey 2011
Lesotho, 2011
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LSO_2011_MCC-HFS_v01_M
Health Facility Survey 2011
| Name | Country code |
|---|---|
| Lesotho | LSO |
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.
Other
Individual (health staff or client); health facility
Version
v01: Edited, anonymous dataset for public distribution.
Scope
| Topic | Vocabulary |
|---|---|
| Health | MCC Sector |
Coverage
National coverage
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
| Name |
|---|
| Millennium Challenge Corporation |
| Name |
|---|
| Millennium Challenge Corporation |
Sampling
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.
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%
No weighting was used
Survey instrument
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
| Start | End | Cycle |
|---|---|---|
| 2011-07-22 | 2011-08-12 | Baseline |
| Name |
|---|
| ICON-INSTITUT Public Sector GmbH |
| NUL-CONSULS |
Access policy
Millennium Challenge Corporation
Millennium Challenge Corporation
https://data.mcc.gov/evaluations/index.php/catalog/179
Cost: None
Contacts
| Name | |
|---|---|
| Monitoring & Evaluation Division of the Millennium Challenge Corporation | impact-eval@mcc.gov |
Metadata production
DDI_LSO_2011_MCC-HFS_v01_M
| Name | Role |
|---|---|
| Millenium Challenge Corporation | Review of Metadata |
2016-11-05
Metadata 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