{"type":"survey","study_desc":{"title_statement":{"idno":"SEN_2016_SPA_v01_M","title":"Enqu\u00eate Continue sur la Prestation des Services de Soins de Sant\u00e9 2016","alt_title":"ECPSS 2016"},"authoring_entity":[{"name":"Agence Nationale de la Statistique et de la D\u00e9mographie (ANSD)","affiliation":"Minist\u00e8re de l'Economie et des Finances, Gouvernement du S\u00e9n\u00e9gal"}],"production_statement":{"producers":[{"name":"Minist\u00e8re de la Sant\u00e9 et de l\u2019Action Sociale","affiliation":"Gouvernement du S\u00e9n\u00e9gal","role":"Collaboration"},{"name":"ICF International","affiliation":"MEASURE DHS","role":"Assistance technique"}],"funding_agencies":[{"name":"United States Agency for International Development","abbreviation":"USAID","role":"Assur\u00e9 le financement"},{"name":"United Nations Population Fund","abbreviation":"UNFPA","role":"Assur\u00e9 le financement"},{"name":"United Nations Children\u2019s Fund","abbreviation":"UNICEF","role":"Assur\u00e9 le financement"},{"name":"Micronutrient Initiative","abbreviation":"MI","role":"Assur\u00e9 le financement"},{"name":"Banque Mondiale","abbreviation":"BM","role":"Assur\u00e9 le financement"}]},"distribution_statement":{"contact":[{"name":"Questions G\u00e9n\u00e9raux","affiliation":"The DHS Program","email":"info@dhsprogram.com","uri":"http:\/\/www.DHSprogram.com"},{"name":"Donn\u00e9es","affiliation":"The DHS Program","email":"archive@dhsprogram.com","uri":"http:\/\/www.DHSprogram.com"},{"name":"Agence Nationale de la Statistique et de la D\u00e9mographie (ANSD)","affiliation":"Minist\u00e8re de l'Economie et des Finances, Gouvernement du S\u00e9n\u00e9gal","email":"statsenegal@ansd.sn","uri":"http:\/\/www.ansd.sn"}]},"series_statement":{"series_name":"Service Provision Assessments [hh\/spa]","series_info":"L\u2019ECPSS est une enqu\u00eate de toutes les structures de sant\u00e9 tant du secteur public que du secteur priv\u00e9 au S\u00e9n\u00e9gal. La quatri\u00e8me phase de l\u2019enqu\u00eate, r\u00e9alis\u00e9e en 2016, a \u00e9t\u00e9 men\u00e9e sur un \u00e9chantillon repr\u00e9sentatif au niveau national des structures sanitaires formelles dans les 14 r\u00e9gions du pays. Les administrateurs et prestataires des services de sant\u00e9, dans les structures de sant\u00e9 visit\u00e9es, ont \u00e9t\u00e9 interview\u00e9s ; les prestataires et les patients venus en consultation pour des services de sant\u00e9 sp\u00e9cifiques (consultation de l\u2019enfant de moins de cinq ans malade et consultation pr\u00e9natale) ont \u00e9t\u00e9 observ\u00e9s au cours des consultations. Des entrevues ont \u00e9t\u00e9 men\u00e9es \u00e0 la sortie des patients et\/ou des responsables d\u2019enfants malades dont les consultations avaient \u00e9t\u00e9 observ\u00e9es."},"study_info":{"abstract":"Les objectifs de l\u2019ECPSS 2016 sont de :\n\u2022 Fournir des informations fiables sur la disponibilit\u00e9 de services sp\u00e9cifiques tels que : la sant\u00e9 maternelle et infantile, la tuberculose, le paludisme, les infections sexuellement transmissibles, le VIH\/SIDA et les maladies chroniques.\n\u2022 D\u00e9crire la capacit\u00e9 des structures de sant\u00e9 dans le pays \u00e0 fournir des services de sant\u00e9 de qualit\u00e9 conform\u00e9ment aux normes et protocoles du pays.\n\u2022 Identifier les lacunes dans les services d\u2019appui, au niveau des ressources et dans les processus utilis\u00e9s pour fournir les services aux clients, qui peuvent avoir des r\u00e9percussions sur la capacit\u00e9 des structures sanitaires \u00e0 fournir des services de sant\u00e9 de qualit\u00e9.\n\u2022 D\u00e9crire le niveau d\u2019adh\u00e9sion des prestataires qui fournissent les soins aux enfants et aux m\u00e8res et des services de sant\u00e9 de la reproduction, aux standards de qualit\u00e9 des services.\n\u2022 Comparer les r\u00e9sultats entre diff\u00e9rents types de structures de sant\u00e9 et r\u00e9gions du pays et entre les structures g\u00e9r\u00e9es par diff\u00e9rentes autorit\u00e9s de gestion (publique ou priv\u00e9e).\n\u2022 D\u00e9crire dans quelle mesure les clients comprennent ce qu\u2019ils doivent faire pour le suivi des services re\u00e7us afin d\u2019\u00eatre dans un meilleur \u00e9tat de sant\u00e9.","coll_dates":[{"start":"2016-03","end":"2016-11","cycle":""}],"nation":[{"name":"Senegal","abbreviation":"SEN"}],"geog_coverage":"National","analysis_unit":"\u00c9tablissements de sant\u00e9, h\u00f4pitaux, et centres de sant\u00e9","data_kind":"Sample survey data [ssd]","notes":"L'enqu\u00eate a couvert les th\u00e8mes suivants:\n\nINFORMATIONS GENERALES - DISPONIBILITE DES SERVICES\n- Disponibilit\u00e9 g\u00e9n\u00e9rale des services et hospitalisation\n- Questions filtres\n- Disponibilit\u00e9 des services 24h\/24 - infrastructure\n- Personnels- gestion- opinion des patients- assurance qualit\u00e9 - transport-systeme d'information sanitaire (sise) et statistique de sante\n- Traitement des \u00e9quipements pour la r\u00e9utilisation\n- Gestion des d\u00e9chets m\u00e9dicaux et toilette des patients\n- Mat\u00e9riels de base- salle de consultation- salle d'attente\n- Diagnostic\n- M\u00e9dicaments et produits\n- M\u00e9dicaments et mat\u00e9riels g\u00e9n\u00e9raux\n- Produits contraceptifs\n- M\u00e9dicaments anti-tuberculeux\n- M\u00e9dicaments antir\u00e9troviraux\n\nDISPONIBILITE DES SERVICES SPECIFIQUES\n- Vaccination des enfants\n- Services de suivi de la croissance de l'enfant\n- Services de soins curatifs infantiles\n- Planification familiale\n- Consultations pr\u00e9natales\n- Pr\u00e9vention transmission m\u00e8re-enfant du VIH\n- Accouchement et soins aux nouveau-n\u00e9s\n- Paludisme\n- Infections sexuellement transmissibles\n- Tuberculose\n- Test de d\u00e9pistage du VIH\n- Traitement du VIH\n- Soins et services de soutien contre le VIH\n- Maladies non transmissibles\n- Services de petite chirurgie\n- C\u00e9sariennes\n- Analyse de groupe sanguin et test de compatibilit\u00e9\n- Services de transfusion sanguine\n- Services de sante de la reproduction des adolescent(e)s et jeunes\n- Niveau g\u00e9n\u00e9ral de propret\u00e9 de la structure de sante","study_scope":"L'enqu\u00eate a couvert les th\u00e8mes suivants:\n\nINFORMATIONS GENERALES - DISPONIBILITE DES SERVICES\n- Disponibilit\u00e9 g\u00e9n\u00e9rale des services et hospitalisation\n- Questions filtres\n- Disponibilit\u00e9 des services 24h\/24 - infrastructure\n- Personnels- gestion- opinion des patients- assurance qualit\u00e9 - transport-systeme d'information sanitaire (sise) et statistique de sante\n- Traitement des \u00e9quipements pour la r\u00e9utilisation\n- Gestion des d\u00e9chets m\u00e9dicaux et toilette des patients\n- Mat\u00e9riels de base- salle de consultation- salle d'attente\n- Diagnostic\n- M\u00e9dicaments et produits\n- M\u00e9dicaments et mat\u00e9riels g\u00e9n\u00e9raux\n- Produits contraceptifs\n- M\u00e9dicaments anti-tuberculeux\n- M\u00e9dicaments antir\u00e9troviraux\n\nDISPONIBILITE DES SERVICES SPECIFIQUES\n- Vaccination des enfants\n- Services de suivi de la croissance de l'enfant\n- Services de soins curatifs infantiles\n- Planification familiale\n- Consultations pr\u00e9natales\n- Pr\u00e9vention transmission m\u00e8re-enfant du VIH\n- Accouchement et soins aux nouveau-n\u00e9s\n- Paludisme\n- Infections sexuellement transmissibles\n- Tuberculose\n- Test de d\u00e9pistage du VIH\n- Traitement du VIH\n- Soins et services de soutien contre le VIH\n- Maladies non transmissibles\n- Services de petite chirurgie\n- C\u00e9sariennes\n- Analyse de groupe sanguin et test de compatibilit\u00e9\n- Services de transfusion sanguine\n- Services de sante de la reproduction des adolescent(e)s et jeunes\n- Niveau g\u00e9n\u00e9ral de propret\u00e9 de la structure de sante"},"method":{"data_collection":{"data_collectors":[{"name":"Agence Nationale de la Statistique et de la D\u00e9mographie","abbreviation":"ANSD","affiliation":"Minist\u00e8re de l'Economie et des Finances, Gouvernement du S\u00e9n\u00e9gal"}],"sampling_procedure":"Les donn\u00e9es de l\u2019ECPSS du S\u00e9n\u00e9gal ont \u00e9t\u00e9 collect\u00e9es \u00e0 partir d\u2019un \u00e9chantillon de structures de sant\u00e9. Les structures de sant\u00e9 incluses dans l\u2019\u00e9chantillon ont \u00e9t\u00e9 class\u00e9es en fonction de leur autorit\u00e9 de gestion. Il s\u2019agit des structures publiques, priv\u00e9es, priv\u00e9es sans but lucratif (ONG Entreprises), et priv\u00e9es confessionnelles.\n\nSur un total de 3 084 structures de sant\u00e9 (dont 86 h\u00f4pitaux, 242 centres de sant\u00e9, 1 250 postes de sant\u00e9 et 1 506 cases de sant\u00e9), l\u2019\u00e9chantillon a inclus 50 % des h\u00f4pitaux, 50 % des centres de sant\u00e9, y compris les centres m\u00e9dicaux de garnison (CMG), 20 % des postes de sant\u00e9, y compris les infirmeries des maisons d\u2019arr\u00eat et de correction (MAC) et des cases de sant\u00e9 li\u00e9es aux postes choisis.\n\nCet \u00e9chantillonnage est similaire \u00e0 celui de la deuxi\u00e8me ann\u00e9e pour les h\u00f4pitaux et centres de sant\u00e9 ; par contre, parmi les postes de sant\u00e9, 30 % ont \u00e9t\u00e9 visit\u00e9s la deuxi\u00e8me ann\u00e9e, le reste \u00e9tant constitu\u00e9 par de nouveaux postes.","coll_mode":"Face-to-face [f2f]","research_instrument":"Les outils de collecte utilis\u00e9s sont bas\u00e9s sur les questionnaires mis au point par le projet The DHS Program et ont \u00e9t\u00e9 adapt\u00e9s pour le S\u00e9n\u00e9gal de commun accord avec les services techniques du MSAS avant le d\u00e9marrage de l\u2019enqu\u00eate continue en 2012-2013. Pour la quatri\u00e8me ann\u00e9e, des corrections ont \u00e9t\u00e9 apport\u00e9es en se basant sur l\u2019exp\u00e9rience des trois premi\u00e8res ann\u00e9es mais aussi sur certaines sections en fonction des nouvelles politiques de sant\u00e9 en vigueur dans le pays, comme l\u2019introduction d\u2019un nouveau module sur la sant\u00e9 de la reproduction des adolescents et jeunes (SRAJ). Au cours de l\u2019ECPSS du S\u00e9n\u00e9gal 2016, quatre types d\u2019instruments de collecte des donn\u00e9es ont \u00e9t\u00e9 utilis\u00e9s.\n\n\u2022 L\u2019inventaire de la structure sanitaire : L\u2019inventaire de la structure sanitaire est con\u00e7u pour obtenir des informations sur la capacit\u00e9 de la structure \u00e0 fournir chacun des services prioritaires. Il rassemble l\u2019information sur la disponibilit\u00e9 d\u2019articles sp\u00e9cifiques (incluant leur localisation et leur \u00e9tat de fonctionnement), les composants des syst\u00e8mes de soutien (logistique, entretien, gestion) et l\u2019infrastructure de la structure sanitaire, y compris l\u2019environnement de travail o\u00f9 les services sont offerts. Les ressources \u00e9valu\u00e9es sont celles exig\u00e9es pour fournir le service selon les normes et protocoles internationalement admis. Les services \u00e9valu\u00e9s repr\u00e9sentent ceux qui sont g\u00e9n\u00e9ralement reconnus comme essentiels pour assurer des services de sant\u00e9.\n\n\u2022 L\u2019interview des prestataires de sant\u00e9 : l\u2019interview des prestataires de sant\u00e9 est con\u00e7ue pour obtenir des informations sur les qualifications individuelles des prestataires, le type de service qu\u2019ils fournissent, le type de formation qu\u2019ils ont re\u00e7ue.\n\n\u2022 Les listes de contr\u00f4le de l\u2019observation : elles \u00e9valuent le niveau d\u2019adh\u00e9sion des prestataires aux standards de qualit\u00e9 des services bas\u00e9s sur les normes et protocoles internationalement et nationalement accept\u00e9s. Les composantes de l\u2019observation comprennent le processus utilis\u00e9 en menant certaines \u00e9tapes sp\u00e9cifiques telles que les examens physiques et le contenu de l\u2019entretien entre le prestataire et le client (histoire de la maladie, sympt\u00f4mes et conseils). Pour cette quatri\u00e8me ann\u00e9e, les clients des services suivants ont \u00e9t\u00e9 choisis pour l\u2019observation : consultation pr\u00e9natale (CPN) et enfants malades.\n\n\u2022 Les interviews de sortie : les interviews de sortie ont \u00e9t\u00e9 con\u00e7ues pour \u00e9valuer le niveau de compr\u00e9hension par le client du service offert portant aussi bien sur la consultation, l\u2019examen, que sur les instructions et conseils re\u00e7us en rapport avec le traitement ou les mesures pr\u00e9ventives. La compr\u00e9hension des principaux messages par les clients augmente la probabilit\u00e9 de r\u00e9ussite du traitement ou du respect des comportements pr\u00e9ventifs, ce qui favorise des r\u00e9sultats optimums au niveau de leur sant\u00e9.\n\nQuestionnaire sp\u00e9cial pour la case de sant\u00e9 comprenant :\n\u2022 l\u2019inventaire de la case de sant\u00e9 con\u00e7u pour \u00e9valuer les services sp\u00e9cifiques de la case ;\n\u2022 la revue des cahiers, registres et documents li\u00e9s \u00e0 la PF, \u00e0 la promotion de la croissance, \u00e0 la consultation g\u00e9n\u00e9rale et \u00e0 la maternit\u00e9 ; et\n\u2022 l\u2019interview des prestataires de sant\u00e9, en utilisant le m\u00eame questionnaire que pour les autres types de structures.","coll_situation":"Tous les questionnaires de l\u2019ECPSS ont \u00e9t\u00e9 pr\u00e9-test\u00e9s au cours de la formation initiale en 2012. Pour la quatri\u00e8me ann\u00e9e, seule une r\u00e9vision a \u00e9t\u00e9 organis\u00e9e du 25 au 31 janvier 2016, pour remettre \u00e0 niveau les agents de terrain, expliquer les nouvelles questions et tester le programme informatique incluant ces nouvelles questions. Tous les neufs enqu\u00eateurs faisant partis de l\u2019\u00e9quipe de terrain ont particip\u00e9 \u00e0 la r\u00e9vision. Les \u00e9quipes sont form\u00e9es d\u2019un chef d\u2019\u00e9quipe qui collecte aussi les donn\u00e9es et deux enqu\u00eateurs. Chaque \u00e9quipe est accompagn\u00e9e d\u2019un chauffeur.\n\nLa supervision du travail sur le terrain a \u00e9t\u00e9 coordonn\u00e9e au niveau de l\u2019ANSD et r\u00e9alis\u00e9e par le m\u00e9decin recrut\u00e9 comme coordonnateur technique de l\u2019ECPSS et un ing\u00e9nieur en informatique avec l\u2019appui du conseiller en EDS continue de l\u2019USAID. Ces trois  personnes visitaient les \u00e9quipes p\u00e9riodiquement et suivaient la qualit\u00e9 des donn\u00e9es."},"analysis_info":{"response_rate":"Sur un total de 386 structures s\u00e9lectionn\u00e9es pour l\u2019ECPSS 2016, 371 ont \u00e9t\u00e9 enqu\u00eat\u00e9es avec succ\u00e8s, soit une participation de 96 % et 97 cases de sant\u00e9 sur les 98 li\u00e9es aux postes de sant\u00e9 s\u00e9lectionn\u00e9s, soit un taux de r\u00e9ponse de 99 %.\n\nLes structures enqu\u00eat\u00e9es comprennent 35 h\u00f4pitaux, 61 centres de sant\u00e9, 275 postes de sant\u00e9 et 97 cases de sant\u00e9 rattach\u00e9es aux postes choisis. Les structures enqu\u00eat\u00e9es appartiennent plus au secteur public (79 %), tandis que le priv\u00e9 ne repr\u00e9sente que 21 %."}},"data_access":{"dataset_availability":{"access_place":"The DHS Program","access_place_uri":"http:\/\/dhsprogram.com\/data\/available-datasets.cfm","original_archive":"The DHS Program\nhttp:\/\/dhsprogram.com\/data\/available-datasets.cfm\nCost: None"},"dataset_use":{"contact":[{"name":"The DHS Program","affiliation":"","email":"","uri":"http:\/\/dhsprogram.com"}],"cit_req":"L'utilisation des donn\u00e9es doit \u00eatre mentionn\u00e9e par l'inclusion d'une r\u00e9f\u00e9rence bibliographique contenant au minimum:\n- l'identification de l'enqu\u00eateur principal (agence ou personne ayant assur\u00e9 la responsabiit\u00e9 de la production des donn\u00e9es)\n- le titre exact de l'enqu\u00eate (y compris le pays, l'ann\u00e9e de l'enqu\u00eate et l'abbr\u00e9viation du titre de l'enqu\u00eate lorsque disponible)\n- le num\u00e9ro de r\u00e9f\u00e9rence de l'enqu\u00eate tel qu'indiqu\u00e9 dans notre catalogue\n- la source et la date du t\u00e9l\u00e9chargement des fichiers de donn\u00e9es pour les donn\u00e9es obtenues en ligne","disclaimer":"L'utilisateur des donn\u00e9es reconnait que le producteur des donn\u00e9es, le distributeur agr\u00e9\u00e9, ainsi que les bailleurs de fonds ayant contribu\u00e9 au financement de la production de ces donn\u00e9es, ne sont nullement responsables de l'utilisation qui sera faite de ces donn\u00e9es, ni des interpr\u00e9tations et conclusions d\u00e9riv\u00e9es de leur analyse et utilisation."}}},"data_files":[{"file_id":"F1","file_name":"SNAN7QFLSP","description":"Antenatal care client observation and exit data","case_count":"849","var_count":"118","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F2","file_name":"SNFC7QFLSP","description":"Facility data","case_count":"484","var_count":"1812","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F3","file_name":"SNPV7QFLSP","description":"Provider data","case_count":"1741","var_count":"178","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F4","file_name":"SNSC7QFLSP","description":"Sick child client observation and exit data","case_count":"1029","var_count":"122","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null},{"file_id":"F5","file_name":"SNSL7QFLSP","description":"Staff listing data","case_count":"484","var_count":"1712","producer":null,"data_checks":null,"missing_data":null,"version":null,"notes":null}],"variables":[{"vid":"V119","name":"facil","file_id":"F2","var_dcml":"0","var_intrvl":"contin","var_start_pos":"1","var_end_pos":"5","var_width":"5","var_rec_seg_no":"1","labl":"facility 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sant\u00e9","stats":null,"type":null}],"var_format":"numeric","var_format_schema":"other","fid":"F2"},{"vid":"V123","name":"mga","file_id":"F2","var_dcml":"0","var_intrvl":"discrete","var_start_pos":"10","var_end_pos":"10","var_width":"1","var_rec_seg_no":"1","labl":"managing authority (ownership)","var_val_range":[{"units":null,"min":"1","max":"3"}],"var_catgry":[{"value":"1","labl":"government\/public","stats":null,"type":null},{"value":"2","labl":"ngo\/ private not for profit","stats":null,"type":null},{"value":"3","labl":"private for 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