{"type":"survey","doc_desc":{"idno":"DDI_AFG_2018_SPA_v01_M","producers":[{"name":"Development Economics Data Group","abbreviation":"DECDG","affiliation":"World Bank Group","role":"Documentation of the DDI"}],"prod_date":"2020-03-10","version_statement":{"version":"Version 01 (March 2020). Metadata is excerpted from \"Afghanistan Service Provision Assessment 2018-19\" Report."}},"study_desc":{"title_statement":{"idno":"AFG_2018_SPA_v01_M","title":"Service Provision Assessment Survey 2018-2019","alt_title":"SPA \/ AfSPA 2018-19"},"authoring_entity":[{"name":"Ministry of Public Health","affiliation":"Government of Islamic Republic of Afghanistan"}],"production_statement":{"producers":[{"name":"ICF","affiliation":"The DHS Program","role":"Provided technical assistance through the worldwide DHS Program"}],"funding_agencies":[{"name":"Government of Islamic Republic of Afghanistan","abbreviation":"GovtAFG","role":""},{"name":"United States Agency for International Development","abbreviation":"USAID","role":""}]},"distribution_statement":{"contact":[{"name":"Information about The DHS Program","affiliation":"The DHS Program","email":"reports@DHSprogram.com","uri":""},{"name":"General Inquiries","affiliation":"The DHS Program","email":"info@dhsprogram.com","uri":""},{"name":"Data and Data Related Resources","affiliation":"The DHS Program","email":"archive@dhsprogram.com","uri":""}]},"series_statement":{"series_name":"Service Provision Assessments [hh\/spa]","series_info":"The 2018-2019 Afghanistan Service Provision Assessment was conducted under the leadership of the Ministry of Public Health and its General Directorate of Monitoring & Evaluation and Health Information Systems. This is the first Afghanistan Service Provision Assessment (AfSPA) to be conducted by the Ministry of Public Health team, with technical support from ICF and financial support from USAID."},"study_info":{"abstract":"The 2018-19 AfSPA collected information on the availability, readiness, and quality of health services in national specialty and provincial\/regional hospitals, including major private sector hospitals in seven urban areas of Afghanistan. The assessment focused on family planning and maternal and child health (FP & MCH) services, as well as surgery, pediatrics, emergency, intensive care, institutional delivery, and newborn care in hospitals. At the same time, the assessment provided baseline key information for monitoring these services in the future. The assessment also intended to support dissemination and utilization of the results for the planning and management of FP & MCH programs. Similarly, the assessment supports health planners and program managers to address prioritized weaknesses and develop intervention for public and private hospital programs in the surveyed areas. A long-term objective is to institutionalize capacity to carry out national level assessments and use data for further analysis and future assessment planning, with diminishing external support.\n\nThe specific objectives of the 2018-19 Afghanistan Service Provision Assessment (2018-19 AfSPA) were to:\n- Collect data on services in national specialty, regional, and provincial hospitals\n- Collect data on services in private hospitals\n- Collect data on specific services related to maternal and child health within the Afghanistan hospital system in order to set a baseline for service availability, readiness, and compliance with quality standards","coll_dates":[{"start":"2018-11","end":"2019-01","cycle":""}],"nation":[{"name":"Afghanistan","abbreviation":"AFG"}],"geog_coverage":"Urban areas","analysis_unit":"Health establishments, hospitals, and health centers","data_kind":"Sample survey data [ssd]","notes":"The 2018-19 Afghanistan Service Provision Assessment survey covered the following topics:\nGeneral information and service availability\n- General service availability and inpatient services\n- General filter questions\nGeneral service readiness\n- 24 hours staff coverage\n- Staffing, management, client opinion, quality assurance, transport, HMIS and health statistics\n- Processing of instruments for reuse\n- Health care waste management and client latrine\n- Basic supplies, client examination room client waiting area\n- Diagnostics\n- Medicines and commodities\nService-specific readiness\nStaff listing (health workers available on day of visit)\nHealth worker interview\nObservation of ANC consultation\nObservation of family planning consultation\nObservation of sick child consultation\nObservation of labor and delivery and newborn resuscitation\nANC client exit interview\nFP client exit interview\nSick child caretaker exit interview\nEmergency inpatient care services\nSurgical delivery services\nPost abortion care"},"method":{"data_collection":{"data_collectors":[{"name":"Ministry of Public Health","abbreviation":"MoPH","affiliation":"Government of Islamic Republic of Afghanistan"}],"sampling_procedure":"The study targeted urban areas of seven major provinces (Kabul, Nangarhar, Paktya, Kunduz, Balkh, Kandahar, and Herat) that together contained all major public and private hospitals in Afghanistan. In six provinces, with the exception for Kabul, all 12 public hospitals, 37 private hospitals, and 52 private clinics were included in the sample so universal sampling was applied. In Kabul province, all public and private hospitals (26 public and 20 private hospitals) were also included; however, 13 of 84 private clinics were randomly selected. In total, 160 facilities (38 public hospitals, 57 private hospitals, and 65 private clinics) were included in the study from all seven provinces. The frame was obtained from the Health Management Information Systems (HMIS) department of MoPH and verified with the private health coordination office, but it is possible that private facilities will exceed those listed in the frame.\n\nFor further details on sample selection, see Section 2.5 of the final report.","coll_mode":"Computer Assisted Personal Interview [capi]","research_instrument":"Afghanistan Service Provision Assessment (AfSPA) used five main types of data collection tools:\n- Facility Inventory Questionnaire\n- Health Provider Questionnaire\n- Observation protocols for antenatal care (ANC), family planning (FP), services for sick children (SC), and institutional delivery\n- Exit interview questionnaires for observed consultations during ANC visits and with family planning clients and caretakers of sick children\n- Country-specific questionnaires for emergency services and inpatients, surgical and delivery services, and post-abortion care","coll_situation":"Data collection was carried out from November 1, 2018, through January 20, 2019, in the seven provinces of Afghanistan, namely Kabul, Nangarhar, Paktya, Kunduz, Balkh, Kandahar, and Herat.\n\nThe Facility Inventory, Health Provider, and country-specific questionnaires (emergency services and inpatient care units, surgical and delivery services), and the exit questionnaires, were loaded onto tablet computers, which were used during interviews to ask questions and record responses (via CAPI). The client observation questionnaires (ANC, family planning, sick child, and institutional delivery) were first administered as paper-based questionnaires and later entered in the tablets (via CAFE).\n\nEach AfSPA team was provided four tablet computers. One tablet was dedicated to CAPI for the Facility Inventory Questionnaire, the second tablet was dedicated to Inpatient Hospital Service questionnaires, the third was used to record the responses from CAPI exit interviews and CAFE client observation questionnaires (i.e., for entering and editing data from the paper-based observation protocols), and the fourth one was used for the Health Provider Questionnaire. The fourth tablet was also used for supervisor activities such as receiving completed data from other tablets, reviewing raw data, notes, and other responses, merging data and checking duplicates, checking ID structure, running field editing, and closing the facility and final backup.\n\nEach team was given a list of facilities to visit, names and types of facilities, and the permission letter from the MoPH. At the beginning of fieldwork in a province, the teams were asked to coordinate with the provincial health office and prepare a schedule for visiting the targeted facilities. Data collection required 1 to 4, even 5 days, per facility depending on the type of facility. Interviewers ensured that respondents to the various sections of the Facility Inventory Questionnaire were the most knowledgeable persons with respect to the particular service or system components being assessed.\n\nEvery effort was made to ensure that teams visited facilities on days and at the time of the day when ANC, family planning, or sick child services would be offered, since the assessment involved observation of these consultations. Whenever a service of interest was not being offered on the day of the visit, the teams returned on a day when the service was offered to observe consultations and interview clients. If the service was offered on the day of the visit, but no clients came in for the service, the team did not revisit the facility.\n\nOne master trainer was assigned for each team to continuously coordinate the team member and supervise the fieldwork. Close contact between the AfSPA central office and the teams was also maintained through master trainers using Internet-based communication group."}},"data_access":{"dataset_availability":{"original_archive":"The DHS Program\nhttp:\/\/dhsprogram.com\/data\/available-datasets.cfm\nCost: None"},"dataset_use":{"contact":[{"name":"The DHS Program","affiliation":"","email":"archive@dhsprogram.com","uri":"https:\/\/www.dhsprogram.com\/"}],"cit_req":"Use of the dataset must be acknowledged using a citation which would include:\n- the Identification of the Primary Investigator\n- the title of the survey (including country, acronym and year of implementation)\n- the survey reference number\n- the source and date of download","conditions":"Request Dataset Access\nThe following applies to DHS, MIS, AIS and SPA survey datasets (Surveys, GPS, and HIV). \nTo 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. \n\nThe 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. \n\nDATASET ACCESS APPROVAL PROCESS\nAccess 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.\n\nRequired Information\nA dataset request must include contact information, a research project title, and a description of the analysis you propose to perform with the data.\n\nRestricted Datasets\nA 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. \n\nWhen The DHS Program receives authorization from the appropriate organizations, the user will be contacted, and the datasets made available by secure FTP. \n\nGPS\/HIV Datasets\/Other Biomarkers\nBecause 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.\n\nDataset Terms of Use\nOnce 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. \n\nDownload Datasets\nDatasets 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.","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."}}},"data_files":[],"variables":[],"variable_groups":[]}