Service Provision Assessment (SPA) Survey

The survey has 4 broad groups of questions: what is the availability of different health services in a country, specifically what proportions of the different facility types offer specific health services; to what extent are facilities prepared to provide health services; to what extent does the service delivery process follow generally accepted standards of care; are clients and service providers satisfied with the service delivery environment. Key services and topics assessed in a SPA Survey are: infrastructure, resources and systems; child health (includes a component on availability of vaccines); maternal and newborn health; family planning; HIV/AIDS; Sexually Transmitted Infections (STI); Malaria; Tuberculosis; Basic surgery. It provides context in the health system where immunization services are offered. Vaccine coverage, frequency of availability of child health services- vaccination services, disaggregated by routine vaccine and background characteristics which include facility type, managing authority, ecological region. Provides information on guidelines, trained staff and equipment for vaccination services disaggregated by background characteristics (see example below). Among facilities offering child vaccination services, the percentages that stores vaccines versus the percentage that does not store any vaccine, infection prevention and control for vaccination services. In the section about delivery and new born care it looks at the postpartum checks/advice at the time of discharge and looks at immunization of the baby disaggregate per facility type. A limited number of countries have completed this survey.