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HIVService Provision Assessment HSPA Survey
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Distribution of inputs and service statistics. Limitation of HMIS information: ... Basic and advanced level clinical services for HIV/AIDS (in/out patient) ART ... – PowerPoint PPT presentation
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Title: HIVService Provision Assessment HSPA Survey
1
HIV-Service Provision Assessment (HSPA) Survey
- Nancy Fronczak
- ORC Macro
2
Context for HSPA and M E for HIV/AIDSrelated
activities
- Ultimate objectives
- Lower incidence of HIV/AIDS
- Longer/better quality-of-life for people who have
HIV/AIDS
3
How to monitor change?
- Measurable changes in population based indicators
evident a period of time after interventions
(years) - Need proximate indicators for interventions for
early identification of problems
4
Proximate indicators health service
interventions
- Some information already available with well
functioning HMIS - Distribution of inputs and service statistics
- Limitation of HMIS information
- Inputs dont automatically translate into
programs - Service statistics lack information on quality
- Quality of service statistics variable
5
What is the HSPA?
- National level facility/service-site
- HIV/AIDS services
- Information for international indicators for
quality HIV/AIDS services - (WHO, UNAIDS, USAID, CDC, NGOs)
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Proximate indicators health service
interventions
- HSPA measures inputs and activities for achieving
outputs- are the services there and do they meet
expected standards - HSPA provides information on continued presence
of elements over time - HSPA provides independent validation of HMIS
information
7
HSPA Sample
- Nationally representative information, by
facility type - Most often health facilities (all levels)
- Sometimes stand-alone sites (VCT)
- Managing authority Government, private
not-for-profit (e.g., mission, NGO) - Limited private for-profit (VCT, ART), limited
other (e.g., military) - Sample size usually 250-400 facilities
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HSPA Methodology
- Key informant interviews (most knowledgeable
about a service) - Observations of facility resources in service
area - Interviews with service providers
- 1 day per facility
- Data collected by teams of 2 health personnel
(nurses) each - Data are confidential
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HSPA Content
- Services (components)
- E.g., PMTCT (test, ARV,infant feeding, family
planning) - Systems, resources, infrastructure to support
quality services
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HSPA Content
- Services
- VCT
- PMTCT()
- Basic and advanced level clinical services for
HIV/AIDS (in/out patient) - ART
- Post-exposure prophylaxis (PEP)
- TB, STI, Malaria
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HSPA Content
- Systems
- Guidelines
- Referrals
- Service records (source of HMIS)
- Individual client records
- Supervised staff
- Resources
- Laboratory diagnostics
- Equipment
- Pharmaceuticals and supplies
- Trained staff
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Content of the HSPA
- Infrastructure
- Privacy
- Furnishing
- Water
- Electricity
- Toilet/latrine
- Infection control
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Outputs of the HSPA(Uganda 2002)
- 226 facilities (AIM, JSI, Macro, MOH)
- Service availability Percentage
- VCT 11
- PMTCT 6
- Clinical care HIV/AIDS 63
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Outputs of the HSPA(Uganda 2002)
- Among those providing VCT
Percent
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Outputs of the HSPA(Ghana 2002)
- Service availability (n428)
Percent
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Outputs of the HSPA(Ghana 2002)
- Among those providing HIV/AIDS services (n111)
- Component Percentage
- Offer HIV testing 41
- HIV test kits 41
- Infection control elements 78
- (soap, water, latex gloves)
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Outputs of the HSPA (Ghana 2002)
- Items for Quality Counseling
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