Background:
The HWCs are routinely reporting data through various data management systems on various aspects of the program such as capacity/inputs, service delivery, service coverage. This data is being collected by the project teams for all HWCs in the three districts- Bhavnagar in Gujarat, Kalahandi in Odisha, and West Garo Hills in Meghalaya. The survey entails cross-checking the reported data with the actual status at the sampled facilities. This will help the district program managers to improve the quality of reported data and plan for improvement in services.
The HWC facility validation tool is adapted from one of the standard facility assessment surveys- World Health Organization’s Service Availability and Readiness Assessment (SARA)[1]. The data obtained from the survey will be analysed to inform about the district level measure of the HWC service readiness and service availability.
The survey is planned to be conducted every year at these three sites.
Survey objectives:
- To determine district-level HWC facility service availability and readiness.
- To validate HWC facility performance indicators collected from routine data systems. The validation will enable district managers to identify areas for improving HWC data quality reported in routine data systems.
- To understand the baseline status before initiating any intervention.
Steps undertaken:
- Questionnaire drafted based on standard facility assessment surveys such as WHO-SARA tool and understanding of data elements reported routinely from the HWCs.
- Survey tool discussed with stakeholders, including state partners and district officials and feedback was incorporated.
- Draft plan prepared for undertaking survey at three sites, including recruitment of field investigators, other resource requirements, and timelines.
- Training of field investigators and supervisors along with pilot testing of the tool undertaken at Kalahandi district (August 2024)
[1] World Health Organization. 2015. Service Availability and Readiness Assessment