Lesotho - Health Facility Survey

- v01: Edited, anonymous dataset for public distribution.

The main objective of the 2011 Health Facility Survey (HFS) was to establish a baseline for informing the Health Project performance indicators on health facilities, in line with the approved MCA-Lesotho Monitoring and Evaluation Plan and Health Project Activity Monitoring Plan. The specific objectives of the survey were to:

- Document basic characteristics of health facilities and staffing patterns;

- Assess the condition of infrastructure and availability and reliability of basic utilities (water, electricity, telephone) for supporting provision of quality essential health services;

- Assess the availability of drugs, equipment, supplies and essential health services in line with Essential Health Services List of the Ministry of Health and Social Welfare (MOHSW);

- Assess quality of services and trends in service utilization; and

- Assess the level of compliance with health care management and infection prevention and control standards.

Individual (health staff or client); health facility

Other

The survey included interviews with facility staff; review of facility equipment and supplies; limited sample record review; exit interview with sample of care seekers; inventory of pharmaceuticals; data from registers of attendance; and review of staffing structures.

The survey instruments covered the following topics:

- Health facility setting and layout;

- Health facility operational issues including availability of patient registers and other documentation;

- Condition of infrastructure, including health facility and staff housing;

- Availability and reliability of health system support utilities, including water, electricity and sewage facilities;

- Availability of communication facilities, including internet, office phone lines, cellular communication;

- Service mix (e.g. essential service package, outreach services etc), direct cost of services and service coverage;

- Availability of essential drugs, equipment and other supplies;

- Availability of laboratory services and types of tests;

- Availability of pharmaceutical services including services for supporting TB and ART diagnosis and monitoring;

- Staffing levels and patterns including time allocation and workloads;

- Staff training and competencies (in-service training, continuing education);

- Staff satisfaction (e.g. perceptions, motivation and retention);

- Quality of service provision (e.g. waiting time, quality improvement mechanisms);

- Health care waste management and infection prevention practices;

- Routine data collection and utilization and health information management system;

- Care-seeking behaviour, client perceptions and satisfaction including consultation time; and

- Utilization of services within targeted Hospitals, Health Centers and other health systems by care-seekers

National coverage