Service Provision Assessment Survey 2001 (Rwanda)

Abstract

The 2001 Rwanda Service Provision Assessment (RSPA) was conducted in a representative sample of 223 health facilities throughout Rwanda. The survey covered hospitals, health centers, and dispensaries and included both governmental (public) and government assisted non-governmental health facilities (GAHFs). The RSPA used interviews with health service providers and clients and observations of provider-client consultations to obtain information on the capacity of facilities to provide quality services, and the existence of functioning systems to support quality services. The areas addressed were the overall facility infrastructure, specific child health, family planning, and maternal health services, and services for sexually transmitted infections and HIV/AIDS. The objective was to assess the strengths and weaknesses of the infrastructure and systems to supporting these services, as well as to assess the adherence to standards in the delivery of curative care for children and antenatal care for women.

The RSPA was conducted by the National Population Office (ONAPO) at the request of the Ministry of Health (MoH). Technical assistance was provided by ORC Macro through the MEASURE DHS+ project. The U.S. Agency for International Development (USAID) financed the survey.

The objective of the RSPA is to provide reliable information on the following:
1. The availability of specific maternal, child, and reproductive health services;
2. The availability of infrastructure, equipment and supplies, staff, and health system components that contribute to quality of services;
3. The existence of management practices supportive of quality services;
4. The extent to which service providers adhere to quality standards when providing antenatal care (ANC) or consultation services for sick children; and
5. The health service experience from the client perspective.

An additional objective is to strengthen the capacity of the MoH, and ONAPO in particular, to conduct similar studies and to analyze and utilize health system data and health services data for program development.