A facility-based cross-sectional survey was conducted in 1327 health facilities selected from among two city administrations and nine regional administrations of Ethiopia between March and July of 2014. The objective of the survey was to provide national and sub-national information on the availability and quality of services delivered by the health facilities. Data were collected using a pretested facility inventory questionnaire by highly trained survey teams. All data entry and editing programs were written using CSPro. The finding of the survey showed that: (1), Among all health facilities excluding health posts, the services the most available are emergency service (97 percent) followed by curative care for sick children, diagnostic or treatment of malaria, and diagnostic or treatment of STIs services (93 percent independently for all). Intensive care unit (ICU) services are available only in 1 percent of all facilities excluding health posts. (2), About seven of ten hospitals and eight of ten health centers offer all basic services. (3), Overall, 87 percent of all facilities offer ANC services and six of every ten ANC facilities provide PMTCT services. (4) Nine of ten facilities that offer normal delivery services reported that they have a provider of delivery care available on-site or on-call 24 hours a day and vaginal delivery was the most frequent signal function carried out (83 percent) in almost all hospitals and health centers. (5), Among facilities that have an HIV testing system, all had the capacity to test for HIV on the day of the survey (i.e., the facility had an HIV rapid test kit, ELISA testing capacity, or other HIV testing capacity on the day of the survey). (6), Services for all neglected tropical disease (NTDs) are more likely available in hospitals compared with other facility types, and Government facilities are more likely to provide these services compared with other managing authorities and (7), Among facilities that offer malaria diagnosis and/or treatment services, only one-third (34 percent) and less than half health posts (45 percent) had guidelines for the diagnosis and treatment of malaria available in the facility.

 In conclusion, most of the facilities are equipped with the necessary equipment that allows them to provide primary health care and have essential commodity supplies and drugs. However, the survey identified that there is a major gap that requires immediate remedy in order to improve the quality of health care service delivery.

• Ethiopia service provision assessment plus
• Antenatal Care
• AIDS
• Tuberculosis
• Quality Assurance
• Malaria
• NCDs
• NTDs
• Cross-sectional survey
• Ethiopia

Ethiopia Service Provision. Assessment Plus (ESPA+) Survey. 2014. Ethiopian Public Health Institute. Addis Ababa, Ethiopia. Federal Ministry of Health. (website:www.ephi.gov.et)

This dataset is generated by an Ethiopia Service Provision Assessment Plus Survey conducted in all regional states and two city administrations of Ethiopia in 2014 based on health facilities by the Ethiopian Public Health Institute and Ministry of Health. The dataset captures information on clients of health facilities which is used to assess each client’s understanding of the consultation and/or examination as part of their visit to the facility. The dataset also consists of background characteristics of surveyed health facilities such as facility type, region, managing authority, rural/urban and client’s information on the previous history of the client but only for female, knowledge of danger signs during deliver/ after delivery, physical examination, HIV counseling and testing, malaria status test result, and providers action during counseling. The data were collected by trained survey teams using a pre-tested questionnaire through computer-assisted personal interviewing (CAPI) with clients whose consultations had been observed. The dataset also captures information collected from a sample of sick children (1,980), antenatal care clients (1,902), and family planning clients (1,265). The datasets provide a number of observed consultations for, outpatient curative care for sick children, family planning, and antenatal care, by type of facility.

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