[procaare] 3 new publications from MEASURE DHS

["Erica Nybro" <Erica.Nybro@orcmacro.com>]

3 new publications from MEASURE DHS
- Erica Nybro
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1. Guyana HIV/AIDS Service Provision Assessment 2004
2. Egypt Service Provision Assessment Survey 2004
3. Final Report on the 2005 Guinea Demographic and Health Survey

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1. Guyana HIV/AIDS Service Provision Assessment 2004

The first national survey of HIV/AIDS health care delivery in Guyana,
the 2004 Service Provision Assessment (SPA) on HIV/AIDS services
included a representative sample of 155 facilities throughout Guyana
including those hospitals, health centers, health posts and laboratories
and among those managed by government, NGOs, private for-profit, and
faith-based organizations.  The SPA provides baseline information on the
capacity of the formal health sector to provide both basic and advanced
level HIV/AIDS services, on record-keeping, and on internationally
recognized components for quality services.  

The 2004 Guyana HIV SPA reports that an HIV testing system is available
in 17 percent of facilities.  Written informed consent policies are not
available in all service sites.  Care and support services are present
in 17 percent of facilities nationally and 71 percent of hospitals.
Among the facilities providing care and support services, hospitals are
most commonly able to also treat tuberculosis, STIs and opportunistic
infections.  Advanced services, including antiretroviral therapy (ART)
and PMTCT are available in less than 10 percent of facilities.
Post-exposure prophylaxis is also not widely available. 

To view the entire report, go to:
http://www.measuredhs.com/pubs/pub_details.cfm?ID=591&srchTp=advanced

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2. Egypt Service Provision Assessment Survey 2004

The 2004 ESPA survey gathered detailed information on health facility
infrastructure, resources, and management systems, and on services for
child health, family planning, maternal health (antenatal and delivery
care), and selected communicable diseases: specifically sexually
transmitted infections and tuberculosis.  Data collection was carried
out at 659 health facilities throughout Egypt.

The survey found that almost all facilities assessed offer family
planning services (95 percent) and have supplies of modern, temporary
contraceptive methods (97 percent).  Most facilities offering family
planning have the appropriate equipment for pelvic exams and IUD
insertion, as well as private examination areas.  However, adherence to
quality standards for these procedures, including infection control
measures, is inconsistent.  In addition, antenatal care services are
available at 87 percent of all facilities, but only 15 percent of
observed clients received all the relevant components of antenatal care
for their pregnancy.

Condoms are available in most facilities, but providers rarely gave
clients information on their use for prevention of STIs.  One out of 3
facilities offers TB services; most of these use the directly observed
therapy shortcourse (DOTS) approach.  First-line TB medicines were
available in less than 1 in 5 facilities offering TB services, and 19
percent among facilities implementing DOTS.

For the full report go to:
http://www.measuredhs.com/pubs/pdf/SPA7/SPA7.pdf

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3. Final Report on the 2005 Guinea Demographic and Health Survey

The 2005 EDSG-III data show more and more women in Guinea know of at
least one modern contraceptive method (92 percent in 2005 compared to 71
percent in 1999).  In spite of this, very few women use contraception.
The rate of use for any modern method is 6 percent in 2005, compared to
4 percent in 1999 and 1 percent in 1992.

Childhood mortality rates remain high, with 91 children per 1,000 live
births dying before their first birthday.  Overall, about one child out
of six died before reaching his or her fifth birthday. Malnutrition
rates among children are also high; one out of every three children
suffers from chronic malnutrition. 

The survey indicated that acute respiratory infection (ARI), fever, and
diarrhea are the most common health problems for children.  The majority
of children in Guinea have received at least some vaccinations.  Since
1999, there has been a slight increase in vaccination coverage.

The survey also showed that 1.5 percent of adults in Guinea age 15-49
are HIV positive.  Urban residents are also more likely to be infected
with HIV than their rural counterparts (2.4 percent and 1 percent,
respectively).  Prevalence is higher among women than men (1.9 percent
to 0.9 percent, respectively), which equates to a male-to-female
infection ratio of 2.1 (for every 100 HIV positive men, there are 210
infected women).

For the full report go to:
http://www.measuredhs.com/pubs/pub_details.cfm?ID=582&PgName=country&ctr
y_id=67

 
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Erica Nybro
Communication Specialist
MEASURE DHS
Email: Erica.Nybro@orcmacro.com