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What Can the Service Delivery Indicator Surveys Tell Us about COVID-19 Preparedness (English)

To aid national and international efforts to support countries in enhancing their pandemic preparedness in the face of COVID-19, this paper draws from the World Bank's Service Delivery Indicator surveys to highlight key aspects of health service preparedness in Kenya, Sierra Leone, and Tanzania. The results of this analysis paint a highly variable picture. At least 10 percent of lower-level facilities in all three countries have inpatient care capacity, suggesting that these lower-level facilities could help absorb surges in patient flow. Less than half of the facilities in the three countries have a fixed or mobile phone and less than a third have internet access, suggesting a likely challenge in communication and timely sharing of essential information. Concerningly, less than half of the facilities have appropriate handwashing facilities for patients, with even lower rates in rural areas. Between 80 and 95 percent of the facilities have a thermometer to diagnose fever, but availability of a thermometer, stethoscope, and blood pressure cuff together is variable (ranging from almost 90 percent of the facilities in Tanzania to less than 65 percent in Sierra Leone). The paper concludes by highlighting key innovations for future surveys to improve measurement of pandemic preparedness.


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    Sharma,Jigyasa, Andrews,Kathryn Gilman, Conner,Ruben Orion, Gatti,Roberta V.

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    Policy Research Working Paper

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    The World Region, Africa,

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    What Can the Service Delivery Indicator Surveys Tell Us about COVID-19 Preparedness ?

  • Keywords

    inpatient bed; health facility; pandemic preparedness; Essential Medicines and Medical Supplies; personal protective equipment; health care facilities; Infection Prevention and Control; Health Service; equipment and supply; influenza pandemic preparedness planning; Health Workers; demand for health care; Chronic Obstructive Pulmonary Disease; health management information systems; access to the internet; health systems; health facility survey; rural location; acceptable waste; Ambulance; Health Service Delivery; national health system; health care facility; occupancy rate; rural area; basic equipment; essential health services; bed hospital; collected information; excess mortality; patient flow; Health System Strengthening; Public Health Emergency; quality of education; supply chain management; financing for health; treatment of patient; protection of health; health service personnel; health care system; chronic respiratory disease; health emergency preparedness; improved water source; flow of information; blood pressure cuff; numbers of beds; public health risk; health facility level; community health worker; health care settings; chronic respiratory illness; types of care; disease surveillance system; million people; waste disposal practices; sanitation service provision; primary education service; emergency operations center



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Sharma,Jigyasa Andrews,Kathryn Gilman Conner,Ruben Orion Gatti,Roberta V.

What Can the Service Delivery Indicator Surveys Tell Us about COVID-19 Preparedness (English). Policy Research working paper,no. WPS 9334,COVID-19 (Coronavirus) Washington, D.C. : World Bank Group.