Bulletin of the World Health Organization

Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment

Kathryn O’Neill, Marina Takane, Ashley Sheffel, Carla Abou-Zahr & Ties Boerma

Volume 91, Number 12, December 2013, 923-931

Table 1. Tracer items for general service readiness employed in the Service Availability and Readiness Assessment

Category Tracer items
Basic amenities and equipment (14 items) Amenities (7 items): electric power; improved water source within 500 m of facility; room with auditory and visual privacy for patient consultations; adequate sanitation facilities for clients; communication equipment (phone or short wave radio); computer with email/internet access; emergency transportation.
Equipment (7 items): weighing scales (child, adult); thermometer; stethoscope; blood pressure apparatus; light source; refrigerator.
Standard precautions (9 items) Safe final disposal of sharps, safe final disposal of infectious wastes; appropriate storage of sharps, appropriate storage of infectious waste; disinfectant; single-use standard disposable or auto‐disposable syringes; soap and running water or alcohol-based hand rub; latex gloves; guidelines.
Laboratory testing capacity (8 items) Blood haemoglobin; blood glucose; blood smear or rapid test for malaria parasites;a urine dipstick protein; urine dipstick glucose; HIV antibody test; syphilis rapid test; urine pregnancy test.
Essential medicines (14 items) Amoxicillin, atenolol, captopril, ceftriaxone, ciprofloxacin, co-trimoxazole suspension, diazepam, diclofenac, glibenclamide, omeprazole, amitriptyline, paracetamol suspension, salbutamol, simvastatin.

HIV, human immunodeficiency virus.

a For countries where malaria is endemic.