Mapping of HIV/AIDS Facilities in Maharashtra by Dr. C. A. K. Yesudian

What is SAM

• SAM is a country owned monitoring tool meeting the needs of multiple partners

• At national level, SAM is used to track equity between districts and identify major gaps in service availability

• At district level, SAM supports informed decision making and providing sub-national planners with the skills and tools required to map and monitor service and resources availability on a regular basis

• Disease specific programmes use SAM thus avoiding fragmentation and duplication

• SAM results are widely disseminated and used by health sector and civil society including other sectors

• National planners will be able to map all facilities and all other services on regular basis

Rapidly Map the HIV/AIDS specific services and resources in all the districts of Maharashtra.

Make this information available to decision makers, planners and managers at the Tehsil (sub-district) and health facility level and

Build the district level capacities to collect, analyze and produce maps using HealthMapper.

Objectives

The SAM tool is made up of two components:A census methodology including 2 questionnaires:- District Questionnaire- Facility Questionnaire

+The Health Mapper system:- Mapping Interface- Data ManagerTogether, these components make up an assessment and

monitoring tool for service and resource availability for HIV/AIDS and other services.

SAM Tools

Application

3. Data is analysed and thematic maps and graphs developed using HealthMapper

1. Data collected using questionnaires by field investigators

2. Data is uploaded in WHO’s HealthMapper application

Map of Sindhudurg District showing Taluka and Roads

Map of Sindhudurg District showing General Hospitals

Map of Sindhudurg District showing General Hospitals

Map of Kudal Tehsil showing Health and Infrastructure Facilities

Total No. of Facilities Surveyed: 4595

Total No. of Facilities Surveyed: 4595

Total No. of Facilities Surveyed: 4595

Total No. of Private Facilities : 3074

Total No. of Facilities: 3079

# Progressive rise in private facilities. No significant expansion of PHCs.# Marked growth of Nursing Homes and Diagnostic Centres

Total No. of Facilities: 951

No. of Facilities: HIV Counseling: N= 1898; HIV Testing: N=1483; PPTCT: N = 501; ART: N=301.Others: General & Speciality Hospitals, Mobile Clinics, Physical and Mental Rehabilitation Centres, Community Based Facilities.

No. of Facilities: HIV Counseling: N= 1898; HIV Testing: N=1483; PPTCT: N = 501; ART: N=301.Others: Semi-government (Aided by government), Corporate, Unknown.

Use of SAM Generated Maps State level planning: appropriately locating health

care facilities.

District and sub-district level: informed decision to deliver health services effectively.

Individual level: informed choice of health care facilities to meet the health needs.

Monitor quality of services and regulate health services.

Way Forward Integrate SAM with health system and its HMIS. Use GPS for locating services and hand held data collection

tools to achieve accuracy and speedier data collection. Generate capacities within health system to update data,

generate relevant maps and disseminate at all levels. Generate the managerial capacity of administrators to use

SAM as a decision making tool. Make available SAM in the public domain, so that it is used

beyond the government health system.