Barbados - Carolina Population Center

CHAPTER 2: SURVEY METHODOLOGY
Format and content of routine data collected on AIDS services
Costs of services to patients
Patient movement within the region to access services
Services provided by private practitioners and to approximately how many
patients (with emphasis on ART)
Facility systems, resources and infrastructure to support quality services (access
to guidelines, equipment, drugs and supplies in stock, supervision, referrals, etc.)
Provider stigma.
Map AIDS-related services in nine Eastern Caribbean countries.
Provide estimates of indicators for the Caribbean Indicators and Measurement Tools
(CIMT), which include information from the CIMT/UNAIDS/WHO/Global Fund
Care and Support Indicators:
Proportion of health care facilities that have the capacity and conditions to
provide basic-level HIV testing and HIV and AIDS clinical management
Proportion of health care facilities that have the capacity and conditions to
provide advanced-level HIV and AIDS care and support services, including
provision of ART.
2.3 HSPA CONTENT AND METHODS FOR DATA COLLECTION
2.3.1 Content of the HSPA
The content covered by the HSPA includes all categories of service and care for HIV
and AIDS: voluntary counseling and testing (VCT), prevention of mother to child
transmission (PMTCT), antiretroviral treatment (ART), post-exposure prophylaxis
(PEP), basic and advanced level clinical services for HIV and AIDS (inpatient and
outpatient), tuberculosis (TB), sexually transmitted infections (STIs), and malaria. For
each type of service, information is collected on the availability of systems, resources
and infrastructure to support quality services. A review is made of systems, guidelines,
referrals, service records, individual client records, staff supervision, resources,
laboratory diagnostics, equipment, pharmaceuticals and supplies, staff training, and
infrastructure.
2.3.2 Methods for Data Collection
The survey was conducted between January and February 2005. The HSPA consists of
two survey instruments—the facility resources inventory and the Health Worker
Interview. The facility resources inventory obtains information on the conditions and
capacity of health facilities to provide care and support services (CSS) and on referral,
linkages between services. Specifically, it collects information on the HIV and AIDSrelated
services provided by the facility (i.e., inpatient and outpatient services, VCT
services, PMTCT services and laboratory services), linkages to other HIV and AIDSrelated
services for patients and their families (i.e., home-based care), availability of
guidelines and protocols for HIV and AIDS-related CSS, the availability of medicines and
supplies, facility conditions, and health information management systems.
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