2023-06-27-世界卫生组织-HHFA_Combined_questionnaire_Availability,_Readiness_and_Management_and_finance_June_2023_144页_2mb

Harmonized Health Facility Assessment (HHFA) Toolkit Summary

Overview

The Harmonized Health Facility Assessment (HHFA) is a comprehensive, standardized tool designed to collect reliable and objective information on health facility services and capacities. It supports evidence-based decision-making for strengthening health services, particularly aiming to achieve universal health coverage (UHC) and health-related Sustainable Development Goals (SDGs). Version 2.0, released in June 2023, builds on globally tested instruments like WHO Service Availability and Readiness Assessment (SARA), USAID Service Provision Assessment (SPA), and World Bank Service Delivery Indicators (SDI), while incorporating feedback from users and multistakeholder collaboration.

Core Components and Structure

HHFA includes a combined questionnaire covering "Availability, Readiness, Management & Finance." It is organized into four main modules:

• Service Availability: Assesses availability of essential services.
• Readiness: Ensures facilities meet standards for service delivery.
• Management: Evaluates operational and administrative systems.
• Finance: Checks health financing mechanisms and accountability.

Additional modules address specific services, such as communicable diseases, noncommunicable diseases, maternal care, palliative care, and others, ensuring a holistic assessment.

Coverage and Implementation

HHFA is supported by a resource package that includes downloadable tools, data analysis platforms, and guidelines. The tool allows for questions to be tailored or adapted to country-specific contexts, and feedback is invited to improve future implementations. The questionnaire format facilitates data collection using standardized indicators and can be adapted for electronic systems like CSPro.

Key Features and International Collaboration

• Global Standards: Based on global service standards, with input from WHO technical programs and regional offices.
• User-Friendly Design: Uses skip patterns, response options, and combined formats for efficiency.
• Quality Assurance: Includes sections on infection prevention, emergency preparedness, and quality improvement systems.
• Multistakeholder Input: Developed with involvement from ministries of health and agencies like Bloomberg Philanthropies and UN agencies.

Purpose and Use

HHFA is intended for national and international health sectors, facilitating reviews of facility performance, policy alignment, and planning for health services through data-driven analysis. The tool ensures that health facilities are assessed systematically, promoting reliability in information collection and utilization.