The SDI health surveys are nationally representative, facility-based surveys measuring primary health care service delivery as experienced by the average citizen. They aim to improve the monitoring of service delivery to increase public accountability, good governance, and targeted intervention by assessing quality and performance of health services from the citizen’s perspective.
Identify levels and trends in health service delivery from the citizen’s perspective.
Identify disparities to learn from high performers and support low-performers with targeted interventions.
Create benchmarks for comparison over time for tracking national progress.
Generate internationally-comparable metrics for global accountability and learning.
If you are interested in conducting an SDI Health Survey or learning more about the initiative and potential partnerships, please contact us at sdihealth@worldbank.org
Literature review of the latest frameworks for primary health care service delivery, including development of a new framework that builds on the previous ones
Item development, drawing on other international survey tools, global standards, and guidelines for quality of care and clinical practice, and ensuring backwards-compatibility with the previous version of the SDI
Stakeholder consultations with clients in multiple countries to ensure that the design and content are responsive to their policy and program needs, and can be adapted to a given context
Expert consultations with internal World Bank and external academic and research leaders in quality of care to ensure that the tools are of the highest quality
Guiding Framework for the SDI Health Survey
The new framework serves as a primary health care service delivery framework and provides the guiding principles and key domains for the methodological refresh. This framework, which builds on the Primary Health Care Performance Initiative and The Lancet Global Health Commission on High Quality Health Systems in the SDG Era frameworks, defined the scope of the methodological refresh.
SDI Health Surveys take between 10-24 months to implement, right from the introduction of the survey to the interested World Bank teams and the clients to final report dissemination. This timeline varies from country to country influenced by several factors like time taken by the clients (Ministry of Health representatives) to agree and finalize the objectives of the survey, availability of a sampling frame (a roster of all the health facilities providing PHC services in the country), etc. There are five key stages in implementing an SDI Health Survey (detailed below). The Core SDI Health Survey Team can provide support and guidance at each step:
1. Define
Scope definition and task team orientation (1-2 months)
Introduce SDI survey to WB Health Nutrition and Population country team and client (i.e., Ministry of Health representatives)
Define the scope, objectives, priorities and timeline of the survey
Determine task team composition and clarify roles
2. Design
Survey design and instrument adaptation (2-6 months)
Understand national primary health care system architecture and service mandate
Define sampling strategy and sample
Adapt instruments to fit the country context
Finalize logistics for field implementation
3. Implement
Implementation and quality control (2-4 months)
Assess the feasibility, risk and performance of the survey tools and team
Collect high-quality data, create dataset(s) for analysis
4. Analyze
Data analysis and results validation (4-6 months)
Analyze data, compile and validate results
Prepare analytical products for dissemination
5. Disseminate
Dissemination and stakeholder consultation (1-2 months)
Promote the use of SDI survey data and findings for research, evidence-based policy, accountability
Ensure local capacity building for health services and policy research
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