History of SPA questionnaires:

• Model questionnaires originally built on prior facility surveys; current version approved in 2012 by USAID
• Revisions from 2010-2011 in consultation with international groups such as WHO, Global Fund, USAID, IHFAN, CDC to make it more
- Internationally relevant
- Standardized
- Where possible aligned with other HF
• Uses commonly accepted guidelines
- Sick child: IMCI
- Family Planning: USAID; UNFPA; WHO
- Maternal Health: Safe Motherhood Initiatives
- STIs and TB: WHO/others
- HIV/AIDS: variety of initiatives

Adaptation of SPA questionnaires:

• Questionnaires are adapted to be relevant for the country
• Input from MOH and health sector stakeholders
• Questionnaire adaptation workshop organized for this purpose