Facility Readiness Research Articles

Use of digital assessment tools to measure health facility readiness to provide the WHO recommended package of care for lymphatic filariasis morbidity

BackgroundA country claiming to have achieved elimination of Lymphatic filariasis (LF) as a public health problem must undergo and document a quality assessment of the World Health Organization (WHO) recommended essential package of care for patients with lymphedema and hydrocele. This must be done in at least 10% of facilities offering services. In Liberia, Côte d’Ivoire, Mali and Guinea-Bissau the LF programmes used the Hydrocele Facility Assessment Tool (HFAT) and the Lymphedema Facility Assessment Tool (LFAT) to provide an objective assessment of facilities providing LF morbidity management services. Information gathered through these tools is used to improve service delivery and document the number of implementation units with at least one facility providing the essential package of care in the WHO epidemiological reporting form (EPIRF). The development of the HFAT and LFAT digital tools were informed by WHO’s direct inspection protocol (DIP) for lymphedema, WHO’s service availability and readiness assessment (SARA), and WHO’s situational analysis to assess emergency and essential surgical care.MethodsBetween May 2022 and January 2023, 33 hydrocele facility assessments and 102 lymphedema facility assessments were implemented in these four countries. Facility and indicator score benchmarks were set at 75%.ResultsThe LFAT and HFAT indicator results were variable both within and between countries. 26 (79%) facilities scored 75% or better on the assessment for hydrocele surgery and 15 (15%) facilities scored 75% or better on the assessment for lymphedema. Examples of indicators with significant need for quality improvement actions were 1) LFAT indicator ‘Trained staff - Community Health Care Providers trained in lymphoedema management’ which did not achieve the 75% benchmark in any of the countries; 2) HFAT indicator on use of surgical safety checklist which only achieved the 75% benchmark in Liberia.DiscussionThe discussion highlights the current challenges faced by endemic countries to ensure that an essential package of care (of sufficient quality) for lymphedema management and hydrocele surgery is available.

Service availability and readiness to provide maternal and newborn healthcare services in Kilimanjaro region, Tanzania: a cross sectional study

ObjectiveTo assess service availability and readiness of health facilities to provide maternal and newborn care in the Kilimanjaro region, northern Tanzania: a study conducted between August to October 2022.DesignThe study...

Assessing readiness of health facilities for implementing a social health insurance programme in Khyber Pakhtunkhwa, Pakistan

Objective: To assess the readiness of empanelled health facilities, encompassing secondary and tertiary care hospitalsunder the SCP Programme, to effectively implement the benefits package.Method: A cross-sectional survey was conducted in 38 public and private hospitals providing services under the SCPProgramme across 10 districts of KP. The study utilized a Health Facility Assessment tool adapted from WHO's ServiceAvailability Readiness Assessment and other frameworks. The readiness was measured across 8 domains includingInfrastructure, Governance, Health Information System, Infection Control, Sehat Card desk services, Billing & Reimbursement,Clinical Services, and Clinical Support Services. Data was collected from October 2022 to February 2023.Results: Based on our assessment, tertiary hospitals generally demonstrated a higher level of readiness compared tosecondary hospitals across various domains. Tertiary hospitals demonstrated better readiness for access and infrastructure(92%), governance and leadership (97%) and infection prevention (79%). Secondary hospitals showed lower readinessscores in areas like HMIS (65%), billing & reimbursements (75%), and infection control (64%). The tertiary facilitiesoutperformed secondary ones in clinical and support services, including emergency rooms, intensive care, surgery,obstetrics, laboratory services, blood banks, radiology, and pharmaceutical services. The overall preparedness wassignificantly higher in urban, relative to rural, hospitals across most indicators.Conclusion: The study underscores the need for targeted capacity building in KP's health facilities, particularly secondaryand remote hospitals. These improvements are crucial for successful implementation and expansion of the SCP programme.Keywords: Health Facility Readiness, Social Health Insurance, Sehat Card Plus Programme, Khyber Pakhtunkhwa, HealthServices Evaluation.

Availability and readiness of public health facilities to provide differentiated service delivery models for HIV treatment in Zambia: implications for better treatment outcomes.

There is persistent pressure on countries with a high burden of HIV infection to reach desired targets for HIV treatment outcomes. This has led to moving from the "one-size-fits-all" model to differentiated service delivery (DSD) models, which are meant to be more patient-centered and efficient but without compromising on the quality of patient care. However, for DSD models to be efficient, facilities should have indicators of HIV services available and ready to provide the DSD models. We aimed to assess the availability of HIV service indicators and the readiness of facilities to provide DSD models for HIV treatment in selected public health facilities in Zambia. We conducted a nationwide cross-sectional survey among public health facilities in Zambia that provide antiretroviral therapy (ART) services. We used an interviewer-administered questionnaire based on a World Health Organization (WHO) Service Availability Readiness Assessment (SARA) tool to assess the availability of HIV service indicators and the readiness of facilities to implement DSD models for HIV treatment. Availability and readiness were considered latent constructs, and therefore, we used structural equation modeling (SEM) to determine the correlations between them and their respective indicators. Of 60 public health ART facilities, the overall availability of HIV service indicators was 80.0% (48/60), and readiness to provide the DSD models was 81.7% (48/60). However, only 48 and 39% of the facilities had all indicators of availability and readiness, respectively. Retention in care for HIV multidisciplinary teams was more likely to occur in urban areas than in rural areas. SEM showed that the standardized estimate between availability and readiness was significantly and positively correlated (r = 0.73, p < 0.0001). In addition, both availability and readiness were significantly and positively correlated with most of their respective indicators. Although most facilities had available HIV service indicators and were ready to provide DSD models, most facilities did not have all indicators of availability and readiness. In addition, there were differences between rural and urban facilities in some indicators. There is a need for persistent and heightened efforts meant to implement DSD in HIV treatment, especially in rural areas to accelerate reaching the desired HIV treatment outcomes.

Assessment of Facility Readiness for Pediatric Emergency and Critical Care Utilizing a 2-Phase Survey Conducted in Six Hospitals in Uganda and Cameroon: A Quality Improvement Study.

Each year, 5.3 million children under 5 years of age die in low-resource settings, often due to delayed recognition of disease severity, inadequate treatment, or a lack of supplies. We describe the use of a comprehensive digital facility-readiness survey tool, recently developed by the Pediatric Sepsis Data CoLaboratory, which aims to identify target areas for quality improvement related to pediatric emergency and critical care. Facility-readiness surveys were conducted at six sub-Saharan African hospitals providing pediatric emergency and critical care in Uganda (n = 4) and Cameroon (n = 2). The tool is a 2-phase survey to assess readiness to provide pediatric essential emergency and critical care: (1) an "environmental scan," focusing on infrastructure, availability, and functionality of resources, and (2) an "observational scan" assessing the quality and safety of care through direct observation of patients receiving treatment for common diseases. Data were captured in a mobile application and the findings analyzed descriptively. Varying levels of facility readiness to provide pediatric emergency care were observed. Only 1 of 6 facilities had a qualified staff member to assess children for danger signs upon arrival, and only 2 of 6 had staff with skills to manage emergency conditions. Only 21% of essential medicines required for pediatric emergency and critical care were available at all six facilities. Most facilities had clean running water and soap or disinfectants, but most also experienced interruptions to their electricity supply. Less than half of patients received an appropriate discharge note and fewer received counseling on postdischarge care; follow-up was arranged in less than a quarter of cases. These pilot findings indicate that facilities are partially equipped and ready to provide pediatric emergency and critical care. This facility-readiness tool can be utilized in low-resource settings to assist hospital administrators and policymakers to determine priority areas to improve quality of care for the critically ill child.

Assessing Facility Readiness to Provide Equitable Birthing Care in New York State: A Baseline Survey.

Facility policies, practices, and culture contribute to inequities in maternal outcomes. In New York State (NYS), Black birthing people are 4 to 5 times more likely to experience maternal mortality than White birthing people. Understanding the racial, ethnic, linguistic, and gender equity policies at NYS birthing facilities can identify areas of improvement to impact care and outcomes. The design was a cross-sectional study. The setting was NYS birthing facilities, which included hospitals and birthing centers. Facility leadership completed self-reported surveys from December 2020 through June 2021. Facility equity data were obtained across 4 domains: (1) organizational commitment to equity, (2) staff equity training and evaluation, (3) leadership and staff composition, and (4) patient data, voice, and influence. Over half of NYS birthing facilities documented a public commitment to equity in their mission, but only 15% had a written equity plan with processes for monitoring progress. Less than one-third of facilities stated that staff from underrepresented racial, ethnic, and language, gender (REaLG) groups were proportionally represented in leadership and management positions. About half of the facilities reported their staff composition reflects their patient population, but only a quarter analyzed staff REaLG demographics to serve diverse patients. Twenty-eight percent of facilities assess diversity in their board of directors, facility leadership, medical leadership, medical staff, and administrative staff. One-third required staff implicit bias training; 17% collected and used data on patient satisfaction regarding racial equity; and 12% engaged affected communities. Facilities differed in their implementation of policies and practices that support equitable care. Survey data provide facilities with specific areas of improvement to focus their efforts. Equity assessments are an important step for facilities to evaluate their policies and practices and for statewide institutions to develop programming.

Analisis Kesiapan Guru dalam Implementasi Kurikulum Merdeka di SMP Negeri 2 Panti

This research is motivated by the fact that teachers are not yet fully prepared to implement the Merdeka Curriculum in schools, as they do not fully understand the curriculum structure, Learning Outcomes (LO), Learning Objectives (LO), Learning Objective Flow (LOF), and the understanding of the Pancasila Student Profile Strengthening Project (PSPSP), which has not been fully comprehended by each teacher. Supporting facilities and infrastructure are available but are not yet complete. This study aims to analyze the readiness of teachers in implementing the Merdeka Curriculum at SMP Negeri 2 Panti, Panti District, Pasaman Regency, West Sumatra Province. This research is descriptive with a qualitative approach. This method was chosen according to the needs of this research, namely to analyze the readiness of teachers at SMP Negeri 2 Panti in implementing the Merdeka Curriculum. Data analysis was conducted using a Likert scale. Based on validity tests by teachers, the understanding of the curriculum structure is categorized as very ready with an average of 92.33%. The readiness of lesson planning has an average of 95.33% with a very ready criterion. The readiness of the learning process has an average of 89% with a very ready criterion. The readiness of teaching modules has an average of 90% with a very ready criterion. The readiness of facilities and infrastructure has an average of 92% with a very ready criterion, and the readiness of assessment has an average of 94% with a very ready criterion. Teachers' readiness in implementing the Merdeka Curriculum at SMP Negeri 2 Panti is very ready to execute the Merdeka Curriculum.

Incidence and factors associated with immediate adverse neonatal outcomes among emergency obstetric referrals in labor at a tertiary hospital in Uganda: a prospective cohort study

BackgroundHigh rates of adverse neonatal outcomes in resource-limited settings are multifactorial, varying by country, region, and institution. In sub-Saharan Africa, the majority of adverse neonatal outcomes are intrapartum related, and studies in Uganda have shown that referral in labor is a major determinant of adverse neonatal outcomes. This study aimed to assess the incidence and factors associated with immediate adverse neonatal outcomes among emergency obstetric referrals in labor at a tertiary hospital in Eastern Uganda.Materials and methodsThis was a prospective cohort study involving 265 women who were referred in labor to Jinja Regional Referral Hospital in Uganda with emergency obstetric complications. The exposure of interest was being referred with obstetrical emergency, and the outcome variable was adverse neonatal outcomes. The study was conducted between July 5, 2023, and October 5, 2023. Consecutive sampling was used, and data on sociodemographic and obstetric factors, referral related factors, as well as the primary outcome variable (adverse neonatal outcome) were collected via interviewer-administered questionnaires. The data were then cleaned, coded, and analyzed using STATA version 14. Log-binomial regression determined risk ratios and associations for factors related to adverse neonatal outcomes. Variables with p-values < 0.2 in bivariable analysis were included in the multivariable analysis, where significance was set at p < 0.05.ResultsOf the 265 women exposed to emergency obstetrical referrals, 40% experienced adverse neonatal outcomes, a composite measure including neonatal intensive care admission (27.6%), low Apgar score (23.8%), fresh stillbirth (11.3%), early-onset neonatal infection (6.8%), and early neonatal death (2.3%). Factors significantly associated with adverse neonatal outcomes were; maternal age ≥ 35 years (aRR = 1.72, CI:1.194–2.477, p value = 0.004), APH (aRR = 2.48, CI: 1.859–3.311, p-value < 0.001), and non-reassuring fetal status (aRR = 1.90, CI: 1.394–2.584, p-value < 0.001).ConclusionsThe study found a high rate of adverse neonatal outcomes among emergency obstetric referrals, with 40% of participants facing issues like ICU admissions, low Apgar scores and fresh stillbirth. Key factors included maternal age over 35, antepartum hemorrhage, and non-reassuring fetal status. These results highlight the urgent need for targeted interventions in emergency obstetric care. Strategies should enhance referral systems, improve facility preparedness, train healthcare providers, and educate communities on timely referrals and managing high-risk pregnancies.

Analyzing the Risk Factors of Early Neonatal Deaths in Kupang District, Rural Eastern Indonesia

The neonatal mortality rate in East Nusa Tenggara (NTT) remains high, with 80% of neonatal deaths occurring in the early period. This study aims to analyze the risk factors contributing to early neonatal death in Kupang District. A retrospective case-control study was conducted, involving 31 cases of early neonatal death and 69 controls from medical records from January 2023 to June 2024. Multinomial logistic regression analysis was used to identify the influence of maternal health, birth, neonatal factors, and healthcare facility readiness. The results showed that birth weight, frequency of antenatal visits, and the completeness of medical equipment were significant predictors of early neonatal death. More frequent antenatal visits were found to reduce the risk of death by 24%, while low birth weight increased the risk by 30%. In conclusion, interventions focusing on preventing low birth weight, ensuring compliance with minimum antenatal visits, and improving the readiness of basic healthcare facilities could reduce early neonatal death in this region.

Energy Service Security for Public Health Resilience: Perception and Concerns in Western Upper Peninsula of Michigan☆

AbstractThe Western Upper Peninsula of Michigan includes six rural counties and one Tribal Nation. The region is characterized by long winters, legacies of the extractive mining economy, and the infrastructural features of extreme rurality, including aging housing and low health service density. The region also faces exceptionally high electricity prices. There is limited research on the public health implications of energy service disruption in rural regions resulting from the increasing intensity and frequency of weather events caused by climate change. This article presents research findings examining the readiness of health facilities in this area to manage the rising intensity, severity, and frequency of severe weather that could disrupt energy services. The study also considers how this knowledge can guide decision‐making to improve energy service access and maintain resilient public health services in the region. This exploratory study utilized a qualitative approach that combines semi‐structured interviews with public health stakeholders and a short survey to triangulate the findings from health facilities. Given the pivotal role of dependable energy services in community health, these findings underscore the community's perception of self‐reliance as both an asset and a hurdle. This perception aligns with the realities of rural communities at the “end of the line” regarding critical infrastructure, which also serves as a formidable barrier to social organization and infrastructure access during energy service disruptions that can severely impact public health.

Primary Health Facilities Readiness in Providing Non-communicable Disease Services in Katavi Region: Cross Sectional Study

Background: non-communicable disease by its nature is serious global public challenges in management. Affect individual physiological, social, and cost-effective if left to chronic the mortality rate increased. Current study aimed to assess the primary health facilities readiness in providing non-communicable disease services in Katavi region.

Assessment Of Facility Readiness And Knowledge Gaps Among Service Providers For Cervical Cancer Screening At The Primary Health Care Level

Assessment Of Facility Readiness And Knowledge Gaps Among Service Providers For Cervical Cancer Screening At The Primary Health Care Level

Assessment of the readiness of health facilities in urban areas to deliver geriatric-friendly care services: a cross-sectional study in Kampala City, Uganda

BackgroundWith the global rise in the elderly population, ensuring geriatric-friendly healthcare services is paramount. This study aimed to assess the current readiness of health facilities in Kampala City, Uganda, to provide geriatric-friendly care services.MethodsWe conducted a cross-sectional study in 35 health facilities (HF) including Private for-profit (PFP), Private not-for-profit, and public (government-run) facilities at different levels i.e., Health Centre III, Health Centre IV, and Hospitals, within Kampala City, Uganda. Data was collected using a self-administered health facility assessment tool. Facilities scoring 80–100 were classified as fully ready to offer geriatric-friendly care, 51–79 indicated moderate readiness, and 0–50 indicated low readiness.ResultsThe overall readiness index (RI) across all facilities was low, 44.09 (SD ± 14.18). The National Referral Hospital (NRH), PFPs, and HFs in Kampala Central had the highest RI of 55.34. 47.63 and 51.09 respectively. The low readiness of HF to provide geriatric-friendly care was due to the low scores in leadership and governance (13.49), financing (19.29), human resource (42.66), and Health Management Information System (47.99) WHO building blocks. HCIVs had a higher readiness index than the other HF levels (Coefficient: 17.40, 95% CI: 4.16 to 30.64, p = 0.012). HFs in Kawempe had a significantly lower RI than those in Makindye and Kampala Central (Coefficient: -13.80, 95% CI: -24.48 to -3.11, p = 0.013).ConclusionThe findings of our study indicate that public and private health facilities in Kampala City are not ready enough to provide geriatric-friendly care services.

Are Ethiopian health facilities providing diabetes services capable of managing tuberculosis? Policy implications for introducing diabetes and tuberculosis collaborative care

ObjectiveThis study aimed to assess the availability and preparedness of health facilities offering diabetes mellitus (DM) to manage tuberculosis (TB) in Ethiopia.DesignSecondary data analysis of institution-based cross-sectional national survey data.SettingData...

Creation of an Emergency Care Capacity Assessment Tool for Facilities in Austere Environments.

Facilities in austere environments may consider emergency care beyond their scope. Often patients with high-acuity conditions have no other choice than to present to these facilities. The disconnect between the intent of health systems planners and the reality faced by providers manifests as facilities unable to manage such cases.The Indian Health Service, with a range of stakeholders, developed an emergency care delivery assessment tool for facilities in austere environments, designed to identify deficiencies in facility readiness for emergency care delivery across four areas: 1. Procedural2. Human resources3. Non-pharmacologic material resources4. Pharmacologic material resources. The tool's underlying architecture is a resource matrix similar to hospital-based tools, using the "Facility" component of the WHO Emergency Care Systems Framework as the Y-axis and undifferentiated presentations taught by the WHO basic emergency care course, advanced trauma life support, and advanced life support in obstetrics as the X-axis. The tool was piloted at a remote frontier clinic. We found 48 deficiencies: 7 procedural, 1 human resources, 31 non-pharmacologic materials, and 9 pharmacologic materials. We aggregated deficiencies by facility function to assess the capacity to perform each. We also aggregated deficiencies by clinical presentation to identify targets for educational interventions. We successfully created a novel emergency care capacity assessment tool for use in austere environments using materials with broad international consensus. The successful pilot found deficiencies across all 4 areas. This tool may be useful in many other remote domestic facilities and rural health posts in low- and middle-income countries.

Understanding Learning Loss in Primary Schools: Blended Learning Policy

The implementation of blended learning, combining face-to-face and online methods, presents a potential solution for primary schools in the new normal era. However, concerns arise regarding its effectiveness, especially regarding potential learning loss among students. This study addresses this gap by investigating learning loss in Makassar City elementary schools utilizing a descriptive survey design. Among 314 randomly selected students, 56.37% reported experiencing learning loss, with causal factors including student readiness (63.28%), teacher readiness (25.06%), and facility readiness (11.6%). Categorization of learning loss levels revealed varying degrees, with 6.68% very high, 24.85% high, 40.11% moderate, 22.60% low, and 5.65% very low. Predominantly, learning loss was attributed to student readiness. However, teacher and facility readiness also played significant roles. Importantly, implementing blended learning with a pedagogical flow showed promise, with 43.63% of students reporting no learning loss. This research underscores the need for comprehensive strategies to address learning loss in blended learning environments, emphasizing student preparedness while also enhancing teacher and facility support. As educators navigate the challenges of the new normal, understanding, and mitigating learning loss are essential for ensuring effective educational outcomes.

An approach to integrated management of diabetes in tuberculosis patients: Availability and readiness of the health facilities of Bangladesh.

Comorbidity of diabetes mellitus and tuberculosis (TB) is a major public health concern in low- and middle-income countries including Bangladesh. An integrated approach is required for adequate management of diabetes mellitus and TB. The objective of the present study was to investigate the availability and readiness of the TB care centers of Bangladesh toward diabetic patients' management. The present study was conducted based on existing data obtained from the Bangladesh Health Facility Survey (BHFS) 2017. Data collected from a total of 303 facilities providing TB services were retrieved. The outcome variables of the present study were availability and readiness of the TB health facilities for providing diabetes mellitus service. Readiness was measured for four domains: staff and guidelines, equipment, diagnostic facility and basic medicine. The independent variables were: facility level, management authority and location of the facility. Binary and multiple logistic regression models were constructed for both the outcome variables (availability and readiness) to find out their predictors. Services for diabetes mellitus were available in 68% of the TB facilities while high readiness was present in 36% of the facilities. For domain-specific readiness index, readiness for the domains of staff and guidelines, equipment, diagnostic facility and basic medicine was reported in 46%, 96%, 38% and 25% facilities respectively. In the logistic regression model, availability of diabetes mellitus services was better in primary level (aOR 2.62, 95% CI 1.78-4.77) and secondary level (aOR 3.26, 95% CI 1.82-9.05) facilities than community facilities. Similarly, readiness of diabetes mellitus care was also better in these facilities (aOR 2.55, 95% CI 1.05-4.71 for primary and aOR 2.75, 95% CI 1.80-4.32 for secondary facilities). Besides, private TB facilities had better availability (aOR 2.84, 95% CI 1.75-5.89) and readiness (aOR 2.52, 95% CI 1.32-4.29) for diabetes mellitus care. Availability and readiness for providing diabetes mellitus services in TB care providing facilities in Bangladesh is inadequate.

Prevention and management of anaemia in pregnancy: Community perceptions and facility readiness in Ghana and Uganda.

Anaemia is one of the most common conditions in low- and middle-income countries, with prevalence increasing during pregnancy. The highest burden is in Sub-Saharan Africa and South Asia, where the prevalence of anaemia in pregnancy is 41.7% and 40%, respectively. Anaemia in pregnancy can lead to complications such as prematurity, low birthweight, spontaneous abortion, and foetal death, as well as increasing the likelihood and severity of postpartum haemorrhage. Identifying and mitigating anaemia in pregnancy is a public health priority. Here we present a mixed-methods situational analysis of facility readiness and community understanding of anaemia in Ghana and Uganda. Quantitative health assessments (adapted from service availability and readiness assessments) and qualitative key informant interviews (KIIs) with district-level stakeholders, in-depth interviews (IDIs) with maternity staff, and focus group discussions (FGDs) with community members were held in 2021. We carried out facility assessments in nine facilities in Ghana and seven in Uganda. We carried out seven KIIs, 23 IDIs, and eight FGDs in Ghana and nine, 17, and five, respectively, in Uganda. Many good practices and general awareness of anaemia in pregnancy were identified. In terms of bottlenecks, there was broad consistency across both countries. In health facilities, there were gaps in the availability of haemoglobin testing-especially point-of-care testing-staffing numbers, availability of standard operating procedures/guidelines for anaemia in pregnancy, and poor staff attitudes during antenatal care. Amongst community members, there was a need for improved sensitisation around malaria and helminth infections as potential causes of anaemia and provision of education around the purpose of iron and folic acid supplementation for preventing or managing anaemia in pregnancy. Anaemia in pregnancy is a persistent challenge, but one with clear opportunities to intervene to yield improvements.

Prevalence and determinants of readiness of health facilities for quality antenatal care services in Bangladesh.

This study investigates the prevalence and determinants of readiness for quality antenatal care (ANC) services in Bangladesh using data from the 2017 Bangladesh Health Facility Survey (BHFS). We assessed the association between selected factors and the readiness index using multinomial logistic regression. We identified a significant gap in the availability and quality of ANC services, only 4.26% of health facilities provide quality ANC services, with rural facilities showing lower readiness compared to urban facilities (RRR:0.13; 95% CI: 0.06-0.31; p < 0.001). Community clinics and private hospitals have a lower likelihood of medium or high readiness compared to public hospitals or clinics. Health facilities with specialized care are more likely to demonstrate readiness for quality ANC services. Policy recommendations include increased healthcare funding, implementation of ANC guidelines, strengthened monitoring and evaluation of health facilities, and heightened community awareness. These measures should improve ANC, overall health outcomes, and public health policies.

Availability and readiness of health facilities providing services for other infectious diseases to treat neglected tropical diseases in Ethiopia: implications for service integration in high burden areas

BackgroundThe burden of neglected tropical diseases (NTDs), HIV/AIDS, tuberculosis, and malaria pose significant public health challenges in Ethiopia. This study aimed to the explore service availability and readiness for NTD care among Ethiopian health facilities treating tuberculosis (TB), HIV/AIDS, and/or malaria.MethodsThis study utilized secondary data from the Ethiopian Service Provision Assessment 2021–22 survey. The availability of services was calculated as the percentage of HIV/AIDS, tuberculosis, or malaria facilities providing NTD services. Facilities were considered highly prepared to manage any type of NTD if they scored at least half (> 50%) of the tracer items listed in each of the three domains (staff training and guidelines, equipment, and essential medicines). Descriptive statistics and logistic regression models were employed to present the study findings and analyze factors influencing facility readiness, respectively.ResultsOut of 403 health facilities providing NTD care nationally, 179, 183, and 197 also offer TB, HIV/AIDS, and malaria services, respectively. The majority of TB (90.1%), HIV/AIDS (89.6%), and malaria (90.9%) facilities offer soil-transmitted helminth services, followed by trachoma (range 87–90%). The percentages of the aforementioned facilities with at least one trained staff member for any type of NTD were 87.2%, 88.4%, and 82.1%, respectively. The percentage of facilities with guidelines for any type of NTD was relatively low (range 3.7–4.1%). Mebendazole was the most widely available essential medicine, ranging from 69 to 70%. The overall readiness analysis indicated that none of the included facilities (TB = 11.9%; HIV/AIDS = 11.6%; and malaria = 10.6%) were ready to offer NTD care. Specifically, a higher level of readiness was observed only in the domain of medicines across these facilities. Hospitals had better readiness to offer NTD care than did health centers and clinics. Furthermore, a significant associations were observed between facility readiness and factors such as facility type, region, presence of routine management meetings, types of NTD services provided, and fixed costs for services.ConclusionsEthiopian health facilities treating TB, HIV/AIDS, and malaria had an unsatisfactory overall service availability and a lack of readiness to provide NTD care. Given the existing epidemiological risks and high burden of TB, HIV/AIDS, malaria, and NTDs in Ethiopia, there is an urgent need to consider preparing and implementing a collaborative infectious disease care plan to integrate NTD services in these facilities.