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World-Health-Survey-Saudi-Arabia FOREWORD Saudi Arabia’s commitment to the global health security agenda and Sustainable Developmental Goals is in-line with the strategic orientation of the KSA Vision 2030. The national focus on improving the quality of life and wellbeing of the population supports the need for analysis of mega-data in order to learn from the past, understand the current situation, and plan for the future. Conducting the second round of the World Health Survey-2019 in Saudi Arabia should help position the country among the regional and global participants, and in turn allow for better benchmarking and health system evaluation. The World Health Survey KSA-2019 has generated data that covers different aspects of health system sustainability. Thus, inter- and multi- disciplinary research activities should be utilized to address different health concerns and establish informed approaches to various health-related challenges. The National Transformation Program and Vision 2030 focus on preventive health and patient-centered healthcare. Thus, data generated from the World Health Survey serves as an asset for mapping and modeling population health needs and understanding the dynamic of social determinants of health. Therefore, establishing a healthcare reform execution plan that meets the population’s expectations is pivotal to positively influencing overall wellbeing and quality of life. In parallel, public health experts could also utilize the generated data to evaluate current programs to enable optimal resource allocation. The currently going on Model of Care Initiative will greatly benefit from in-depth analysis of the survey data to ensure health programs covering the whole community , with special focus on child,women,and elderly population. This report highlights the findings of the 2019 World Health Survey-Saudi Arabia which governmental officials, policymakers and researchers can utilize for holistic management to address public health and healthcare system needs. Meanwhile, where the findings are promising, efforts must be exercised to maintain the country’s profile and further improve the healthcare system. Tawfiq F. Alrabeah Minister of Health ACKNOWLEDGEMENT As Director of Vision Realization Office, and Deputy for Planning and Transformation principal I have the honor to convey my great thanks to the World Health Survey- Saudi Arabia (WHS-KSA) Implementation Taskforce, and I am indebted to the experienced, knowledgeable, and committed teams that helped in developing such a groundbreaking report. We are grateful for our longstanding relationship with Saudi Health Council (SHC), National Center for Disease and Control (NCDC), General Authority for Statistics (GaStat), and World Health Organization (WHO) and would like to express our deep gratitude to continuous support and valuable contribution throughout the project period. We are grateful for members of expert panel for their sincere generosity with their time, collective wisdom and insights reflected in this report. We are also indebted to our partner Um Alqura University for their effort in execution the implementation process and surveyor recruitment. Our deep gratitude to surveyors for their commitment, participation, efforts, and time. We greatly acknowledge the efforts of all colleagues at Assistant Deputyship for Planning and Organizational Excellence for their continuous support. We express our gratitude for support and efforts exercised by General Directorate for Internal Communication, and General Directorate for Communication, Public Relation and Awareness. Dr. Khalid Alshibani Director of Vision Realization Office, and Deputy for Planning and Transformation WORLD HEALTH SURVEY- SAUDI ARABIA 2019 SCIENTIFIC COMMITTEE MEMBERS Full Name Scientific Qualification Department Assistant Deputyship for Planning Mr. Abdulaziz Hasan Abdulbaqi BSc Medical Technology & Institutional Excellence-MoH. MD, MBA, MPH,FFPH, Vision Realization Office 2030, MoH- Dr. Abdullah T. Khoja SBFM, MRCGP. Center for National Health insurance MBBS, MRCP UK General directorate for Statistics Dr.Abdel Ghaffar H.Humieda (London), FRCP Edin. and Information-MoH MD, Public Health and General directorate for Statistics Dr. Abdulaziz Ismail Yassin Abou Hussein Preventive Medicine and Information-MoH BDS, MSHCM, PhD, Health Care Faculty of Health Sciences, Dr. Ahamed A Alshehri Management, Health Policy. Umm Alqura University Director General Directorate of Mrs. Athari Faisal Alotaibi Bachelor of Pharmaceutical Sciences Research and Studies- MoH. Dental Public Health at King Dr. Deema Abdulhakim Sahab Masters of Public Health Abdulaziz University King Abdullah International Medical Research Center (KAIMRC), Ministry of Mrs. Duaa Ibrahim Olwi MSc, Public Health and Epidemiology National Guard-Health Affair and MRC Epidemiology Unit, University of Cambridge Director General directorate for Mr. Faisal Ghadwi alshammari MSc , Health Information. Statistics and Information-MoH. Associate Professor at the Faculty of Dr. Leena Adnan Merdad Doctorate of Science (D.S.c.) Dentistry at King Abdulaziz University General Directorate for Health Programs Dr. Izzeldin Fadl Adam MSc, PhD, Epidemiology and Chronic Diseases - MOH MBBS,FRPH(UK) ,MD General Directorate for Health Programs Dr. Manal Abdalla Elimam Ahmed Community Medicine and Chronic Diseases - MOH MSc Statistical and Director of Sampling Department at Mr. Majed Meshari Alfheed Mathematical Modeling General Authority for Statistics Regional Project Manager at Beam Mr. Muayad Abdurrahman Hendi MSc, Healthcare Management Consultancy and Research company Dr. Mohamed Mahmoud Ali PhD, Statistician WHO, Geneva Dental Public Health, Faculty of Dr. Nada Jamil Fars BDS, MSc, PhD, Public HeWalth Dentistry, King Abdulaziz University Mrs. Quds Abdulla Al Saffar Bachelor of Pharmacy, MPH,CPH. Saudi Health Council Saudi Center for Disease Dr. Rasha Abdulrahman Alfawaz PhD, Public Health & Epidemiology Prevention & Control (SCDC) Saudi Center for Disease Dr. Salem Mohammad AlBalawi PhD, Public Health & Epidemiology Prevention & Control (SCDC) Director General Directorate for Health Dr. Shaker Abdulaziz Alomary MBBS,Saudi Board FM,ABFM Programs and Chronic Diseases-MOH. Dr.Taghred Mohammed Alghaith PhD, Healthcare Strategy Saudi Health Council Statistical Specialist in Sampling Department Mr. Tamim Abdulaziz Altammam Bachelor’s degree in Statistics at General Authority for Statistics General directorate for Statistics Mrs Wadha Alhassan Alabsi DN, BSc Health Admin. and Information-MoH Assistant Deputy for Planning and Dr. Weam M. Banjar DDS., MS. in Clinical Research Organization Excellence-MoH. TABLE OF CONTENTS 1. SURVEY OBJECTIVES 12 1.1 Introduction ������������������������������������������������������������������������������������������������������������������������������������������������� 12 1.2 Survey Objectives �������������������������������������������������������������������������������������������������������������������������������������� 12 1.3: Sustainable Development Goal(1) & Global Reference List of 100 Core Health Indicators(2) ��������������������� 13 2. SURVEY METHODOLOGY 16 2.1 Institutional Review Board (IRB) Approval �������������������������������������������������������������������������������������������������� 16 2.2 Questionnaires �������������������������������������������������������������������������������������������������������������������������������������������� 16 2.3 Anthropometry and Blood Testing �������������������������������������������������������������������������������������������������������������� 17 2.4 Training of Field Supervisors and Interviewers ������������������������������������������������������������������������������������������� 17 2.5 Pre-test & Challenges ��������������������������������������������������������������������������������������������������������������������������������� 18 2.6 Fieldwork..................................................................................................................................................... 18 2.7 Quality Monitoring & Control ����������������������������������������������������������������������������������������������������������������������� 19 2.8 Data Processing and Analysis �������������������������������������������������������������������������������������������������������������������� 20 2.9 Response Rate............................................................................................................................................ 20 3. CHARACTERISTICS OF HOUSING AND HOUSEHOLD POPULATION 24 3.1 Household Characteristics ������������������������������������������������������������������������������������������������������������������������ 24 3.1.1 General housing characteristics ������������������������������������������������������������������������������������������������������ 24 3.2 Household Wealth �������������������������������������������������������������������������������������������������������������������������������������� 25 3.2.1 Household durable goods ��������������������������������������������������������������������������������������������������������������� 25 3.2.2 Wealth index ������������������������������������������������������������������������������������������������������������������������������������� 25 3.3 Household population �������������������������������������������������������������������������������������������������������������������������������� 26 3.3.1 Characteristics of household population ����������������������������������������������������������������������������������������
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