The survey was conducted with health care workers in a representative sample of health posts, health centers, and hospitals in Amhara, Oromia, SNNP, and Tigray regions.  This cross-sectional study was conducted in health facilities in Amhara, Oromia, SNNP, and Tigray regions between December 1 and December 30, 2015. The objective of this survey was to measure the availability of key commodities necessary for accurately diagnosing or treating pneumonia and diarrhea in children under-5. The Ethiopian Service Provision Assessment plus tool (ESPA+) was used to collect the baseline survey by using SurveyCTO and analyzed by STATA software. The result showed that The qualitative study findings revealed that although the FMoH adopted 2014 WHO recommendations on childhood diarrhea and pneumonia management, the guidelines have not yet reached all facilities. All respondents felt there was a clear resource gap for oxygen, and the current reliance on partners was not sustainable. The quantitative assessment also found that essential medicines (ORS/Zinc and Amox DT) have only been recently included in the RRF, but these forms have not been distributed and are not being used at the facility level. There was significant variation in IPLS implementation between regions and facility types in terms of challenges and gaps, but there are best practices that exist within the system that can be scaled up after further evaluation. There was also a weak supply chain management linkage between the health centers and health posts. Commodity availability widely varied between regions and facility levels. In general, oxygen available was much higher at the hospital level and lower at the health center level. However, staff members lacked training on providing oxygen therapy and facilities lacked SOPs/job aids for providing oxygen therapy. As anticipated, the Zinc/ORS co-pack availability was fairly low across all regions and facility types. Furthermore, the source of the majority of these commodities was through non-PFSA channels, which makes tracking difficult for stocking and refill decision making.

• Policy Change
• Translation and Implementation
• Pneumonia and Diarrhea Commodities
• Ethiopia
• ESPA+

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This dataset on accelerating policy change, translation, and implementation for pneumonia and diarrhea commodities in Ethiopia produced a mixed study on the health facility study by regional PFSA hubs and woreda health offices conducted between December 1 and December 30, 2015. A pretested and structured questionnaire adapted from other country assessments and the Ethiopian Service Provision Assessment plus tool (ESPA+) was used to collect the baseline survey. SurveyCTO for electronic data collection was rigorously monitored and was subsequently analyzed using STATA.  The data set captures information on the availability of WHO guidelines on childhood diarrhea and pneumonia management to the health facility,  awareness of recently revised IMNCI guidelines (to include pulse oximetry), ways of how to implement FMOH when the guidelines are available, the availability of policies/guidelines on medical oxygen use and supply systems. The quantitative assessment includes the availability of essential medicines (ORS/Zinc and Amox DT), the level of IPLS-related issues, such as training coverage on IPLS, availability of IPLS formats, and IPLS forms in different regions and facility types. The supply chain management linkage between the health centers and health posts, Commodity availability, availability of oxygen at a different health facility, the staff training on oxygen provision, and availability of Zinc/ORS co-pack at the different health facility levels. Generally, the main objective of the baseline assessment was to measure the availability of crucial commodities necessary for accurately diagnosing or treating pneumonia and diarrhea in children under-5. The results provide baseline data for program sites. They will be used to evaluate whether the availability of essential commodities has improved at health posts, health centers and hospitals, and PFSA hubs as a result of the program interventions. Furthermore, the results help inform the program work plan and budget by identifying key barriers.      

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