This cross-sectional survey was conducted in 625 health facilities selected from four agrarian regions of Ethiopia between July 18, 2016, and September 07, 2016. The objective of the survey was to carry out a monitoring and evaluation exercise on the implementation of the project. The result of this survey revealed that the overall performance of the planned institutions to visit is 98%. Eighty-two percent and sixty-six percent of pharmacy heads and health facility heads were trained on the Drug and Therapeutics Committee (DTC), respectively. The baseline for the same training of pharmacy heads and health facility heads was 13% and 7% respectively. DTC establishment and functionality still remain low, 17%, although there is some improvement from the baseline, 10%. The Supportive supervision (SS) revealed there is a significant improvement in IPLS/LMIS implementation and availability of CHCs availability compared with the baseline. In terms of commodity availability, 61%, 85%, and 91% of HCs had Amox DT 250mg, ORS, and Zinc, respectively, on the day of the visit. Most of the HCs are not using Amox DT, rather they were serving as temporary storage until it was transported to satellite health posts in their catchment area. The application of IPLS formats for CHCs is found below. There is low adherence to the new IMNCI guidelines in terms of diarrhea and pneumonia treatment. Sixteen percent of diarrhea cases were not treated with ORS, and 39% of cases were not treated with zinc. The limited capacity of woreda health office logistic officers to provide technical support for HFs was also among the major gaps identified. Building capacity of woreda logistic officers with relevant training like DTC, pharmacy mentoring, and supportive supervision skills is recommended to reach as many facilities as possible. Providing HCs with Amox DT for the treatment of pneumonia should be a key priority for FMOH and its partners. Phasing in a Zinc/ORS co-pack should address some of the utilization gaps. Furthermore, empowering the WoHO logistics officers will be important in ensuring the regular availability of CHCs and strengthening the broader SCM.

• supportive supervision
• Clinton Health Access Initiative

no

The 2016 first-round joint supportive supervision report by the Clinton health access initiative -Ethiopia, child survival program in collaboration with PFSA and regional health bureaus data set is produced by an institution-based survey among 625 health facilities from four agrarian regions of regional government partners (PFSA), Regional Health Bureau (RHB), Zonal Health Department (ZHD) and Woreda Health Office (WoHO) staff members) had carried out the first SS visit at project sites (Health Centers, Hospitals and Woreda Health Offices) conducted between July 18, 2016, and September 07, 2016. The data set captures technical support, Level of training on the Drug and Therapeutics Committee (DTC) among pharmacy heads and health facility heads, improvement in IPLS/LMIS implementation and availability of CHCs availability, the adherence to the new IMNCI guidelines in terms of diarrhea and pneumonia treatment, the capacity of woreda health office logistic officers were assessed. Generally, the objective of this report was to carry out a monitoring and evaluation exercise on the implementation of the project. Specifically;

• To provide onsite technical support for health facilities on the implementation of child survival programs;
• To review the availability of child health commodities compared with the baseline assessment;
• To see the progress of LMIS and DTC status after DTC and IPLS training;
• To share best experiences among the facilities, and to forward viable recommendations to officials based on identified gaps.

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