This cross-sectional survey was conducted in 625 health facilities selected from four agrarian regions of Ethiopia between January 09, 2017, and March 30, 2017. The objective of this report was to carry out a monitoring and evaluation exercise on the implementation of the child survival program project. The result of this report revealed that overall performance from the planned institutions to visit was 94% achievement. In addition to on-site technical support provided to facility staff, the following major findings were identified by the SS teams. 77% and 54% of pharmacy heads and health facility heads were trained on the Drug and Therapeutics Committee (DTC), respectively. The SS revealed there is a significant improvement in IPLS/LMIS implementation and availability of CHCs compared with the baseline. In terms of commodity availability, 82%, 73%, and 91% of HCs had Amox DT 250mg, ORS, and Zinc, respectively, on the day of the visit. Numerous HCs were not using Amox DT for Intra facility consumption. The application of IPLS formats for CHCs was found to be limited. There was low adherence to the new IMNCI guidelines in terms of diarrhea and pneumonia treatment. About 14% of diarrhea cases were not treated with ORS, and 24% of cases were not treated with zinc. Similarly, among children seen with pneumonia, 72% were treated with Amoxicillin, while 14% were treated with other antibiotics (typically cotrimoxazole) Of which Amox DT 250mg treatment was given only for 7% of children with pneumonia cases. This requires an expedited rollout of the new IMNCI GL.  The busy schedule of Woreda health offices with different activities to provide feedback directly to woreda/facility heads (for the debriefing of the SS findings) and multiple governmental meetings to conduct the SS based on arranged schedules were among some of the challenges faced during the SS.

• supportive supervision
• Clinton Health Access Initiative
• Ethiopia

no

The 2017 second-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 1194 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, Woreda Health Offices, health posts) conducted between January 09, 2017, and March 30, 2017. 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 these visits was:

• To carry out a monitoring and evaluation exercise on the implementation of the CSP 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 and 1st round SS;
• To see the progress of LMIS and DTC status after DTC and IPLS training;
• To assess and support selected model health facilities in each implementation woreda, To share best experiences among the facilities; and to forward viable recommendations to officials based on identified gaps.

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