This cross-sectional survey was conducted in 625 health facilities selected from four agrarian regions of Ethiopia between December 2018 to January 2019. 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 the overall performance from the planned institutions to visit was 87% achievement. The following major findings were identified by the SS teams. 86% and 65% of pharmacy heads and health facility heads were trained on the drug and therapeutic 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, 93%, 100% and 97% of HCs had Amox DT 250mg, ORS, and Zinc, respectively, on the day of visit. Numerous HCs were not using Amox DT for Intra facility consumption. The application of IPLS formats for CHCs was found to be limited.

Improved adherence to the new IMNCI guideline in terms of diarrhea and pneumonia treatment is maintained. About 88% of diarrhea cases were treated with ORS and Zinc which was 86% in the previous SS.

Similarly, among children seen with pneumonia, 90% were treated with any Amoxicillin, but the prescription rate of Amox DT is still less than half (47%); nevertheless, it shows an 11% increment from the previous SS.

The busy schedule of Woreda health offices with different activities to provide feedback directly to woreda/facility heads (for a 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
• Child Survival Program
• Clinton Health Access Initiative

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The 2019 sixth-round joint supportive supervision report by the Clinton Health Access Initiative -Ethiopia, child survival program in collaboration with PFSA and regional health bureaus dataset was produced by an institution-based survey among 1,055 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). It carried out the first SS visit at project sites (Health Centers, Hospitals, Woreda Health Offices, and health posts) conducted between December 2018 to January 2019. The dataset captures information on the performance of the planned institutions, assessing the logistic level of woreda health office, technical support, DTC functionality,  level of training on 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, however, it aimed to achieve the following.

• 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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