Background: the Federal Ministry of Health Ethiopia formulated an ambitious National Newborn and Child Survival Strategy (2015-2020) with the goal of reducing under-five mortality to be implemented in collaboration with its partners. The bulk of live-saving would be through. Addressing Pneumonia and Diarrhea. The Clinton Health Access Initiative (CHAI) Ethiopia is one of the key partners of FMOH was implemented child survival program to strengthen National Procurement Supply Chain Management (PSM) Systems to ensure regular availability of lifesaving child health commodities.Objective: The general objective of this end-line survey was to assess availability of essential child health commodities, mainly Oral Rehydration Salts (ORS), Zinc, Amoxicillin Dispersible Tablets (Amox DT) and supply chain management system status against the baseline assessment Against the baseline assessment results that was conducted in December 2015.

Methodology: a health facility-based comparative cross-sectional assessment design that employed both quantitative and qualitative data collection methods used. The assessment was conducted from June 03, 2019 to July 09, 2019, in randomly selected health facilities in Tigray,Amhara, Oromia and SNNP Regions of Ethiopia. Results: the end line assessment was mainly conducted in facilities where the baseline assessment was conducted with minor modifications of sites for replacements of some health Facilities due to various reasons. A total of 772 health institutions (314 health centers (HC), 316 health posts (HP), 129 woreda health offices (WoHO) and 13 EPSA hubs) were visited in this study. Around 57% of the facility heads and 63% pharmacy heads of the HCs trained on DTC, which was 6% and 11% at baseline. From the HCs that established DTC, 63% of them had functional DTC. In comparison with the baseline, functionality of DTC in HCs significantly improved by 46% from the BLA (p < 0.0001). There was also strong positive relation between availability of trained facility head and pharmacy head on DTC and functionality of DTC (p < 0.0001). From all visited HCs, about 296(94%) of them sent RRF within the recommended reporting period in the last two months. The assessment also revealed as there was significant Improvement in timely reporting of RRF from 85% to 94%; BLA to ELA respectively with (p < 0.0001). There was also strong statistical association between DTC functionality and timely reporting of RRF that 232 (94%) of HCs with functional DTC send RRF on time (p < 0.002). With regard to availability of commodities, in more than 90% of HCs ORS, Zinc and Amox DT 250mg were available on the day of visit. Compared with the BLA availability of ORS, Zinc and Amox DT 250mg was improved significantly by 23%, 42% and 37% respectively, (p < 0.0001) for all. Recommendation: provide tailored, regular and participatory technical support (supportive supervision) to facilities with structural feedback mechanism and M&E implementation by, WoHOs, ZHDs, RHBs and EPSA hubs to more improve sustainable availability of essential commodities. Expand project implementation scope to include more woredas within the previous regions as well as pastoralist regions to address as many children as possible.

• Availability of commodities
• supply chain management
• pharmacy service

No

This data element contains the End line Assessment Report On The Availability of Essential Maternal, Neonatal and Child Health Commodities in Amhara, Oromia, SNNP and Tigray Regions of Ethiopia conducted reported at December 2019. This facility-based cross-sectional assessment design that employed both quantitative and qualitative data collection methods. About 60% visited HCs had trained facility head and pharmacy head on DTC at the time of visit. In line with that DTC functionality improved significantly from the baseline by 46%. There was also strong statistical association between availability of trained facility head and pharmacy head in the HC and functionality of DTC at that specific HC with (p < 0.0001). Variables. Therefore, the final sample size of this study was 630 in the 4 regions. The calculation was done during baseline assessment.

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