The Clinton Health Access Initiative (CHAI), with the guidance of the Federal Ministry of Health (FMOH) and the Pharmaceutical Fund & Supply Agency (PFSA), supported through funding from Bill and Melinda Gates Foundation (BMGF), are implementing Child Survival Program (CSP) to contribute to the national goal of reducing child morbidity and mortality in Ethiopia. This project, beginning in October 2015, focuses on addressing gaps in childhood pneumonia and diarrhea which is a priority for FMOH, by accelerating access to life saving child health commodities (CHC). The program is operational in four agrarian regions of Ethiopia, namely Amhara, Oromia, SNNPRs and Tigray. A total of 1155 health institutions (384 health centers, 48 hospitals, 338 health posts and 385 woreda health offices) visited for SS between May 2, 2017 and August 4, 2017. Overall performance from the planned institutions to visit was 95% achievement. In addition to in this round we were able to access the data from 936 non-model HCs that were collected by WoHO logistic officers during their supportive supervisions. In addition to on-site technical support provided to facility staff, the following major findings were identified by the SS teams. 73% and 51% of pharmacy heads and health facility heads were trained on Drug and Therapeutic Committee (DTC), respectively. The baseline for the same training of pharmacy heads and health facility heads were 13% and 7% respectively. DTC establishment and functionality improved 63% from 19% (baseline). The SS revealed that there is significant improvement in IPLS/LMIS implementation and availability of CHCs compared with the baseline. In terms of commodity availability, 83%, 91% and 99% of HCs had Amox DT 250mg, ORS, and Zinc, respectively, on the day of visit . There was low adherence to the new IMNCI guidelines in terms of diarrhea and pneumonia treatment. About 13% of diarrhea cases were not treated with ORS, and 16% of cases were not treated with zinc. Similarly among children seen with pneumonia, 84% were treated with Amoxicillin, while 10% were treated with other antibiotics (typically cotrimoxazole). Of which Amox DT 250mg treatment was given only for 16% of children with pneumonia cases. This requires expedited rollout of the new IMNCI GL.  At 3rd round  the report  was shows  % of HCs with pharmacy head or head dispenser trained on IPLS76%, % of HCs with store manager trained on IPLS 78%, % of HC Has bin card 100%, % of HCs that has RRF 100%, % of HCs that has IFRR 98%, % of HCs Has posted in the store proper storage principles 46 %,  &% facilities with updated bin card  77%. Gaps observed during  this report Limitations in updating bin cards for CHCs including ORS, which is in use for several years, Availability of the ORS/Zinc co-pack is extremely low, Although Amox DT 250 mg is available in a decent number of health centers, its utilization is still very low& The practice of prescribing both Zinc-ORS for diarrhea cases simultaneously needs improvement etc. DTC establishment and functionality based on the criteria, Bin card updating for child health commodities, o Availability and proper distribution of CHCs, particularly Co-Pack and Amox DT, Utilization of Amox DT for under five children with pneumonia cases, and providing ORS and Zinc for all diarrhea cases and Incorporation of CHCs into RRF recommended to improve.

• • Availability of Child Health Commodities pneumonia and diarrhea • children under-5 • progress of LMIS and DTC status • IPLS training • Ethiopia

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      This meta data continues  data of joint Supportive Supervision Reported in  August 2017 by  Clinton Health Access Initiative -Ethiopia on Child Survival Program in Collaboration with PFSA and Regional Health Bureaus    This report investigate the  progress At 3rd round  the report  was shows  % of HCs with pharmacy head or head dispenser trained on IPLS76%, % of HCs with store manager trained on IPLS 78%, % of HC Has bin card 100%, % of HCs that has RRF 100%, % of HCs that has IFRR 98%, % of HCs Has posted in the store proper storage principles 46 %,  &% facilities with updated bin card  77%.  After the assessment of 3rd round report. The data was cleaned and available by excel.

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