Table 2.

Implementation issues identified from 2005 surveys

Issue identified	Evaluation Response	Implementer Response
Relatively low levels of voucher coverage	Qualitative investigation with facility staff to identify reasons for not distributing vouchers	Redevelop training messages for facility workers
Stock-outs of vouchers and antenatal cards required for issuing of voucher	In-depth facility level analysis	Work with the Medical Supplies Division and MEDA to improve supply chains
Relatively low levels of voucher coverage in most geographically isolated clusters	Survey instruments modified in subsequent rounds to include questions about use of outreach services for ANC, and the interventions received.	Develop mechanisms for outreach providers to distribute vouchers
Relatively low levels of retreatment of bednets	Qualitative investigation to identify what voucher recipients understand about retreatment kits	Amend insecticide treatment messages to respond to user knowledge and perceptions
Low knowledge of voucher value	Qualitative investigation into understanding of the value of the value	Develop IEC materials to address voucher value and top-up