Table 3.
Drug supply, stock outs, and resupply mechanisms
| Indicator | n | All Districts | Kasungu | Lilongwe | Mzimba | Nsanje | Ntcheu | Phalombe | p-value |
|---|---|---|---|---|---|---|---|---|---|
| Proportion of HSAs with all critical drugs for CCM—ACTs, cotrim, and ORS—on the day of the visit (95% CI) |
131 |
68.7 (60.0, 76.5) |
52.4 (29.8, 74.3) |
63.6 (40.7, 82.8) |
45.5 (24.4, 67.8) |
100 (84.5, 100.0)* |
90.9 (70.8, 98.9) |
59.1 (35.4, 79.3) |
0.000 |
| Proportion of HSAs with cotrimoxazole on the day of the visit (95% CI) |
131 |
96.2 (91.3, 98.7) |
85.7 (63.7, 97.0) |
95.5 (77.2, 99.9) |
85.7 (63.7, 97.0) |
100 (84.6, 100.0)* |
100 (84.6, 100.0)* |
100 (84.6, 100.0)* |
0.111 |
| Proportion of HSAs with ACTs (Coartem, any dose) on the day of the visit** (95% CI) |
131 |
93.1 (87.4, 96.8) |
81.0 (58.1, 94.6) |
95.5 (77.2, 99.9) |
86.4 (65.1, 97.1) |
100 (84.6, 100.0)* |
100 (84.6, 100.0)* |
95.6 (77.2, 99.9) |
0.074 |
| Proportion of HSAs with ORS on the day of the visit (95% CI) |
131 |
74.0 (65.7, 81.3) |
71.4 (47.8, 88.7) |
68.2 (45.1, 86.1) |
54.5 (32.2, 75.6) |
100 (84.6, 100.0)* |
90.9 (70.8, 98.9) |
59.1 (36.4, 79.3) |
0.003 |
| Proportion of HSAs who report a stockout of any critical drugs in the last 3 months*** (95% CI) |
131 |
46.6 (37.8, 55.5) |
66.7 (43.0, 85.4) |
50.0 (28.2, 71.8) |
50.0 (28.2, 71.8) |
0 (0, 15.4)* |
40.9 (20.7, 63.6) |
72.7 (49.8, 89.2) |
0.000 |
| Median days duration of drug stock outs, any drug (IQR) |
131 |
30 (49.3) |
30 (46) |
41 (75.8) |
60 (82.5) |
__ |
30 (15) |
30 (46) |
__ |
| Proportion of HSAs who received a resupply of drugs in the last 3 months (95% CI) |
130 |
85.4 (78.1, 91.0) |
95.2 (76.2, 99.9) |
85.7 (63.7, 97.0) |
68.2 (45.1, 86.1) |
86.4 (65.1, 97.1) |
95.5 (76.2, 99.9) |
81.8 (959.7, 94.8) |
0.114 |
| Among HSAs who restocked in the last 3 months, proportion who restocked at the nearest health center (95% CI) | 111 | 81.1 (72.5, 87.9) | 95.0 (75.1, 99.9) | 100.0 (81.5, 100)* | 93.9 (68.1, 99.8) | 84.2 (60.4, 96.6) | 28.6 (11.3, 52.2) | 94.4 (72.7, 99.9) | 0.000 |
P-values for differences in proportions between districts are calculated using a chi-squared test; P-values for stock out days are calculated using Kruskall-Wallis rank-sum test; *One-sided 97.5% confidence interval; **Stock out of all Coartem considered when both versions of Coartem stocked out for 45 days or more. ***Stock outs in the last 90 days include observations where a drug was never received.