Table 8.
Definition | Intensive Group (Ready Lessons, Problem Solving, Follow Up) | Non–intensive Group (Ready Lessons, Problem Solving, No Follow Up) | Comparison (OJT) Group | |
---|---|---|---|---|
Primary objective |
CHWs have usable and quality essential medicines available when needed for appropriate treatment of pneumonia and other common diseases of childhood |
27% of CHWs had all 5 products* in stock on day of visit |
36% of CHWs had all 5 products* in stock on day of visit |
36% of CHWs had all 5 products* in stock on day of visit |
Product flow | Clear procedures and processes for inventory management, distribution, and storage exist and are executed as expected |
61% of CHWs report they are supposed to receive products monthly |
39% of CHWs report they are supposed to receive products monthly |
23% of CHWs report they are supposed to receive products monthly |
99% of CHWs report getting their health products from the health center, 11% from district health office, 4% from NGO (multiple responses allowed) |
94% of CHWs report getting their health products from the health center, 5% from district health office, 10% from NGO (multiple responses allowed) |
93% of CHWs report getting their health products from the health center, 22% from district health office, 25% from NGO (multiple responses allowed) |
||
Data flow |
Logistics (consumption and stock levels) data are available and usable for supply chain decision making, management, monitoring, and problem solving |
87% of CHWs trained know they are supposed to submit the HPMRR† every month to the higher level |
59% of CHWs trained know they are supposed to submit the HPMRR† every month to the higher level |
14% of CHWs trained know they are supposed to submit the HPMRR† every month to the higher level |
Effective people | Management processes and skills exist |
84% of CHWs were trained in IPLS |
62% of CHWs were trained in IPLS |
17% of CHWs were trained in IPLS |
65% of CHWs completed the most important data for the bin card correctly |
59% of CHWs completed the most important data for the bin card correctly |
62% of CHWs completed the most important data for the bin card correctly |
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36% of CHWs completed the most important data for the HPMRR† correctly |
29% of CHWs completed the most important data for the HPMRR† correctly |
25% of CHWs completed the most important data for the HPMRR† correctly |
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68% of HEWs (I and NI) report participating in a problem solving (PS) session during monthly meetings |
26% of HEWs (I and NI) report participating in a problem solving (PS) session during monthly meetings |
N/A‡ |
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85% HC staff report conducting IPLS PS sessions with HEWs | 53% HC staff report conducting IPLS PS sessions with HEWs | N/A‡ |
ACT – artemisin-based combination therapy, CHW – community health worker, IPLS – Integrated Pharmaceutical Logistics System, HC – Health Center, HEW – health extension worker, I – intervention, N/A – not applicable, NI – non intervention, NGO – Non Governmental Organization, OJT – on the job training, ORS – oral rehydration solution, RUTF – ready-to-use therapeutic food
*Products include cotrimoxazole 120 mg, either ACTs (1 × 6 and 2 × 6), ORS, zinc and RUTF.
†HPMRR refers to the Health Post Monthly Report and Request form.
‡Problem solving was not part of the intervention package for the comparison group.