TABLE 2.
Availability of key resources, including trained staff, equipment and medication.
| Variable | Hospitals (n = 5) |
Health centres (HCs) (n = 25) |
||||
|---|---|---|---|---|---|---|
| Average number functional | Average number not functional | Hospitals with working equipment (%) | Average number functional | Average number not functional | HCs with functional equipment (%) | |
| Availability of key equipment | ||||||
| BP machines (manual or automated) | 2 | 1.8 | 100 | 1.6 | 2.1 | 80 |
| Weighing scales | 1.8 | 0.8 | 100 | 1.6 | 1 | 96 |
| Height meter | 1.6 | 0 | 100 | 1 | 0.2 | 92 |
| Ophthalmoscope | 0.2 | 0.8 | 20 | 0 | 0.2 | 4 |
| Glucometer | 2.6 | 0.2 | 80 | 0.4 | 0 | 32 |
| Biochemistry analyser | 0.4 | 0.2 | 40 | 0 | 0 | 0 |
| Availability of trained staff and guidelines | ||||||
| At least one clinician able to prescribe NCD medication | 100% | 88% | ||||
| Clinician workloada | 56 OPD consultations per clinician per day (in addition to inpatient responsibilities) | 66 patients per clinician per day | ||||
| At least one clinician trained | 60% | 4.7% | ||||
| At least one nurse trained | 60% | 8.3% | ||||
| Clinical Guidelines book on NCD managementa | 20% | 72% | ||||
| Availability of medication in past 6 months | ||||||
| Facilities with stock outs of tracer first-line HPT drugb | 0% | 8% | ||||
| Facilities with stock outs of tracer second-line HPT drugc | 80% | 96% | ||||
| Facilities with stock outs of tracer first-line DM drugd (%) | 60% | 100% | ||||
| Facilities with stock outs of tracer second-line DM druge | 40% | 100% | ||||
| Facilities with stock outs of tracer NCD suppliesf | 60% | 92% | ||||
Source: Cross-sectional quantitative survey
BP, Blood pressure; NCDs, non-communicable diseases; NA, not applicable.
Percentage of facilities that had a copy of ‘Malawi Standard Treatment Guidelines’ or ‘The Clinical Book’ present in the consulting room.
Hydrochlorthiazide.
Calcium channel blocker.
Metformin.
Insulin.
Glucose test strips.