Table 3.
ANM reported iron and folic acid supplement supply status and procurement protocols by district
| IFA Out of Stock (%) | Cannot Request IFA from PHC (%)a | Uses Buffer Stock (%)b | Average Buffer Stock (mean (95% CI))c | Only obtains IFA from the PHC (%)d | |
|---|---|---|---|---|---|
| District A | 90.5 | 17.3 | 59.1 | 447 (265, 628) | 81.9 |
| District B | 28.1 | 7.0 | 87.4 | 911 (355, 1467) | 63.2 |
| District C | 63.3 | 5.3 | 81.4 | 544 (219, 867) | 64.1 |
| District D | 0.0 | 7.3 | 92.6 | 1112 (520, 1704) | 81.7 |
| District E | 26.0 | 17.5 | 69.6 | 1196 (425, 1967) | 82.8 |
| District F | 47.8 | 14.3 | 60.2 | 1182 (246, 2118) | 78.1 |
| District G | 16.2 | 3.5 | 82.1 | 303 (121, 485) | 41.0 |
| District H | 13.8 | 19.8 | 42.6 | 1177 (613, 1743) | 82.7 |
| Total | 44.1 | 9.5 | 74.4 | 751 (554, 949) | 67.8 |
ANM Auxiliary Nurse Midwife, IFA iron and folic acid supplements (100 mg elemental iron and 500 mcg folic acid), PHC Primary Health Centre, CI Confidence Interval
aANMs responded to a multiple choice question asking how they receive IFA from the PHC with 3 possible responses: through fixed deliveries (cannot request), through fixed deliveries (can request), or can only receive IFA through request
bAlternate responses were: request IFA when completely out of stock or cannot request IFA
cAverage buffer stock was calculated only among those ANMs reporting buffer stock use
dAlternate responses were: can take IFA from ASHA kits, can borrow IFA from other health sub-centres, or can purchase IFA using health sub-centre funds; On average, 6.9% of survey data was missing from the above table