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Effect of ISS on infrastructure and HRH. Mean scores for all facilities are represented by empty bars, while mean scores for the facilities with scores of ≤70% at the first visit are represented by black bars. Values on the bars with an asterisk (*) are significantly different (P < .05) compared with visit 1. Significance was determined using Kruskal-Wallis test followed by Dunn post hoc test. ISS indicates integrated supportive supervision; HRH, human resources for health.
