| Poor referral systems, particularly lack of ambulances for transport of critical cases |
DHO to provide fuel/support for referral transport and to improve referral notification and feedback to health facilities |
| Communication issues between facility staff and HSAs due to weak mobile network, limited airtime and busy schedules |
Continuous supervision of health facility staff and HSAs through join review meetings and refresher trainings to reinforce regular communication; provision of airtime to offset mobile costs. |
| Large distances for HSAs to cover for follow-up visits, particularly for non-resident HSAs, and challenges locating families especially those residing outside the facility catchment area |
Consider reducing follow-up visits for HSAs and focus on ensuring mandatory facility follow-up completed at first level facility. Enhance support to HSAs with the most difficult catchment areas to address transport issues and motivate them (provide bicycles, etc). |
