Table 3 Drug supply, stock outs, and resupply mechanisms
Indicator | n | All Districts | Kasungu | Lilongwe | Mzimba | Nsanje | Ntcheu | Phalombe | p-value |
|---|---|---|---|---|---|---|---|---|---|
Proportion of HSAs with all critical drugs for CCM—ACTs, cotrim, and ORS—on the day of the visit (95% CI) | 131 | 68.7 (60.0, 76.5) | 52.4 (29.8, 74.3) | 63.6 (40.7, 82.8) | 45.5 (24.4, 67.8) | 100 (84.5, 100.0)* | 90.9 (70.8, 98.9) | 59.1 (35.4, 79.3) | 0.000 |
Proportion of HSAs with cotrimoxazole on the day of the visit (95% CI) | 131 | 96.2 (91.3, 98.7) | 85.7 (63.7, 97.0) | 95.5 (77.2, 99.9) | 85.7 (63.7, 97.0) | 100 (84.6, 100.0)* | 100 (84.6, 100.0)* | 100 (84.6, 100.0)* | 0.111 |
Proportion of HSAs with ACTs (Coartem, any dose) on the day of the visit** (95% CI) | 131 | 93.1 (87.4, 96.8) | 81.0 (58.1, 94.6) | 95.5 (77.2, 99.9) | 86.4 (65.1, 97.1) | 100 (84.6, 100.0)* | 100 (84.6, 100.0)* | 95.6 (77.2, 99.9) | 0.074 |
Proportion of HSAs with ORS on the day of the visit (95% CI) | 131 | 74.0 (65.7, 81.3) | 71.4 (47.8, 88.7) | 68.2 (45.1, 86.1) | 54.5 (32.2, 75.6) | 100 (84.6, 100.0)* | 90.9 (70.8, 98.9) | 59.1 (36.4, 79.3) | 0.003 |
Proportion of HSAs who report a stockout of any critical drugs in the last 3Â months*** (95% CI) | 131 | 46.6 (37.8, 55.5) | 66.7 (43.0, 85.4) | 50.0 (28.2, 71.8) | 50.0 (28.2, 71.8) | 0 (0, 15.4)* | 40.9 (20.7, 63.6) | 72.7 (49.8, 89.2) | 0.000 |
Median days duration of drug stock outs, any drug (IQR) | 131 | 30 (49.3) | 30 (46) | 41 (75.8) | 60 (82.5) | __ | 30 (15) | 30 (46) | __ |
Proportion of HSAs who received a resupply of drugs in the last 3Â months (95% CI) | 130 | 85.4 (78.1, 91.0) | 95.2 (76.2, 99.9) | 85.7 (63.7, 97.0) | 68.2 (45.1, 86.1) | 86.4 (65.1, 97.1) | 95.5 (76.2, 99.9) | 81.8 (959.7, 94.8) | 0.114 |
Among HSAs who restocked in the last 3Â months, proportion who restocked at the nearest health center (95% CI) | 111 | 81.1 (72.5, 87.9) | 95.0 (75.1, 99.9) | 100.0 (81.5, 100)* | 93.9 (68.1, 99.8) | 84.2 (60.4, 96.6) | 28.6 (11.3, 52.2) | 94.4 (72.7, 99.9) | 0.000 |