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Table 3 Implementation strength indicators reported by HSAs and CBDAs versus observed by the interviewers with sensitivity and specificity of phone interview method

From: Testing the validity and feasibility of using a mobile phone-based method to assess the strength of implementation of family planning programs in Malawi

Implementation Strength Indicator

Reported Percentage (n/N)

Observed Percentage (n/N)

Sensitivity (%)

Specificity (%)

Health Surveillance Agents (HSAs)

 Conducted mobile outreach in last year

71 (134/188)

47 (88/188)

83

39

 Conducted youth events in last 3 months

56 (105/188)

13 (25/188)

80

48

 Have family planning Guidelines

96 (181/188)

65 (123/188)

98

8

 Have family planning job aids

79 (149/188)

70 (131/188)

89

44

 rovide oral contraceptive pills (OCPs)

55 (104/188)

63 (118/188)

70

70

 OCPs available on day of interview

87 (72/83)

80 (66/83)

92

35

 Had a OCP stockout in last 3 months

28 (23/83)

19 (16/83)

69

82

 Provide injectables

69 (129/188)

83 (156/188)

77

72

 Injectables available on day of interview

93 (111/120)

89 (107/120)

98

54

 Had an injectable stockout in last 3 months

23 (27/120)

19 (23/120)

74

90

Community-Based Distribution Agents (CBDAs)

 Conducted mobile outreach in last year

30 (33/109)

28 (30/109)

47

76

 Conducted youth events in last 3 months

83 (91/109)

50 (55/109)

91

24

 Have family planning Guidelines

99 (108/109)

85 (93/109)

99

0

 Have family planning job aids

83 (90/109)

87 (95/109)

84

29

 Provide oral contraceptive pills (OCPs)

71 (77/109)

81 (88/109)

82

76

 OCPs available on day of interview

92 (66/72)

86 (62/72)

95

30

 Had a OCP stockout in last 3 months

47 (34/72)

39 (28/72)

70

66