Table 4 Reasons stated for the lack of action to solve stock-outs at district level

1) Commodities claimed not to be available at MSD, often due to delays in procurement

2) Lack of resources for transport between health facilities or to pick up drugs at MSD

3) Unwillingness by the health facilities to reallocate their surplus stock due to lack of confidence in a replenishment delivery

4) Lack of ownership of district leadership of the programme, which led to a lack of use of the collected data