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 3 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 3 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 3 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

P-values for differences in proportions between districts are calculated using a chi-squared test; P-values for stock out days are calculated using Kruskall-Wallis rank-sum test; *One-sided 97.5% confidence interval; **Stock out of all Coartem considered when both versions of Coartem stocked out for 45 days or more. ***Stock outs in the last 90 days include observations where a drug was never received.

Callaghan-Koru et al.

Callaghan-Koru et al. BMC Health Services Research 2013 13:55   doi:10.1186/1472-6963-13-55

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