|
| Timing | Study details | % uncomplicated malaria patients for whom AL was prescribed | Availability of AL | Stock-out days | CQ/SP availability on the survey day | AQ/AS availability on the survey day | Quinine availability on the survey day | Recommend-
ations |
|
| (1) | 3 months later | Covered 5 districts, 15 health facilities [23] | Overall 32% (range 5–72%) when AL was in stock | Stock-outs reported in the different health facilities in 4 out of 5 districts visited | 4 districts reported stock-outs | | | | Improve AL
availability |
| | | In 3 districts many patients were still being treated with CQ+SP even when AL was available. In some health units, health workers were prescribing AL only for those patients who had failed to improve on CQ+SP. | | | | | | Strengthen
supply chain
management |
|
| (2) | 11 months later; March 2007 | Covered 7 districts and 119 health facilities were sampled [24] | | | 49% of health facilities had AL stock-outs lasting 4 weeks and above | | | 71% reported disruption of stock of more than one week in a period of 3 months | Improve the
supply chain. |
| | | | | | | | | Regular on
job
supervision |
| | | | | 7 facilities had neither AL or QNN for 3 months | | | 7 facilities had no QNN for 3 months | |
| (3) | 11 months later | 80 health facilities surveyed representing all levels of care [25] | 56% of uncomplicated malaria cases were prescribed AL | | Stock-outs ranges from 50% for the green pack to 81% for the brown pack | | | | Improve
quantification
of required
AL. |
| | | | | | | | | Improve
diagnostic
capacity |
|
| | | | | | | | | Increase %
of AL
prescriptions. |
| (4) | 16 months later Aug. 2007 | Cross sectional, cluster samples, health facility survey in 4 districts—195 facilities assessed [26]. | 64% overall and for <5 years was 69% | AL availability varied by color. Availability of any pack of AL was 87% on the day of the survey and 72% in the past 6 months. | Ranged from 58% for the 18-tablet pack to 44% for the 24-tablet pack and for ALL tablet packs it was 33% | Oral
CQ
69% | Inj.
CQ
62% | SP
88% | AQ
2% | AS
4% | Oral
30% | Inj.
41% | Immediate
increase of
quantities
of AL for all
age groups |
| | | | Availability of all AL packs on the day on the survey and in the past 6 months was only 34%. | | | | | Regular
monitoring
of malaria
case
management
activities |
| | | | | | | | | RDT
deployment |
|
