Fig. 4

Indicators of the completeness of routine HMIS reporting. a Monthly health centre reports received by the NMCP. The solid black line indicates the total number of health facilities in Madagascar (n = 3924 [41]). The right-hand axis refers to the % of overall health centres reporting across all zones. Data represent a monthly report being submitted, but provide no indication of the completeness of the submitted reports. b Proportion of distributed RDTs for which a result (either positive or negative) was reported to the HMIS in 2014. Overall, 1.86 million RDTs were distributed to health districts nationally, and results for 0.94 million (50.5 %) were reported into the HMIS database. c Reported RDT stock-out incidence. The map shows the district-level mean RDT stock-out days in 2014. Only data from health centres that submitted at least one report for drug/diagnostic availability in the year were included in the mean calculation. Plots show stock-out status from 2012 to 2014 per ecozone. Points correspond to the mean number of stock-out days annually (left hand y axis) and bars represent the reporting rate within each ecozone (right hand y axis)