Table 2 Matabeleland South province Year 1 and 2 challenges
Challenge | Solution | Year 1 change from baseline to midline | Year 2 change from midline to endline |
|---|---|---|---|
Malaria register availability by health facilities | Audit conducted and supportive supervision visits to health facilities. Training on use of the malaria register provided to health care workers | Beitbridge: − 23% (90% to 67%). Stockouts of registers occurred during a malaria outbreak period | − 39% (67% to 28%) District needs to scale up printing during an outbreak |
Gwanda: 10% (83% to 93% or 25/30 to 28/30 health facilities) | 7% (93% to 100%) | ||
Drug stockouts | Continuous monitoring of medicine stocks by pharmacy manager | ACTs: − 16% (22% to 6%) PQ: − 4% (6% to 2%) | ACTs: 0% (6% to 6%) PQ: 0% (2% to 2%) |
Case investigation rate within 3 days | Mobilize additional human resources (contract workers, students, military) for high risk areas, implement a tracker system, monitor during monthly meetings, weekly feedback to districts | 10% (55% to 65% or 65/119 to 821/1265 cases investigated of cases reported) | Beitbridge: 19% (65% to 84%) |
Gwanda: 35% (65% to 100%) | |||
Incorrect or delayed liquidation of funds and implementation of activities | Review of financial and reporting regulations, creation of planning tools, and supportive supervision visits by managers | 71% (29% to 100%) | N/A |