|
Regulatory Efficiency
|
National Essential Medicines List: Commodity is included in the national EML with a context-appropriate level of commodity specification and/or formulation |
168 |
71% |
91% |
▲ 20 |
< 0.001 |
** |
| National treatment guidelines: National treatment guidelines on interventions to deliver commodities exist, are updated regularly, & refer to latest WHO guidance |
182 |
76% |
87% |
▲ 11 |
0.001 |
** |
| Registered in-country: The commodity is fully registered in-country under approved & relevant formulations |
135 |
64% |
76% |
▲ 12 |
0.004 |
** |
| Prescription authority: The commodity is prescribed at lowest appropriate level of service delivery (per national policy and essential intervention package) |
179 |
77% |
89% |
▲ 12 |
0.001 |
** |
|
Quality Strengthening
|
GMP-accredited manufacturers: Public sector procurement is done only from manufacturers with a valid GMP accreditation for domestic & international purchases |
14 |
86% |
86% |
0 |
1.000 |
|
| National medicines control laboratory: At least one national medicines control laboratory exists in-country that is certified by any standards accreditation agency |
14 |
36% |
29% |
▼ -7 |
0.336 |
|
| Monitoring quality of medicines: Functioning systems exist for monitoring quality of medicines (i.e. post-market surveillance). |
14 |
43% |
64% |
▲ 21 |
0.040 |
* |
| Monitoring patient safety for medicines: Functioning systems exist for monitoring patient safety for medicines (i.e. pharmacovigilance). |
14 |
43% |
50% |
▲ 7 |
0.583 |
|
|
Supply and Awareness
|
Forecasting Tools: Existence of a forecasting tool or method used routinely for forecasting needs for RMNCH medicines and medical devices |
14 |
64% |
64% |
0 |
1.000 |
|
| Supply chain training to districts: Training in supply chain management for RMNCH commodities has been deployed to all SDPs at the district level |
14 |
50% |
57% |
▲ 7 |
0.336 |
|
| Comprehensive national eLMIS: There is a single electronic national LMIS or an interoperable platform that tracks commodity availability and distribution from first point of warehousing to point of service for each RMNCH service area AND automatically compiles/ aggregates data on a continuous basis |
14 |
7% |
29% |
▲ 21 |
0.189 |
|
| Tracked in eLMIS: Commodity availability is tracked from first point of warehousing to service delivery point by an electronic LMIS |
171 |
50% |
57% |
▲ 7 |
0.134 |
|
| National stock-outs: No commodity stock-outs at the national level in the past 12 months (for EML commodities) |
128 |
64% |
59% |
▼ -5 |
0.291 |
|
|
Performance and accountability
|
Training curricula (national): In-service training curricula exist at the national level for interventions that deliver the commodity at the appropriate level of care |
182 |
73% |
85% |
▲ 12 |
0.001 |
** |
| Job aids or check lists (national): National level job aids have been developed or updated, include the specific commodity, are clearly written & refer to WHO version |
182 |
68% |
86% |
▲ 19 |
< 0.001 |
** |
|
Reaching Women and Children
|
Policy against user fees: National policy states that patients should not be assessed any fee or out of pocket expense for the LSCs and related services at the point of service delivery [2] |
56 |
46% |
52% |
▲ 5 |
0.370 |
|
|
Demand & Utilization
|
Demand Generation: National RMNCH plan includes costed demand generation/behavior change communication activities with a budget allocated |
14 |
71% |
79% |
▲ 7 |
0.336 |
|
|
Innovative financing
|
Results-based financing mechanism: The country entered into an agreement with a results-based financing mechanism to increase access to LSCS and related services |
14 |
21% |
43% |
▲ 21 |
0.189 |
|
|
RMNCH Coordination [1]
|
Coordination mechanism exists: A functional national coordination mechanism on RMNCH exists (or RMNCH is included in broader coordination mechanism) |
14 |
64% |
100% |
▲ 36 |
0.019 |
* |
| RMNCH plan costed and budgeted: A national RMNCH plan exists that is costed with a budget allocated for interventions for LSCs at national and sub-national levels |
14 |
57% |
50% |
▼ -7 |
0.720 |
|
| Commodity security strategy: National commodity security strategy for LSCs have been developed and approved by the Ministry of Health |
14 |
43% |
36% |
▼ -7 |
0.336 |
|
|
Total (average):
|
1,551
|
65%
|
76%
|
11%
| |