LHW Systems Review - Oxford Policy Management

LHWP – Systems ReviewTable 6.4Percentage of LHWs with functional equipment and administrativematerialItem 2008Weighing scale 32Thermometer 59Torch 36Scissors 73Household register 97Diary (old or new format) 96LHW Manual (old or new version) 96Refresher LHW manuals:Counselling Cards 83Child Health 88Inject able Contraceptives 82Revised MIS tools 65OBSI 80Blank growth monitoring cards 72ARI case management charts (all 3) 90Diarrhoea case management chart 89Plastic cards 72Family planning charts 89Eye chart 78Maternal health chart 89Health house board 84Blank referral slips 76Source: OPM LHWP 4th Independent Evaluation, Quantitative Survey data, 2008.Replenishing the health facilitiesThe replenishment system is not operational: 75 percent of districts reported that they do notissue supplies based on health facility demands. Most supply the facilities on a quarterlybasis, although 10 percent of districts are supplying on a monthly basis. Half the time, theLHS transports the medicines from the district to her facilities.6.4.2 System developmentImproving logistics management capabilityA logistics manual was produced in 2005, and training courses were conducted withProgramme management. Of the districts interviewed for the survey, almost four out of fivehad had their logistics system and warehouse monitored in the previous year by the PPIU orthe FPIU, although only one third of these had received a report.Access to suitable storage spaceThe logistics manual sets a standard of 5.5 square feet of storage per LHW at the districtlevel: 16 percent of districts reported not having their own designated storage space. Thesedistricts place their stores wherever they can find a space, including in corridors and offices,hostels, and wards.Of districts that did have storage facilities, only one fifth met the criteria of minimum storagespace per LHW. Over one third did not even have 1 square foot per LHW available.38