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Table 7 Status of HSS implementation in Chad at the health center level, July 2015

From: Challenges to implementing Gavi’s health system strengthening support in Chad and Cameroon: results from a mixed-methods evaluation

Area

Goal

Questionnaire question

Health centers, HSS target districts N = 31

Health centers, non-HSS target districts N = 9

Planning &

coordination

Support the organization’s health activities in fixed, advanced & mobile strategies

Does this facility conduct immunization services in the community?

93%

100%

Monitoring &

supervision

Reproduce the tools for EPI management & integrated supervision

During the last supervisory visit, did the supervisor use a checklist on which he noted his comments?

87%

100%

EPI data

Train 8 teams DRS & the DS 10 members in Health Information System (HIS) data & software management

Have any staff at this institution been trained on the use of HIS?

51%

44%

Manager

capacity for

drugs &

vaccines

Perform integrated formative supervision every 3 months on managing supplies & medicines

How many times during the past 3 months has this center received a supervision visit from of the district or regional level?

Avg # visits: 3

Avg # visits: 2.5

Cold chain

Provide the health centers with 100 solar refrigerators

Among your refrigerators, how many are solar?

3%

11%

Cold chain

Maintain the cold chain equipment

Does the cold chain receive regular routine maintenance?

19%

11%

Human

resources

Reward the best performing health staff member & DRS

Are facility staff rewarded for their performance?

16%

0%

Human

resources

Train 118 health workers at all levels in EPI & prenatal care

Has there been an EPI training for the staff?

87%

100%