ORS and Zinc Survey: Results from 9 countries.
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1 ORS and Zinc Survey: Results from 9 countries
2 Presentation outline ACTwatch Project 3 ACTwatch surveys 5 Outlet survey methods 6 Study population 7 Sampling 8 Indicators 9 Outlet survey results 10 Benin 20 Cambodia 25 DRC 30 Kenya 38 Madagascar 43 Nigeria 48 Tanzania 52 Uganda 57 Zambia 62
3 The ACTwatch project
4 ACTwatch produces standardized ORS and zinc evidence in 9 countries 4 Benin Outlet Survey Results December 2015 Business Use Only
5 ACTwat national surveys Available in this report: 2013 DRC (Kinashasa & Katanga) Cambodia Madagascar Nigeria Uganda 2014 Benin Kenya Tanzania Zambia Available in the next report (2016): 2015 DRC (Kinashasa & Katanga) Ethiopia Madagascar Nigeria Uganda 2016 Benin Kenya Tanzania
6 Outlet Survey Methods
7 Study Population Study Population: Outlets with any modern medicines available What is an outlet? Public Health Facility Community Health Worker Private Not For-Profit Facility Private For-Profit Facility Pharmacy Drug Shop General Retailer Itinerant Vendor
8 Sampling Representative sample of clusters Complete a census of all potentially eligible outlets Extend the census area to the division level to boost the sample size for key market segments (Booster sample) Screen for any modern medicines available
9 Indicators When products are in stock: Product audit Availability of ORS Availability of zinc Availability of both ORS and zinc In Kenya and Tanzania: Availability of 10mg and 20mg zinc tablets Availability of co-packaged ORS and zinc
10 Summary Findings ORS and zinc
11 What is the availability of ORS and zinc by outlet type? 11 Novartis Brand Essentials November 2010 Business Use Only
12 Availability of ORS and zinc in public health facilities Among all screened outlets, across survey round Benin 2014 Katanga, DRC 2013 Kinshasa, DRC 2013 Nigeria 2013 Kenya 2014 Tanzania 2014 Uganda 2013 Madagascar 2013 Zambia 2014 ORS ORS & zinc West & Central Africa East Africa Southern Africa
13 Availability of ORS and zinc in CHWs Among all screened outlets, across survey round Benin 2014 Nigeria 2013 Kenya 2014 Uganda 2013 Madagascar 2013 Zambia 2014 ORS ORS & zinc West & Central Africa East Africa Southern Africa
14 Availability of ORS and zinc in private for-profit facilities Among all screened outlets, across survey round Benin 2014 Katanga, DRC 2013 Kinshasa, DRC 2013 Nigeria 2013 Kenya 2014 Tanzania 2014 Uganda 2013 Madagascar 2013 Zambia 2014 ORS ORS & zinc West & Central Africa East Africa Southern Africa
15 Availability of ORS and zinc in pharmacies Among all screened outlets, across survey round Benin 2014 Nigeria 2013 Kenya 2014 Tanzania 2014 Uganda 2013 Madagascar 2013 Zambia 2014 ORS ORS & zinc West & Central Africa East Africa Southern Africa
16 Availability of ORS and zinc in drug stores Among all screened outlets, across survey round Benin 2014 Katanga, DRC 2013 Kinshasa, DRC 2013 Nigeria 2013 Kenya 2014 Tanzania 2014 ADDO Tanzania 2014 DLDB Uganda 2013 Madagascar 2013 Zambia 2014 ORS ORS & zinc West & Central Africa East Africa Southern Africa
17 Availability of ORS and zinc in general retailers Among all screened outlets, across survey round Benin 2014 Katanga, DRC 2013 Kinshasa, DRC 2013 Nigeria 2013 Kenya 2014 Tanzania 2014 Uganda 2013 Madagascar 2013 Zambia 2014 ORS ORS & zinc West & Central Africa East Africa Southern Africa
18 Findings by region ORS and zinc
19 What is the availability of ORS and zinc by region and by country? 19 Novartis Brand Essentials November 2010 Business Use Only
20 West & Central Africa 20 Novartis Brand Essentials November 2010 Business Use Only
21 Benin
22 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey in Benin Public Health Facility Community Health Worker Private Not For-Profit Facility 2014 N=377 7% 14% Private For-Profit Facility Pharmacy Drug Store 29% 23% General Retailer Itinerant Drug Vendor 2% 5% 17% 4%
23 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural comparison Public Health Facility Community Health Worker Private Not For-Profit Facility Private For-Profit Facility Pharmacy Drug Store General Retailer Itinerant Drug Vendor 16% 43% Urban N=317 10% 2% 5% 8% 15% 1% 2% 22% 21% Rural N=60 3% 3% 16% 33%
24 Availability of ORS and zinc in the public sector Among all screened outlets, across survey round
25 Availability of ORS and zinc in the private sector Among all screened outlets, across survey round
26 Democratic Republic of the Congo Kinshasa & Katanga
27 Diarrhea management market composition, 2013 Among all outlets with ORS or zinc in stock on the day of the survey, Kinshasa & Katanga
28 Diarrhea management market composition, 2013 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural Kinshasa
29 Diarrhea management market composition, 2013 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural Katanga
30 Availability of ORS and zinc in the public sector, 2013 Among all screened outlets, across survey round, Kinshasa
31 Availability of ORS and zinc in the private sector, 2013 Among all screened outlets, across survey round, Kinshasa
32 Availability of ORS and zinc in the public sector, 2013 Among all screened outlets, across survey round, Kitanga
33 Availability of ORS and zinc in the private sector, 2013 Among all screened outlets, across survey round, Kitanga
34 Nigeria
35 Diarrhea management market composition, 2013 Among all outlets with ORS or zinc in stock on the day of the survey in Nigeria
36 Availability of ORS and zinc in the public sector Among all screened outlets, across survey round
37 Availability of ORS and zinc in the private sector Among all screened outlets, across survey round
38 East Africa 38 Novartis Brand Essentials November 2010 Business Use Only
39 Kenya
40 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey in Kenya Public Health Facility 2014 N=1,199 Community Health Worker Private Not For-Profit Facility Private For-Profit Facility Registered Pharmacy Unregistered Pharmacy General Retailer Itinerant Drug Vendor 33% 14% 5% 12% 22% 10% 4%
41 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural comparison
42 Availability of ORS and zinc in the public sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
43 Availability of ORS and zinc in the private sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
44 Tanzania
45 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey in Tanzania
46 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural comparison
47 Availability of ORS and zinc in the public sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
48 Availability of ORS and zinc in the private sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
49 Uganda
50 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey in Uganda
51 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural comparison
52 Availability of ORS and zinc in the public sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
53 Availability of ORS and zinc in the private sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
54 Southern Africa 54 Novartis Brand Essentials November 2010 Business Use Only
55 Madagascar
56 Diarrhea management market composition, Among all outlets with ORS or zinc in stock on the day of the survey in Madagascar
57 Diarrhea management market composition, Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural comparison
58 Availability of ORS and zinc in the public sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
59 Availability of ORS and zinc in the private sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
60 Zambia
61 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey in Zambia
62 Diarrhea management market composition, 2014 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural comparison
63 Availability of ORS and zinc in the public sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
64 Availability of ORS and zinc in the private sector Among all screened outlets, across survey round grey bars indicate an N<50 in that category
65 South-east Asia 65 Novartis Brand Essentials November 2010 Business Use Only
66 Cambodia
67 Diarrhea management market composition, 2013 Among all outlets with ORS or zinc in stock on the day of the survey in Cambodia
68 Diarrhea management market composition, 2013 Among all outlets with ORS or zinc in stock on the day of the survey, urban/rural comparison
69 Availability of ORS and zinc in the public sector, 2013 Among all screened outlets, across survey round
70 Availability of ORS and zinc in the private sector, 2013 Among all screened outlets, across survey round
71 Acknowledgements Ministry of Health National Malaria Control Program Fieldwork Team ACTwatch Team
72 Thank you!
Copyright by Population Services International and ACTwatch 2016.
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