Figures & Tables
Figures
- FIGURE 1
IMPACT Team Theory of Change
Abbreviation: IMPACT, Information Mobilized for Performance Analysis and Continuous Transformation.
- FIGURE 2
Instances of Stock-Outs Pre- and Post-Data Use Teams for Intervention and Comparison Facilities/Wards, by Country, Adjusted Percentages
Abbreviations: COC, combined oral contraceptive; EOC, emergency oral contraceptive; IUD, intrauterine device.
- FIGURE 3
Instances of Products Being Stocked Within Minimum/Maximum Levels Pre- and Post-Data Use Teams for Intervention and Comparison Facilities/Wards, by Country, Adjusted Percentages
Abbreviations: COC, combined oral contraceptive; EOC, emergency oral contraceptive; IUD, intrauterine device.
Tables
Guinea Indonesia Kenya Myanmar Description of full package of interventions IMPACT Teams Strengthening supply chain inventory management procedures and records
On-the-job training and supportive supervision
Establishment of the Reproductive Health Commodity Logistics System Intended level of IMPACT Team implementation Central and district Province and district County (included subcounty staff on demand) Township and health facility; state level in last 2 years of project Frequency of IMPACT Team meetings Monthly Monthly Monthly Monthly; state level quarterly Project support provided to IMPACT Teams Financial, technical support for design, training of the teams Technical advisor to support and participate, capacity building of teams in data use processesa Mid-project meeting, refresher training Meeting cost support for multilevel (province with district) meetings held outside the office Meeting cost support for multilevel (county, subcounty) meetings held outside the office No financial or logistical support was provided for routine IMPACT Team meetings Lunch or snack, transport cost reimbursement for meeting participant Some on-the-job training provided during routine visits, as required Implementation period August 2017– December 2018 May 2016–October 2020 June 2016–July 2017 June 2015–December 2019 Product focus COC
EOC
Injectables
Implant (2-rod)
IUD
Male condoms
COC
Injectables
Implant (2-rod)
IUD
Male condoms
COC
Injectables
Implant (1-rod)
Implant (2-rod)
COC
EOC
Injectables
IUD
Male condoms
Abbreviations: COC, combined oral contraceptives; EOC, emergency oral contraceptives; IMPACT, Information Mobilized for Performance Analysis and Continuous Transformation; IUD, intrauterine device.
↵a No capacity building in Guinea. In Myanmar, technical advisor supported for first 3 routine meetings.
- TABLE 2.
Facilities/Wards Included in a Study to Examine IMPACT Teams Effect on Supply Chain, for Intervention and Matched Comparison Sites
Guinea Indonesia Kenya Myanmar No. IMPACT Teams 6 11 10 21 Intervention units:
No. facilities/wards covered by IMPACT Teams67 525 338 489 Comparison units:
No. matched comparison facilities/wards216 1,977 719 903 - TABLE 3.
Adjusted and Statistically Significant Intervention Effects for Supply Chain Stock-Outs
Intervention Facilities
(Adjusted %)Matched Comparison Facilities
(Adjusted %)Intervention Effect (%) P Valuea 95% Confidence Intervals Pre Post Difference Pre Post Difference Guinea N=67 N=216 COC 39.9 14.3 -25.6 38.9 32.4 −6.5 −19.0 .003 −31.7, −6.3 EOC 46.2 9.2 −37.0 45.8 28.7 −17.1 −19.8 .002 −32.2, −7.4 Injectable 49.3 3.8 −45.5 49.4 23.5 −25.9 −19.6 <.001 −30.3, −8.9 Implant (2-rod) 45.9 10.6 −35.3 43.4 32.7 −10.7 −24.6 .001 −38.4, −10.7 IUD 46.8 8.7 −38.1 42.5 36.0 −6.5 −31.6 <.001 −44.9, −18.3 Male condom 48.7 3.1 −45.6 42.3 32.6 −9.8 −35.8 <.001 −49.7, −21.9 Indonesia N=525 N=1,977 COC 41.3 10.7 −30.7 48.7 24.3 −24.4 −6.2 .007 −10.7, −1.7 Injectable 38.6 15.0 −23.6 42.3 26.6 −15.7 −7.9 .001 −12.4, −3.4 Implant (2-rod)b 51.6 57.1 5.4 49.5 56.5 7.0 −1.6 .65 −8.5, 5.3 IUD 58.1 45.4 −12.7 56.6 57.4 0.8 −13.5 <.001 −20.6, −6.3 Male condom 52.0 16.5 −35.5 55.4 38.2 −17.2 −18.3 <.001 −22.7, −14.0 Kenya (ward level) N=338 N=719 COC 69.6 90.2 20.6 64.6 90.1 25.5 −4.9 .024 −9.1, −0.7 Injectable 65.5 68.8 3.2 58.5 80.4 21.9 −18.6 <.001 −27.5, −9.7 Implant (1-rod) 67.2 59.4 −7.8 62.2 77.3 15.1 −22.8 <.001 −31.6, −14.1 Implant (2-rod) 62.6 36.6 −26.1 61.5 56.9 −4.6 −21.4 <.001 −28.7, −14.2 Myanmar N=489 N=903 COC 46.1 5.3 −40.8 59.0 14.1 −44.9 4.1 <.001 2.4, 5.8 EOC 33.6 9.2 −24.4 39.7 8.2 −31.5 7.1 <.001 3.7, 10.4 Injectable 47.9 4.6 −43.2 55.2 20.8 −34.5 −8.8 <.001 −11.7, −5.8 IUD 57.6 5.8 −51.8 34.8 64.8 −29.9 −81.8 <.001 −86.6, −76.9 Male condom 42.4 0.7 −41.7 44.3 4.7 −39.6 −2.1 .003 −3.5, −0.7 - TABLE 4.
Adjusted and Statistically Significant Intervention Effects for Supply Chain Stocked According to Plan
Intervention Facilities
(Adjusted %)Matched Comparison Facilities
(Adjusted %)Intervention Effect
(%)P Valuea 95% Confidence Intervals Pre Post Diff Pre Post Diff Guinea N=216 N=67 COC 53.3 60.8 7.5 55.0 48.5 −6.5 14.0 .342b −14.9, 42.9 EOC 51.6 75.4 23.8 50.3 65.3 15.0 8.8 .624b −26.4, 43.9 Injectable 51.6 69.3 17.8 50.7 60.0 9.3 8.5 .458b −13.9, 30.9 Implant (2-rod) 53.1 72.2 19.2 56.2 46.0 −10.2 29.4 .032 2.5, 56.2 IUD 51.9 88.7 36.7 56.1 54.6 −1.5 38.2 .046 0.6, 75.8 Male condom 49.9 69.5 19.6 52.8 46.8 −6.0 25.6 .051b −0.1, 51.2 Indonesia N=525 N=1,977 COC 50.4 62.7 12.2 51.4 52.6 1.2 11.0 <.001 4.8, 17.2 Injectable 53.1 61.9 8.8 53.5 55.0 1.5 7.3 .007 2.0, 12.6 Implant (2-rod) 49.4 57.0 7.5 50.3 50.4 0.0 7.5 .023 1.0, 13.9 IUD 51.1 58.1 7.1 50.4 55.3 4.7 2.2 .525b −4.5, 9.0 Male condom 49.0 64.6 15.6 48.2 56.0 7.8 7.8 .017 1.4, 14.3 Kenya (ward level) N=338 N=719 COC 42.6 29.3 −13.3 46.7 27.3 −19.4 6.1 .060b −0.3, 12.5 Injectable 41.8 33.7 −8.1 43.3 34.3 −9.0 0.9 .801b −5.8, 7.5 Implant (1-rod) 44.6 52.7 8.1 48.1 41.5 −6.6 14.7 <.001 8.3, 21.2 Implant (2-rod) 43.9 59.3 15.4 45.9 48.1 2.3 13.2 <.001 6.0, 20.4 Myanmar N=489 N=903 COC 49.8 93.4 43.6 52.4 87.6 35.2 8.4 <.001 4.3, 12.6 EOC 71.6 85.7 14.1 60.0 96.1 36.1 −22.0 .001 −35.6, −8.4 Injectable 51.3 94.0 42.7 51.3 84.8 33.5 9.2 <.001 5.0, 13.4 IUD 48.7 89.1 40.4 72.0 49.9 −22.1 62.5 <.001 35.8, 89.1 Male condom 53.3 96.0 42.7 59.5 94.8 35.3 7.4 .001 3.1, 11.7
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