Background
Methods
Study design
Study setting and participants
Data collection tool
Data collection
Data analysis
Results
Public | Private | PNFP | Total | |
---|---|---|---|---|
Kenya | ||||
Availability and price data | ||||
Urban | 33 | 63 | 24 | 120 |
Rural | 46 | 25 | 30 | 101 |
Total | 79 | 88 | 54 | 221 |
Stock data | ||||
Urban | 33 | 63 | 24 | 120 |
Rural | 45 | 25 | 30 | 100 |
Total | 78 | 88 | 54 | 220 |
Tanzania | ||||
Availability and price data | ||||
Urban | 131 | 55 | 35 | 221 |
Rural | 132 | 5 | 15 | 152 |
Total | 263 | 60 | 50 | 373 |
Stock data | ||||
Urban | 100 | 25 | 21 | 146 |
Rural | 56 | 1 | 9 | 66 |
Total | 156 | 26 | 30 | 212 |
Uganda | ||||
Availability and price data | ||||
Urban | 22 | 33 | 23 | 78 |
Rural | 33 | 15 | 20 | 68 |
Total | 55 | 48 | 43 | 146 |
Stock data | ||||
Urban | 21 | 16 | 21 | 58 |
Rural | 29 | 0 | 18 | 47 |
Total | 50 | 16 | 39 | 105 |
Zambia | ||||
Availability and price data | ||||
Urban | 59 | 58 | 4 | 121 |
Rural | 77 | 9 | 38 | 124 |
Total | 136 | 67 | 42 | 245 |
Stock data | ||||
Urban | 48 | 30 | 4 | 82 |
Rural | 57 | 5 | 38 | 100 |
Total | 105 | 35 | 42 | 182 |
Availability of SRHC
Across countries
Country level
Family planning
Commodities | Mean Availability (%) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Kenya | Tanzania | Uganda | Zambia | |||||||||
Public | Private | PNFP | Public | Private | PNFP | Public | Private | PNFP | Public | Private | PNFP | |
Family Planning | ||||||||||||
Oral contraceptivea | 91 | 80 | 72 | 69 | 47 | 40 | 75 | 36 | 43 | 91 | 67 | 83 |
Levonorgestrel 750 mcg | 47 | 71 | 32 | 8 | 0 | 0 | 35 | 30 | 24 | 41 | 61 | 41 |
Injectable contraceptiveb | 92 | 32 | 66 | 82 | 59 | 53 | 62 | 51 | 67 | 72 | 30 | 79 |
Male condoms | 84 | 85 | 79 | 82 | 52 | 47 | 93 | 72 | 81 | 89 | 89 | 86 |
Female condoms | 56 | 13 | 39 | 33 | 22 | 27 | 18 | 17 | 33 | 60 | 5 | 48 |
Intrauterine contraceptive devicen | 82 | 29 | 48 | 62 | 65 | 53 | 72 | 39 | 56 | 51 | 2 | 41 |
Implantc,n | 87 | 30 | 79 | 84 | 78 | 73 | 89 | 64 | 67 | 71 | 0 | 62 |
Diaphragm | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Maternal Health | ||||||||||||
Oxytocin injectionn,p | 87 | 41 | 67 | 75 | 42 | 56 | 80 | 50 | 64 | 94 | 50 | 78 |
Misoprostol | 33 | 34 | 35 | 49 | 35 | 22 | 82 | 48 | 56 | 11 | 27 | 26 |
Methyldopak,m,n | 77 | 77 | 83 | 76 | 73 | 73 | 24 | 14 | 36 | 12 | 51 | 17 |
Magnesium sulphated,n,p | 59 | 10 | 44 | 70 | 18 | 48 | 69 | 10 | 42 | 13 | 0 | 12 |
Calcium gluconatek,m,n,q | 71 | 29 | 71 | 44 | 0 | 44 | 43 | 8 | 27 | 67 | 0 | 0 |
Ferrous salt | 57 | 50 | 43 | 5 | 3 | 4 | 4 | 27 | 37 | 75 | 55 | 71 |
Folic acid | 55 | 77 | 79 | 63 | 50 | 48 | 64 | 71 | 63 | 80 | 82 | 79 |
Ferrous Salt: Folic Acid Tabletg | 62 | 8 | 48 | 20 | 5 | 14 | 27 | 10 | 33 | 1 | 7 | 2 |
Antibiotics and Antifungals | ||||||||||||
Metronidazole | 68 | 80 | 87 | 61 | 92 | 86 | 75 | 94 | 84 | 88 | 87 | 93 |
Clotrimazolee | 70 | 74 | 83 | 39 | 47 | 38 | 67 | 63 | 67 | 24 | 45 | 17 |
Gentamicinn | 58 | 39 | 61 | 43 | 45 | 40 | 30 | 67 | 67 | 48 | 33 | 50 |
Procaine benzylpenicillin | NS | NS | NS | 26 | 33 | 36 | 33 | 48 | 44 | 2 | 34 | 7 |
Benzathine benzylpenicillinn | 39 | 16 | 30 | 80 | 60 | 70 | 70 | 72 | 67 | 60 | 69 | 74 |
Benzylpenicillin | 46 | 34 | 50 | NS | NS | NS | NS | NS | NS | 82 | 34 | 86 |
Amoxicillinf | 62 | 38 | 43 | 74 | 30 | 42 | 40 | 40 | 49 | 77 | 88 | 81 |
Newborn- and Child Health | ||||||||||||
Dexamethasonek,o,q | 81 | 82 | 63 | 10 | 27 | 32 | 76 | 50 | 46 | 67 | 50 | 0 |
Zinc ORS co-pack | 68 | 28 | 41 | 29 | 3 | 4 | 44 | 6 | 26 | 13 | 5 | 17 |
Zinch | 86 | 82 | 93 | 36 | 75 | 74 | 44 | 70 | 67 | 53 | 46 | 60 |
ORS sachetsi | 77 | 73 | 83 | 75 | 72 | 82 | 53 | 70 | 63 | 32 | 57 | 48 |
Chlorhexidine 4% | 38 | 9 | 30 | 7 | 3 | 6 | 26 | 6 | 19 | 6 | 3 | 10 |
SRH medical devices | ||||||||||||
Vasectomy kitk,l,n | 19 | 6 | 8 | 3 | 5 | 0 | 17 | 8 | 15 | 7 | 4 | 14 |
Tubal ligation kitk,l,n | 23 | 35 | 13 | 13 | 9 | 5 | 17 | 11 | 24 | 10 | 1 | 10 |
Manual vacuum aspiration kitj,n | 66 | 59 | 56 | 38 | 38 | 26 | 48 | 36 | 48 | 54 | 38 | 64 |
Speculumj,o | 86 | 78 | 84 | 84 | 67 | 66 | 88 | 75 | 92 | 84 | 38 | 94 |
Cervical dilatorj,n | 34 | 41 | 49 | 12 | 17 | 14 | 46 | 31 | 58 | 28 | 25 | 25 |
Incubator | 68 | 47 | 79 | 11 | 13 | 16 | 16 | 4 | 14 | 27 | 13 | 53 |
Monitork,n | 39 | 53 | 63 | 11 | 15 | 16 | 22 | 11 | 33 | 14 | 13 | 17 |
Ultrasound scank,o | 45 | 53 | 63 | 13 | 45 | 36 | 52 | 63 | 92 | 19 | 50 | 22 |
Ventilatork,n | 32 | 41 | 42 | 5 | 5 | 6 | 9 | 8 | 3 | 9 | 25 | 17 |
Foetal scopej,n | 82 | 78 | 88 | 97 | 80 | 92 | 94 | 92 | 91 | 86 | 63 | 78 |
Resuscitator (adult size)j,n | 45 | 33 | 49 | 31 | 22 | 18 | 33 | 44 | 45 | 28 | 25 | 39 |
Resuscitator (infant size)j,n | 63 | 44 | 53 | 63 | 38 | 46 | 65 | 56 | 70 | 50 | 38 | 72 |
Bag and mask (size 0)j,o | 58 | 52 | 77 | 59 | 37 | 46 | 68 | 25 | 62 | 52 | 38 | 75 |
Suction devicej | 68 | 67 | 79 | 71 | 52 | 62 | 65 | 54 | 81 | 75 | 50 | 81 |
Training mannequin (infant)j,n | 20 | 15 | 23 | 36 | 22 | 32 | 26 | 6 | 27 | 26 | 0 | 33 |
Maternal health
Antibiotics and antifungals
Newborn and child health
SRH medical devices
Stock-outs
Stock-outs | ||
---|---|---|
Facilities reporting stock-outs (%) | Average number of stock-out days/month | |
Kenya | ||
Public | 23.2 | 6 |
Private | 17.4 | 3 |
PNFP | 12.0 | 3 |
Tanzania | ||
Public | 25.1 | 8 |
Private | 31.4 | 5 |
PNFP | 14.5 | 9 |
Uganda | ||
Public | 35.6 | 7 |
Private | 16.6 | 4 |
PNFP | 15.9 | 6 |
Zambia | ||
Public | 46.9 | 12 |
Private | 45.7 | 9 |
PNFP | 41.7 | 10 |
Affordability
Affordability (Days of Wages) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Commodities | Treatment regimens | Kenya | Tanzania | Uganda | Zambia | ||||||||
Public | Private | PNFP | Public | Private | PNFP | Public | Private | PNFP | Public | Private | PNFP | ||
Ethinylestradiol + levonorgestrel | 1 strip | 0 | 0.13 | 0 | 0 | 0 | 0 | 0 | 0.16 | 0 | 0 | 0.30 | 0 |
Ethinylestradiol + norethisterone | 1 strip | 0 | 0.09 | NA | 0 | 0.19 | NA | 0 | NA | NA | 0 | NA | NA |
Ethinylestradiol + desorgestrel | 1 strip | NA | NA | NA | 0 | 0 | NA | NA | NA | NA | NA | NA | NA |
Levonorgestrel 30mcg | 1 tablet | 0 | 0.09 | 0.04 | 0 | 0 | 0 | 0 | NA | NA | 0 | 0.30 | 0 |
Levonorgestrel 750mcg | 1 tablet | 0 | 0.22 | 0.07 | 0 | NA | NA | 0 | 1.13 | 0.32 | 0 | 0.80 | 0 |
Medroxyprogesterone acetate 150 ml | 1 vial | 0 | 0.22 | 0.09 | 0 | 0 | 0 | 0 | 0.81 | 0 | 0 | 0.60 | 0 |
Medroxyprogesterone acetate 104 ml | 1 vial | 0 | 0.22 | 0.06 | NA | NA | NA | 0 | 0.32 | 0.08 | NA | NA | NA |
Norethisterone enanthate | 1 vial | NA | NA | NA | NA | NA | NA | NA | NA | NA | 0 | 0.63 | 0 |
Male condoms | 1 pack | 0 | 0.11 | 0 | 0 | 0 | 0 | 0 | 0.11 | 0 | 0 | 0.15 | 0 |
Female condoms | 1 pack | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.27 | 0 |
Intrauterine contraceptive device | 1 device | 0 | 1.00 | 0 | 0 | 0 | 0 | 0 | 2.43 | 0 | 0 | 0.00 | 0 |
Implants: levonorgestrel | 1 device | 0 | 0.67 | 0 | 0 | 0 | 0 | 0 | 0.81 | 0 | 0 | NA | 0 |
Implants: etonogestrel | 1 device | 0 | 0.89 | 0.33 | 0 | 0 | 0 | 0 | 1.62 | 0 | 0 | NA | 0 |
Diaphragm | 1 device | NA | NA | 0 | 0 | NA | NA | NA | NA | NA | NA | NA | NA |
Oxytocin injection | 1 vial | 0 | 0.20 | 0.22 | 0 | 0.32 | 0 | 0 | 0.49 | 0.24 | 0 | 0.42 | 0 |
Misoprostol | 1 vial | 0 | 0.18 | 0.16 | 0 | 0.65 | 0 | 0 | 0.49 | 0.16 | 0 | 1.19 | 0 |
Methyldopa | 90 tablets | 0 | 1.00 | 1.00 | 0 | 7.31 | 5.85 | 0 | 1.46 | 3.65 | 0 | 3.80 | 0 |
Magnesium sulphate 500 mg/2 ml | 18 vials | 0 | 8.81 | 0.70 | 0 | 11.70 | 0 | NA | NA | NA | 0 | NA | 0 |
Magnesium sulphate 500 mg/10 ml | 18 vials | 0 | 17.76 | 5.41 | 0 | 5.85 | 0 | 0 | 16.12 | 14.59 | 0 | NA | 0 |
Calcium gluconate | 1 ampoule | 0 | 0.29 | 0.22 | 0 | NA | 0 | 0 | 2.92 | 14.59 | 0 | NA | 0 |
Ferrous salt | 30 tablets | 0 | 0.07 | 0.07 | NA | 1.22 | NA | NA | 0.02 | 0.01 | 0 | 0.45 | 0 |
Folic acid | 30 tablets | 0 | 0.13 | 0.07 | 0 | 0.97 | 0.02 | 0 | 0.49 | 0.24 | 0 | 1.59 | 0 |
Ferrous Salt: Folic Acid 60/400 | 30 tablets | 0 | 0.67 | 0.07 | 0 | 0.97 | 0 | 0 | 0.49 | 0.16 | 0 | 0 | 0 |
Ferrous Salt: Folic Acid 150/500 | 30 tablets | 0 | NA | 0.07 | 0 | 0.49 | 0 | 0 | 0.49 | 0.26 | NA | 2.26 | NA |
Metronidazole | 30 tablets | 0 | 0.07 | 0.13 | 0 | 0.97 | 0.88 | 0 | 0.49 | 0.49 | 0 | 0.45 | 0 |
Clotrimazole pessary | 6 tablets | 0 | 0.28 | 0.11 | 0.06 | 0.89 | 0.65 | 0 | 2.92 | 2.92 | 0 | 0.79 | 0 |
Clotrimazole cream | 1 tube | 0 | 0.13 | 0.1` | 0.49 | 0.97 | 0.81 | 0 | 0.49 | 0.41 | 0 | 0.45 | 0 |
Gentamicin | 10 amp | 0 | 0.45 | 0.67 | 1.30 | 4.06 | 4.87 | 0 | 3.24 | 2.43 | 0 | 1.51 | 0 |
Procaine benzylpenicillin | 10 vials | NA | NA | NA | 2.27 | 7.31 | 6.50 | 0 | 6.48 | 3.24 | 0 | 3.62 | NA |
Benzyl penicillin | 10 vials | 0 | 1.11 | 1.11 | NA | NA | NA | NA | NA | NA | 0 | 3.62 | 0 |
Benzathine benzylpenicillin | 1 vial | 0 | 0.11 | 0.17 | 0.15 | 0.97 | 0.65 | 0 | 0.49 | 0.49 | 0 | 0.42 | 0 |
Amoxicillin 125 mg | 15 tablets | 0 | 1.67 | 0.17 | 0.10 | 0.44 | 0.24 | 0 | 0.24 | 0.24 | 0 | 0.45 | 0 |
Amoxicillin 250 mg | 15 tablets | 0 | 0.10 | 0.03 | 0 | 0.49 | 0.26 | 0 | 0.24 | 0.49 | 0 | 0.23 | 0 |
Dexamethasone | 1 vial | 0 | 0.11 | 0.11 | 0 | 0.97 | 0.49 | 0 | 0.41 | 0.32 | 0 | 0.60 | 0 |
Zinc syrup | 1 bottle | 0 | 0.33 | 0.22 | NA | 0.97 | 0.89 | NA | 0.41 | NA | NA | 0.68 | NA |
Zinc tablet | 10 tablets | 0 | 0.22 | 0.11 | 0 | 0.41 | 0.32 | 0 | 0.32 | 0.16 | 0 | 0.60 | 0 |
Zinc ORS co-pack | 1 kit | 0 | 0.22 | 0.13 | 0 | 0.32 | 0.02 | 0 | 0.32 | 0.24 | 0 | 0.06 | 0 |
ORS sachets 200 ml | 1 sachet | 0 | 0.03 | 0. | NA | 0.16 | NA | NA | NA | NA | 0 | 0.27 | NA |
ORS sachets 500 ml | 1 sachet | 0 | 0.02 | 0.02 | 0 | NA | NA | NA | NA | 0.08 | NA | NA | NA |
ORS sachets 1 L | 1 sachet | 0 | NA | NA | 0 | 0.16 | 0.16 | 0 | 0.08 | 0.08 | 0 | 0.09 | 0 |