Improving Commodity Security in 16 Malaria High Case Load Facilities in Busia, Kakamega, and Siaya Counties
The USAID Applying Science to Strengthen and Improve Systems project (ASSIST) supports selected high-volume facilities in each sub county in Busia, Kakamega, and Siaya Counties in improving the quality of malaria case management. Sixteen (16) of the 25 facilities were experiencing shortages of artemisinin combined therapy (ACT) and rapid malaria diagnostic kits (m-RDT). To address the gaps in these essential commodities, ASSIST, in collaboration with the Department of Health in the three county governments, formed improvement teams at the counties, sub-counties, and facilities. Root cause analyses were conducted on commodity challenges on the demand side and change ideas were implemented to eliminate commodity insecurity. Employing the Plan-Do-Study-Act (PDSA) cycle; using the WhatsApp platform to track and report commodities; and integrating improvement activities in county, malaria schedule decreased stock outs of ACTs and m-RDTs from a median of 28 days at the start of the project, to less than five days.