Appendix a Selected Estimates of Sample Errors

Appendix A Selected Estimates of Sample Errors

Table A.1 Selected estimates of sample errors 95% Confidence Interval Esti- Sample Sample Relative Low Upper Estimate name Denominator Strata mate size error error Bound Bound All infection control commodities and equipment available All facilities Government 0.071 46 0.0420 59.1 0.000 0.155 All infection control commodities Non- and equipment available All facilities government 0.254 25 0.0965 38.0 0.061 0.447 All infection control commodities District and equipment available All facilities hospital 0.403 8 0.1922 47.7 0.019 0.787 All infection control commodities and equipment available All facilities HC IV 0.142 23 0.0807 56.8 0.000 0.303 All infection control commodities and equipment available All facilities HC III 0.052 32 0.0435 83.6 0.000 0.139 All infection control commodities and equipment available All facilities HC II 0.200 8 0.1567 78.4 0.000 0.513 All infection control commodities and equipment available All facilities Total 0.135 71 0.0449 33.3 0.045 0.225 Laboratory capacity for testing HIV All facilities Government 0.092 171 0.0245 26.6 0.043 0.141 Laboratory capacity for Non- testing HIV All facilities government 0.189 55 0.0585 31.0 0.072 0.306 Laboratory capacity for District testing HIV All facilities hospital 0.794 8 0.1585 20.0 0.477 1.000 Laboratory capacity for testing HIV All facilities HC IV 0.696 25 0.1019 14.6 0.492 0.900 Laboratory capacity for testing HIV All facilities HC III 0.006 117 0.0079 131.9 0.000 0.022 Laboratory capacity for testing HIV All facilities HC II 0.021 76 0.0182 86.8 0.000 0.057 Laboratory capacity for testing HIV All facilities Total 0.116 226 0.0236 20.3 0.069 0.163 Laboratory capacity for testing syphilis All facilities Government 0.153 171 0.0305 19.9 0.092 0.214 Laboratory capacity for Non- testing syphilis All facilities government 0.369 55 0.0721 19.5 0.225 0.513 Laboratory capacity for District testing syphilis All facilities hospital 0.972 8 0.0646 6.6 0.843 1.000 Laboratory capacity for testing syphilis All facilities HC IV 0.711 25 0.1005 14.1 0.510 0.912 Laboratory capacity for testing syphilis All facilities HC III 0.140 117 0.0355 25.4 0.069 0.211 Laboratory capacity for testing syphilis All facilities HC II 0.058 76 0.0297 51.2 0.000 0.117 Laboratory capacity for testing syphilis All facilities Total 0.205 226 0.0298 14.5 0.145 0.265 Facilities with stockout Facilities that report managing District of co-trimoxazole co-trimoxazole hospital 0.800 6 0.1810 22.6 0.438 1.000 Facilities with stockout Facilities that report managing of co-trimoxazole co-trimoxazole HC IV 1.000 25 0.0000 0.0 1.000 1.000 Facilities with stockout Facilities that report managing of co-trimoxazole co-trimoxazole HC III 0.973 114 0.0168 1.7 0.939 1.000 Facilities with stockout Facilities that report managing of co-trimoxazole co-trimoxazole HC II 0.933 71 0.0329 3.5 0.867 0.999

(continued)

Selected Estimates of Sample Errors | 73

Table A.1 (continued) Selected estimates of sample errors 95% Confidence Interval Esti- Sample Sample Relative Low Upper Estimate name Denominator Strata mate size error error Bound Bound Facilities with stockout Facilities that report managing of co-trimoxazole co-trimoxazole Total 0.948 225 0.0164 1.7 0.915 0.981 Facilities with stockout Facilities that report managing District of benzathine penicillin benzathine penicillin hospital 0.807 7 0.1653 20.5 0.476 1.000 Facilities with stockout Facilities that report managing of benzathine penicillin benzathine penicillin HC IV 0.962 24 0.0432 4.5 0.876 1.000 Facilities with stockout Facilities that report managing of benzathine penicillin benzathine penicillin HC III 0.902 106 0.0320 3.5 0.838 0.966 Facilities with stockout Facilities that report managing of benzathine penicillin benzathine penicillin HC II 0.778 59 0.0600 7.7 0.658 0.898 Facilities with stockout Facilities that report managing of benzathine penicillin benzathine penicillin Government 0.841 154 0.0327 3.9 0.776 0.906 Facilities with stockout Facilities that report managing Non- of benzathine penicillin benzathine penicillin government 0.925 51 0.0409 4.4 0.843 1.000 Facilities with stockout Facilities that report managing of benzathine penicillin benzathine penicillin Total 0.860 205 0.0269 3.1 0.806 0.914 Staff interviewed who received in-service training in past 3 Non- years for VCT Facilities offering VCT service government 1.000 12 0.0000 0.0 1.000 1.000 Staff interviewed who received in-service training in past 3 years for VCT Facilities offering VCT service Government 0.908 11 0.0966 10.6 0.715 1.000 Staff interviewed who received in-service training in past 3 Non- years for OI Facilities offering OI service government 0.660 105 0.0512 7.8 0.558 0.762 Staff interviewed who received in-service training in past 3 years for OI Facilities offering OI service Government 0.676 37 0.0853 12.6 0.505 0.847 Staff interviewed who received in-service training in past 3 Non- years for STI DX lab Facilities offering STI DX lab government 0.199 115 0.0413 20.7 0.116 0.282 Staff interviewed who received in-service training in past 3 years for STI DX lab Facilities offering STI DX lab Government 0.186 47 0.0629 33.8 0.060 0.312 Staff interviewed who received in-service training in past 3 Non- years for STI services Facilities offering STI service government 0.725 115 0.0461 6.4 0.633 0.817 Staff interviewed who received in-service training in past 3 years for STI services Facilities offering STI service Government 0.682 47 0.0753 11.0 0.531 0.833 Staff interviewed who received in-service training in past 3 Non- years for TB DX lab Facilities offering TB DX lab government 0.220 37 0.0755 34.3 0.069 0.371 Staff interviewed who received in-service training in past 3 years for TB DX lab Facilities offering TB DX lab Government 0.277 15 0.1280 46.2 0.021 0.533

74 | Selected Estimates of Sample Errors

Appendix B Data Quality

Data were available for all 238 facilities surveyed; however, not all sections of the questionnaire were captured for all facilities. For the stockout assessment section (Q427), data were missing for 9.2 % of facilities. For the sharps management and infection control section, data were missing for 3.7% of facilities. The commodities management section data were missing for 7.9% of facilities, storage conditions for 0.8% of facilities, and Part I, facility infrastructure and services data were missing for 5% of facilities. In some cases, data may not have been available if the questions in a section did not apply to the facility.

Data Quality | 75

Appendix C Survey Personnel

Albert Mugume Kato Independent Consultant Alexeev Mutamba Independent Consultant Alice Lamwaka Ministry of Health Allie Kibwika-Muyinda Mulango Hospital, Assistant Director Allison Cochran DELIVER, Program Associate Annette Kuteesa Independent Consultant Bernard Baitwababo Ministry of Health, Research Assistant Caroline Kyarimpa Independent Consultant Dana Aronovich DELIVER, Research & Evaluation Advisor Denis Akankunda Independent Consultant Eddie Mukoyo Ministry of Health, HMIS Erika Ronnow DELIVER, Research & Evaluation Advisor George Kibumba Makerere University Department of Pharmacy Geraldine Matsiko Institute of Public Health, Research Assistant Godfrey Makanga Independent Consultant Godfrey Ojiamb Independent Consultant Hilda Nsubuga Uganda Bureau of Standards Janet Mamatovu Independent Consultant Joanita Kafuko Independent Consultant Joseph Mwoga Independent Consultant Martin Oteba Ministry of Health, Head of Pharmacy Moses Muwonge Ministry of Health, HMIS Nelson Beguma Begumisa Makerere University, Research Assistant Robert Kawagga Independent Consultant Robert Kira Independent Consultant Robert Otto Makerere University Department of Pharmacy Rosemary Namirembe Independent Consultant Sam Balyejjusa Makerere University Department of Pharmacy Sandra Zawedde Ministry Of Health, Research Assistant Sarah Nakendo Independent Consultant Steve Wilbur DELIVER, Uganda Resident Logistics Advisor

Survey Personnel | 77

Appendix D Commodities Surveyed

HIV test kits: Other commodities: 1) Capillus 28) Disinfectant (JIK) 2) Bionor 29) Unused sharps boxes 3) Determine 30) Plastic trash liners for wet waste 4) Serocard 31) Clean gloves 5) Hema-strip 32) Disposable pipettes/Disposable tips for pi- 6) Multispot/Ginne pettes 7) Unigold

Contraceptives: 8) Microgynon oral pill 9) Male condom 10) Depo-Provera

Opportunistic infection drugs: 11) Fluconazole (Diflucan) 12) Co-trimoxazole (Septrin) 13) Acyclovir (Zovirax/Cyclovax)

Malarial drugs: 14) Chloroquine 15) Sulphadoxine pyrethamine (Fansidar)

STI drugs: 16) Ciprofloxacin (Cipro) 17) Benzathine penicillin 18) Doxycycline 19) Metronidazole (Flagyl)

ARVs: 20) Nevirapine 21) ddI/videx 22) d4t/stavudine 23) AZT/zidovudine

TB medications: 24) Blister pack, 1st treatment 25) Ethambutol 26) Isoniazide 27) Rifampin

Commodities Surveyed | 79

Appendix E Facilities Surveyed and Facility Type

Iganga District Kasese District