As part of the health reforms in Zamfara State, integrated supportive supervision (ISS) for primary health facilities formed a key element of the state’s strategic health plan improving the performance of service providers both at facility and management levels. The state also established a basket fund to secure funding on a regular basis, especially for primary healthcare.
With support from the PMI and through MAPS, the State Ministry of Health (SMoH) reviewed the ISS process and extended ISS to all 16 general hospitals. This also helped to improve systems to deal with malaria and other issues. Treatment of malaria was now based on diagnosis of reported fever cases, the drug supply system was strengthened to ensure continuous availability of important drugs, the number of confirmed malaria cases treated with artemisinin-based combination therapy (ACT) saw a substantial increase and there was also improvement in the quality of data capture and reporting improved too.
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