Health Product Distribution Coverage Monitoring Survey in Rural Areas of Nepal

Title: Health Product Distribution Coverage Monitoring Survey in Rural Areas of Nepal
Principal Investigators: Phoebe Sloane, Sujan Karki
Timeline: Round 1 (2017), Round 2 (2018)
 

In Nepal, SHOPS Plus supports the goals of USAID and the government of Nepal to increase the use of and access to family planning and other health products. To this end, SHOPS Plus supports the Nepal Contraceptive Retail Sales Company (CRS) to market and distribute family planning, maternal, and child health products in retail outlets in forty-nine rural districts as part of the Ghar Ghar Maa Swasthya (GGMS) or “Healthy Homes,” project. CRS is committed to improving family planning and maternal and child health outcomes in hard-to-reach rural areas. To do this effectively, CRS needs to accurately monitor whether retail outlets in GGMS districts are stocking CRS products and promotional materials. This survey measures the availability and accessibility of family planning, maternal, and child health products, both CRS and non-CRS brands, in CRS’s six GGMS supervision areas.

Objectives/research questions:

  • Assess product availability for oral contraceptives, injectable contraceptives, condoms, oral rehydration salts, zinc, sanitary napkins, and water purification tablets, both CRS and non-CRS brands
  • Assess product access for oral contraceptives, injectable contraceptives, condoms, oral rehydration salts, zinc, sanitary napkins, and water purification tablets, both CRS and non-CRS brands
  • Collect basic information on outlets in CRS supervision areas (e.g. operating hours, employee age, sex, and education level)

Methods: 

The study uses Lot Quality Assurance Sampling to estimate health product availability and accessibility in the GGMS districts. SHOPS Plus randomly selects a small sample of wards in each of CRS’ six supervision areas. In all outlets in each ward, data collectors gather information on product availability, frequency of stock outs, presence of CRS brand promotional materials, and outlet characteristics. Outlets include pharmacies, general stores, grocery stores, paan/cigarette shops, and small stores run out of homes. 

CRS uses this information to inform its marketing and distribution strategies and to direct its resources towards improvements in areas with lower product availability and accessibility. This survey will be repeated on a semi-annual basis in order to continuously monitor product availability and accessibility in GGMS areas and to inform CRS’ program management decisions. 

Status: Round 1 completed, Round 2 ongoing
Date of last update: May 2018

NepalPharmaceutical Partnerships and Social Marketing

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Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.