9 Have there been stock-outs of National Y N U condoms in the past 12 months at this site? If so, how many, how long Sub-National Y N U did they last, and what were the reasons for these stock-outs? Local/Service Y N U Delivery 10 Would you say that contraceptives National Y N U are widely available and easily accessible to your clients or in your Sub-National Y N U catchment area? Please explain. Local/Service Y N U Delivery 11 Have there been stock-outs of National Y N U contraceptives in the past 12 months that affected your clients? If Sub-National Y N U so, how many, how long did they last, and what were the reasons for Local/Service Y N U these stock-outs? Delivery Strategic information (triangulate with data verification) Checklist item Level Yes No Unable to verify 1 Is there a defined set of indicators National Y N U for monitoring of EMTCT? Do they align with regional and global Sub-National Y N U guidance? Local/Service Y N U Delivery 2 Are there clearly defined roles and National Y N U responsibilities of regional and local service delivery sites for data Sub-National Y N U collection and reporting on EMTCT process and impact indicators?. Local/Service Y N U Delivery 3 There are mechanism in place for National Y N U data collection and reporting on these indicators at the national, Sub-National Y N U regional and local levels Local/Service Y N U Delivery 4 Are required EMTCT data elements National Y N U clearly defined? Sub-National Y N U Local/Service Y N U Delivery 5 Is it clear how, when, and to whom National Y N U these EMTCT data are to be Sub-National Y N U
9 Have there been stock-outs of condoms in the past 12 months at this site? If so, how many, how long did they last, and what were the reasons for these stock-outs? National Y N U Sub-National Y N U Local/Service Delivery Y N U 10 Would you say that contraceptives are widely available and easily accessible to your clients or in your catchment area? Please explain. National Y N U Sub-National Y N U Local/Service Delivery Y N U 11 Have there been stock-outs of contraceptives in the past 12 months that affected your clients? If so, how many, how long did they last, and what were the reasons for these stock-outs? National Y N U Sub-National Y N U Local/Service Delivery Y N U Strategic information (triangulate with data verification) Checklist item Level Yes No Unable to verify 1 Is there a defined set of indicators for monitoring of EMTCT? Do they align with regional and global guidance? National Y N U Sub-National Y N U Local/Service Delivery Y N U 2 Are there clearly defined roles and responsibilities of regional and local service delivery sites for data collection and reporting on EMTCT process and impact indicators?. National Y N U Sub-National Y N U Local/Service Delivery Y N U 3 There are mechanism in place for data collection and reporting on these indicators at the national, regional and local levels National Y N U Sub-National Y N U Local/Service Delivery Y N U 4 Are required EMTCT data elements clearly defined? National Y N U Sub-National Y N U Local/Service Delivery Y N U 5 Is it clear how, when, and to whom these EMTCT data are to be National Y N U Sub-National Y N U