Table 2 Implementation issues identified from 2005 surveys

Relatively low levels of voucher coverage

Qualitative investigation with facility staff to identify reasons for not distributing vouchers

Redevelop training messages for facility workers

Stock-outs of vouchers and antenatal cards required for issuing of voucher

In-depth facility level analysis

Work with the Medical Supplies Division and MEDA to improve supply chains

Relatively low levels of voucher coverage in most geographically isolated clusters

Survey instruments modified in subsequent rounds to include questions about use of outreach services for ANC, and the interventions received.

Develop mechanisms for outreach providers to distribute vouchers

Relatively low levels of retreatment of bednets

Qualitative investigation to identify what voucher recipients understand about retreatment kits

Amend insecticide treatment messages to respond to user knowledge and perceptions

Low knowledge of voucher value

Qualitative investigation into understanding of the value of the value

Develop IEC materials to address voucher value and top-up