This study adapted the standard WHO/HAI methodology to assess access to essential medicines, supplies and services for maternal and reproductive health in Lira district. A sample of 14 facilities was selected randomly: two level-two health centres (HC II’s), seven HC III’s, five HC IV’s and the one regional referral hospital. Five focus group discussions (FGDs) were organised in the five sub-counties, and personal interviews conducted with key informants. The study team consisted of one survey manager, two research assistants and 13 data collectors.
The study found that the availability of maternal and reproductive health services varies widely from facility to facility, but are rarely comprehensive. There was poor availability of essential maternal and reproductive health medicines and commodities, including gynaecological gloves (27.3%), mama kits (27.3%), insecticide treated nets (36.4%), and vaccines for children (63.6%).