Availability of clinical protocols and guidelines
On the day of the survey, 80 % of all the health facilities
visited did not have observable, written clinical protocols
and guidelines for the management of PE/E, as required
by the State Ministries of Health. Only 14 % of health facilities were able to present written clinical protocol and
guidelines that were also observed to be in use by data
collectors, while the remaining 6 % retrieved such
guidelines and protocols fromsafekeeping for sighting.
Hospitals were far more likely to have verifiable written protocols than all other types of facilities combined
(p< 0.0001)