R4H continues to make significant strides in improving healthcare delivery through the implementation of the optimized medical sample transport system in the 11 districts of Phalombe, Mzimba North, Rumphi, Lilongwe, Salima, Zomba, Chiradzulu, Mulanje, Chikwawa, Blantyre, and Mangochi. The Optimized Sample Transport (OST) system utilizes a USSD-based reporting mechanism, where healthcare workers (HCWs) report the number of clinical samples available for R4H courier pickup at the site each working day. Between October and December 2024, R4H route optimization team visited 6 OST implementing districts of Blantyre, Chikwawa, Lilongwe, Zomba, Rumphi and Mzimba North for a support visit.
This initiative started by addressing gaps through distribution of Standard Operating Procedures (SOPs) and Job Aid, for USSD sample volume reporting, to healthcare facilities (HCFs) that fell short of them, had worn out or got lost, and administering of checklist. In addition, hands-on training sessions, were carried out, to ensure that HCWs were proficient in using the USSD system. Followed by on-site supervision, to monitor the effectiveness of reporting procedures, and ensure HCWs adhere to the best practices outlined in the SOPs.
The interaction, enhanced coordination that creates a sustainable model for ongoing support, which included activating contacts numbers for new HCWs, and new phone numbers, to ensuring that all HCWs receive timely SMS reminders for USSD sample reporting, and daily notification of ST courier visit to the facility among others.
The outcomes include the distribution of USSD SOPs at targeted HCFs, training and retraining of HCWs on USSD sample reporting, and the establishment of a strong relationship with HCWs, for continuous implementation of OST program activities. Additionally, HCWs demonstrated a stronger appreciation of the USSD reporting system, with many taking on mentorship roles to train their colleagues.