Maternal Medicine Availability Survey
Share information about the availability of maternal medicines at your facility or region.
Respondent Profile
Facility/Organization Name
*
Role or Job Title
*
Location/Region Served
*
Maternal Medicine Availability
Overall availability status
*
Always available
Usually available
Sometimes available
Rarely available
Not available
Other
Which maternal medicines are available or commonly stocked?
*
Oxytocin
Misoprostol
Magnesium sulfate
Iron and folic acid supplements
Calcium supplements
Antihypertensive medicines for pregnancy complications
Antibiotics for maternal infections
Other
Consistency of supply over the past 3 months
*
Very inconsistent
1
2
3
4
5
6
7
8
9
Very consistent
10
1 is Very inconsistent, 10 is Very consistent
Frequency of stockouts or shortages by medicine category
Rows
Never
Rarely
Sometimes
Often
Always
Uterotonics (e.g., oxytocin, misoprostol)
1
2
3
4
5
Management of pre-eclampsia/eclampsia (e.g., magnesium sulfate)
6
7
8
9
10
Iron and folic acid supplements
11
12
13
14
15
Calcium supplements
16
17
18
19
20
Medicines for maternal infections
21
22
23
24
25
Antihypertensive medicines used in pregnancy
26
27
28
29
30
Access, Barriers, and Follow-up
Main barrier to medicine availability
*
Supply delays
Stock management issues
Budget constraints
Supplier shortages
Distribution/transport issues
Regulatory delays
Other
Most urgent supply issue
*
Additional observations or recommendations
Submit Survey
Should be Empty: