||IMPACT has been consistently entrusted by Micronutrient Initiative for conducting Audit for the Supply Chain of ORS and Zinc under government health system. Support to public sector for better management of childhood diarrhoea is one of a leading capacity development programmes of MI in Bihar State. IMPACT undertook the second supply audit study in three districts—Banka, Sheohar and Sitamarhi in June 2012 and also recently finished the third round in five districts—Banka, Bhagalpur, Samastipur, Sheohar and Sitamarhi.
Under the supply audit study, five major components have been audited namely (i) Procurement, (ii) Distribution, (iii) Storage, (iv) Utilization and (v) Stock outs and Replenishment at District, Block, Health Sub-centre and Village levels. In addition, compliance to reporting at all levels and validation of reporting figures was also undertaken. Primarily, the study incorporated the quantitative research methodology but qualitative methods were also used in the third round of supply audit in order to explore and identify the reasons for stock outs, replenishments and problems/barriers faced by the frontline workers (ANM, ASHA and AWW) at various levels.