In 2011, SPARS was adopted by the Ministry of Health (MoH) as a national strategy to build district level capacity in supply chainmanagement of medicines and health supplies. Medicines and health supplies are the second biggest expenditure in the health sector after human resources and therefore their management is critical in ensuring effective health service delivery. Experience from the last five years has shown that the Supervision, Performance, Assessment and Recognition Strategy (SPARS) can effectively improve facility performance in managing their essential medicines and health supplies through sustainably building the health worker skills, knowledge, attitudes, and practices. The purpose of these guidelines is to provide district health teams, implementing partners and donor agencies with a reference manual on what it takes to comprehensively implement SPARS. The MoH Pharmacy Department spearheaded development of these guidelines to facilitate the planning, maintenance of SPARS implementation and to ensure a quality, standardized approach in implementing this important district-level capacity building initiative.
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