Requested and delivered DeliveryCare and PostnatalCare appointments exactly matching in mode 2

[marghe-molaro]

In mode 2, the total request for DeliveryCare and PostnatalCare appointments exactly matches the number of appts delivered under the two categories.

It seems unlikely that this would be due to the HealthSystem actually being able to fully satisfy the demand for this care under mode 2 for a number of reasons:

• The number of delivered appointments varies across different policies in the expected way (i.e. higher for RMNCH than others), suggesting that resource constraints are indeed affecting the delivery rate;
• There is no reason the request for appointments (which exactly matches the number of requested appts under different policies) would vary in the same way across those policies.
• DeliveryCare and PostnatalCare HSIs require the same type of medical officers as a number of other appointments for which the total request far exceeds the demand, suggesting competition for those medical officers is taking place as expected.

Total request for appointments is computed by summing the HSIs delivered and the HSIs that never ran. It seems therefore more likely that the logging of never_ran appointments is not occurring as it should for DeliveryCare and PostnatalCare appointments, making the total request equal to the number of appointments delivered. Given the rise in neonatal disorders and maternal disorders DALYs following a transition from mode 1 to mode 2 it seems that the impact of the lack of care is present, however the logging of it isn't.

[marghe-molaro]

[joehcollins]

@marghe-molaro which logging exactly are you using to extract the number of never_ran appointments?

[marghe-molaro]

call_and_record_never_ran_hsi_event in the HealthSystem. If you are calling never_ran from inside your HSI functions then it might mean that we need to replace it with this.

[joehcollins]

Ok fine seen that function in the health system. No i'm not calling never_ran in my own HSIs. I'm trying currently to get my head around the changes we previously implemented and then rolled back relating to tclose/never_ran with my HSIs at the moment....