<p>At the district level and in each of the health centres visited, the national PHEM guideline was accessible in physical copy and digital form. However, none of the six-visted health posts had access to a national PHEM guideline booklet. In the visited health facilities and health posts, there was no regular weekly reporting format. In the previous year, the zonal health department has twice overseen the district PHEM officer.&nbsp;</p>