Comparing baseline and the last survey results , all readiness indicators showed significant ( p < 0.005 ) improvements : availability of parasitological diagnosis ( 55.2 % to 90.7 % ) ; RDT availability ( 7.5 % to 69.8 % ) ; total artemether-lumefantrine ( AL ) stock-out ( 27.2 % to 7.0 % ) ; stock-out of one or more AL packs ( 59.5 % to 21.6 % ) ; training coverage ( 0 to 50.2 % ) ; guidelines access ( 0 to 58.1 % ) and supervision ( 17.9 % to 30.8 % ) .