Table 4 Observational checklist for CRC at 16 MHFs in Ethiopia, 2021 (n = 16)

have an independent plan on CRC

 Yes

14(87.5)

9(100)

3(75)

2(66.7)

 No

2(12.5)

0(0)

1(25)

1(33.3)

have an annual allocated financial plan for CRC

 Yes

3(18.8)

2(22.2)

1(25)

0(0)

 No

13 (81.3)

7(77.8)

3 (75)

3(100)

have a board for the leadership of the facility

 Yes

14(87.5)

8(88.9)

4(100)

2(66.7)

 No

2(12.5)

1(11.1)

0(0)

1(33.3)

Raised agenda of CRC on board meeting

 Yes

9(56.3)

5(55.6)

3(75)

1(33.3)

 No

7(43.8)

4(44.4)

1(25)

2(66.7)

Management discussed CRC

 Yes

12(75)

7(77.8)

3(75)

2(66.7)

 No

4(25)

2(22.2)

1(25)

1(33.3)

Have currently CRC focal persons

 Yes

15(93.8)

9(100)

3(75)

3(100)

 No

1(6.3)

0(0)

1(25)

0(0)

CRC focal person has an independent office

 Yes

5(31.3)

2(22.2)

2(50)

1(33.3)

 No

11(68.8)

7(77.8)

2(50)

2(66.7)

Availability of the CRC manual per each department

 Yes

5(31.3)

2(22.2)

1(25)

2(66.7)

 No

11(68.8)

7(77.8)

3(75)

1(33.3)

Does the facility have a CRC committee

 Yes

13(81.3)

6(66.7)

4(100)

3(100)

 No

3(18.8)

3(33.3)

0(0)

0(0)

Facility select the CRC ambassador

 Yes

14(87.5)

7(77.8)

4(100)

3(100)

 No

2(12.5)

2(22.2)

0(0)

0(0)

Have regular selection and announcement of model CRC performer

 Yes

13(81.3)

7(77.8)

4(100)

2(66.7)

 No

3(18.8)

2(22.2)

0(0)

1(33.3)

Have community forums and discussions on CRC

 Yes

10(62.5)

5(55.6)

3(75)

2(66.7)

 No

6(37.5)

4(44.4)

1(25)

1(33.3)

Have a recent meeting with community representatives on CRC

 Yes

14(87.5)

8(88.9)

4(100)

2(66.7)

 No

2(12.5)

1(11.1)

0(0)

1(33.3)

Have a voluntary service on CRC

 Yes

10(62.5)

5(55.6)

3(75)

2(66.7)

 No

6(37.5)

4(44.4)

1(25)

1(33.3)

Have an MOU plan in CRC with related stakeholders

 Yes

10(62.5)

4(44.4)

4(100)

2(66.7)

 No

6(37.5)

5(55.6)

0(0)

1(33.3)

Table continued

 Have a conducive working environment

  Yes

8(50)

4(44.4)

2(50)

2(66.7)

  No

8(50)

5(55.6)

2(50)

1(33.3)

 Implement CRC with a quality strategy

  Yes

11(68.8)

6(66.7)

2(50)

3(100)

  No

5(31.3)

3(33.3)

2(50)

0(0)

 Have a skill lab or CRC simulation center

  Yes

12(75)

7(77.8)

4(100)

1(33.3)

  No

4(25)

2(22.2)

0(0)

2(66.7)

 CRC include in health education provision

  Yes

7(43.8)

5(55.6)

2(50)

0(0)

  No

9(56.3)

4(44.4)

2(50)

3(100)

 Include CRC in the morning session discussion

  Yes

7(43.8

2(22.2)

2(50)

3(100)

  No

9(56.3)

7(77.8)

2(50)

0(0)

 Does the facility select model units in CRC per department

  Yes

7(43.8

2(22.2)

3(75)

2(66.7)

  No

9(56.3)

7(77.8)

1(25)

1(33.3)

 Have a system to treat the HWFs with compassionate care

  Yes

10(62.5)

5(55.6)

2(50)

3(100)

  No

6(37.5)

4(44.4)

2(50)

0(0)

 Have ways to manage burnout and motivation mechanisms for HWFs

  Yes

7(43.8)

4(44.4)

2(50)

1(33.3)

  No

9(56.3)

5(55.6)

2(50)

2(66.7)

 Provide induction orientation on CRC for newly recruited staff

  Yes

12(75)

6(66.7)

3(75)

3(100)

  No

4(25)

3(33.3)

1(25)

0(0)

 Assess the performance or implementation of CRC in the facility

  Yes

11(68.8)

6(66.7)

3(75)

2(66.7)

  No

5(31.3)

3(33.3)

1(25)

1(33.3)

 IST center integrate CRC packages in the continuous professional development

  Yes

10(62.5)

4(44.4)

4(100)

2(66.7)

  No

6(37.5)

5(55.6)

0(0)

1(33.3)

 Does the facility recently introduce the best practice on CRC?

  Yes

9(56.3)

4(44.4)

3(75)

2(66.7)

  No

7(43.8)

5(55.6)

1(25)

1(33.3)

 Is /are there challenges and opportunities during the implementation of CRC?

  Yes

10(62.5)

6(66.7)

3(75)

1(33.3)

 No

6(37.5)

3(33.3)

1(25)

2(66.7)

 Work with the nearby pre-service education, elementary and high school

  Yes

5(31.3)

3(33.3)

2(50)

0(0)

  No

11(68.8)

6(66.7)

2(50)

3(100)