Table 4.

Process indicators and minimum acceptable levels for Safe Motherhood monitoring

Key questions	Indicator	Minimum acceptable level
I. Coverage 1. Is emergency obstetric care (EmOC) available and reasonably distributed?
	A. Amount of emergency obstetric care (EmOC):	For every 500,000 population, there should be:
	Basic EmOC facilities	At least 4 Basic EmOC Facilities
	Comprehensive EmOC facilities	At least 1 Comprehensive EmOC facility
	B. Geographical distribution of EmOC Facilities	Minimum level for amount of EmOC services is met in sub-national areas
2. Are the women using maternity services at basic and comprehensive EmOC facilities?	C. Proportion of all births in Basic and comprehensive EmOC facilities	At least 15% of all births in the population take place in either Basic or Comprehensive EmOC facilities
3. Are the women who really need EmOC services using these services?	D. Met need for EmOC – Proportion of women estimated to have complications who are treated in EmOC facilities	At least 100% of women with obstetric complications (estimated as 15% of births) are treated in EmOC facilities
	E. Quantity of critical services Caesarean sections as a percentage of all Births	As a proportion of all births in the population, Caesarean sections account for not less than 5% nor more than 15%
II. Performance 4. Is treatment successful?
	F. Quality of care Case fatality rate	The case fatality rate among women with obstetric complications in comprehensive EmOC facilities is less than 1%

Sources: Modified from [22-24]