Table 1.
Indicators included in the Institutional Capacity Index
| Category | Essential | Additional |
|---|---|---|
| Basic Services | Availability of: | Availability of: |
| • Reliable water supply | • Telephone | |
| • Sanitation facilities | ||
| • Electricity | ||
| • Generator | ||
| • Refrigerator | ||
| • Sterilization equipments | ||
| General Medical Services | • Blood bank | • Medical clinics for referral in the same building |
| • Safe blood | ||
| • Biochemical/Clinical laboratories | ||
| • High risk pregnancy beds | ||
| • Adult intensive care unit | ||
| • Neonatal intensive care unit | ||
| Screening Tests | • Proteinuria | • Pap smear |
| • HIV | • Hepatitis B | |
| • Syphilis | • Glucose tolerance test | |
| • Urine Culture | ||
| Anaesthesiology Resources | • Anaesthesiologist or nurse/paramedics anaesthetist in hospital or on call | • Anaesthesiologist 24 hours per day in hospital |
| Emergency Obstetric Services | • Parenteral antibiotics | |
| • Parenteral oxytocic drugs | ||
| • Parenteral anticonvulsants for pre-eclampsia and eclampsia | ||
| • Blood transfusion | ||
| • Neonatal resuscitation | ||
| • Maternal cardio pulmonary resuscitation | ||
| • Hysterectomy | ||
| Intrapartum Care | • Partograph | • Fetal/obstetric ultrasound |
| • Staff skilled in caesarean section | ||
| Human Resources | • At least one obstetrics/gynaecology specialist | • At least one resident MD in training |
| Academic Resources and Clinical Protocols | • Formal protocols for Intrapartum care | • Continuous medical education programme |