Table 2. LiST Interventions and Coverage Increase Scenarios in Bangladesh and Uganda (input parameters of baseline year in 2011 and target year in 2015).
| LiST Interventions (selected) | Bangladesh | Uganda | ||||||||
| Baseline (2011) | Projected coverage increase (2015) | Baseline (2011) | Projected coverage increase (2015) | |||||||
| 10% | 30% | 50% | 10% | 30% | 50% | |||||
| Pregnancy | Antenatal care (ANC 4+) | 25.5 | 28.1 | 33.2 | 38.3 | 47.6 | 52.4 | 61.9 | 71.4 | |
| Childbirth | Skilled birth attendance* | 31.7 | 34.8 | 41.2 | 47.6 | 58.0 | 63.8 | 75.4 | 87.0 | |
| Facility delivery* (Clinic and Hospital) | 28.8 | 31.7 | 37.4 | 43.2 | 57.4 | 63.1 | 74.6 | 86.1 | ||
| Home deliveries** (% of all deliveries) | Unassisted deliveries** | 68.3 | 65.2 | 58.8 | 52.4 | 42.0 | 36.2 | 24.6 | 13.0 | |
| Assisted deliveriesat home** | 2.9 | 3.1 | 3.8 | 4.4 | 0.6 | 0.7 | 0.8 | 0.9 | ||
| Facility deliveries**(% of all deliveries) | Essential care** | 25.9 | 15.8 | 18.7 | 21.6 | 14.3 | 15.8 | 18.6 | 21.5 | |
| BEmOC** | 0.0 | 9.5 | 11.2 | 13 | 8.6 | 9.5 | 11.2 | 12.9 | ||
| CEmOC** | 2.9 | 6.3 | 7.5 | 8.6 | 34.4 | 37.9 | 44.8 | 51.7 | ||
| Breastfeedingpromotion and prevalence(<1 month) | Promotion of breastfeeding | 36.3 | 39.9 | 47.2 | 54.5 | 34.8 | 38.3 | 45.2 | 52.2 | |
| Exclusive breastfeeding** | 84.5 | 84.9 | 85.6 | 86.3 | 89.9 | 90.1 | 90.6 | 91.0 | ||
| Predominant breastfeeding** | 5.9 | 5.7 | 5.5 | 5.2 | 5.0 | 4.9 | 4.7 | 4.4 | ||
| Partial breastfeeding** | 9.6 | 9.4 | 9.0 | 8.5 | 5.1 | 5.0 | 4.8 | 4.5 | ||
| Preventive | Preventive postnatal care(Thermal care, Clean postnatal practice) | 29.6 | 32.6 | 38.5 | 44.4 | 2.8 | 3.1 | 3.6 | 4.2 | |
SOURCE: LiST.
Notes: For detailed definitions and data sources, see LiST manuals and published articles [56], [61] [67];baseline coverage data were compiled from Demographic and Health Surveys (DHS: Uganda and Bangladesh, 2011); Multiple Indicator Cluster Survey (MICS Round 3: Bangladesh, 2006).
*Coverage measure of SBA includes coverage measure of FD. Thus we modeled coverage increase for SBA and FD simultaneously as 10%, 30%, and 50%. Data course of SBA and FD is from DHS/MICS and percentages of home deliveries and facility deliveries are based on LiST imbedded algorithms.
**Estimations of home deliveries (unassisted deliveries, assisted deliveries at home), facility deliveries (essential care, BEmOC, CEmOC), exclusive breastfeeding, predominant breastfeeding, and partial breastfeeding are derived from the LiST imbedded algorithms.
Antenatal care (ANC 4+): Percent of pregnant women with at least 4 antenatal care visits during their pregnancy. The intervention includes Routine (TT, IPTp, Syphilis detection and treatment), Nutritional (Calcium supplementation), Case management (Diabetes, Management of pre-eclampsia), Other (Fetal growth restriction detection and management). This analysis does not include iron-folic acid. Data source of ANC is from DHS/MICS.
Skilled Birth Attendance (SBA): Percent of children born who are attended by a skilled attendance, including doctors, nurses, midwives- in a facility or home. An SBA in the home is defined as a skilled birth attendant who deliveries the infant at home without benefit of referral to a facility in case of emergency. An SBA in a facility is defined as a medically skilled attendant who has the ability and facilities needed to monitor labor progress with a partograph and detect complications. Episiotomy is available, if needed. Infection control is covered under clean birth practices; Facility delivery (FD): Percent of children born in an institution. Unassisted deliveries: Percent of deliveries without skilled attendance in the home.
- Assisted deliveries at home: Percent of deliveries with a skilled attendant in the home.
- Essential care: Percent of deliveries including monitoring labor progress with a partograph, detection of complications and infection control via a clean delivery, Episiotomy is available, if needed. For the neonate, this includes routine care practices including: immediate drying, skin-to-skin contact or immediate wrapping for thermal care and clean cord cutting.
- BEmOC (Basic Emergency Obstetric Care): Percent of deliveries at a health center and covers case management of direct obstetric complications. The intervention includes: Case management of ante-partum hemorrhage, prolonged/obstructed labor, post-partum hemorrhage and severe infection. Methods include: shock management, pain relief, ABC, IV fluids, instrumental delivery and manual removal of the placenta and retained products.
- CEmOC (Comprehensive Emergency Obstetric Care): Percent of deliveries at a hospital and covers case management of direct obstetric complications. In addition to including all interventions in Basic Emergency Obstetric Care, additional methods include: ultrasound, culdocentesis, induction, laparotomy, salpingectomy, blood transfusion, caesarian section, hysterectomy, symphisiotomy, balloon tamponade, uterine ligature, MRVOP, surgical infection control and episiotomy.
- Users can change any of the assumptions in the LiST by simply uncheck the box ‘Allow LiST to calculate place and level of delivery’ to allow direct entry of these values. The sum of all five delivery levels must be no more than 100%. Note that the values listed assume the highest level of care that is available for that particular delivery. So the percent of deliveries with essential care selected assume that none of these pregnancies have BEmOC or CEmOC available.
Exclusive breastfeeding (BF): Percent of children 0–11 months receiving only breast milk for food (plus medication, vaccines, and vitamins).
Preventative postnatal care (PNC): Percent of infants with a postnatal health contact/visit within 2 days of birth.