Table 3.
Categories | Basic Emergency Obstetric Care (BEmOC) | Comprehensive Emergency Obstetric Care (CEmOC) |
---|---|---|
Staffing guidelines and training | - Guidelines for Integrated Management of Pregnancy and Childbirth (IMPAC) | - BEmOC Requirements + |
- Guidelines for CEmOC + | ||
- Staff trained in IMPAC | - Staff trained in CEmOC + | |
- Surgeon and anesthesiologist on staff 24/7 | ||
Equipment/supplies | - Emergency transport | - BEmOC Requirements + |
- Examination light | - Anesthesia equipment + | |
- Suction apparatus | - External heat source | |
- Manual vacuum extractor | ||
- Vacuum aspirator or dilatation & curettage kit | ||
- Newborn bag and mask (Ambubag) | ||
Laboratory capacity | N/A | Cross-matching capacity |
Medicines and commodities | - Partograph | - BEmOC Requirements + |
- Gloves | - No Shortage of blood in prior 3 months + | |
- Injectable uterotonic | - Blood obtained only from national or regional blood bank OR Blood obtained from other sources but screened for HIV and other transfusion-transmissible infections | |
- Injectable antibiotic | ||
- Magnesium sulfate | ||
- IV solution with infusion set | ||
EmOC readiness score | Unweighted average of percentages in each category |
Criteria for the four readiness categories are based on the 2010 WHO Monitoring Indicators for Health Systems Handbook [5].