Table 2.

Structured observation checklist items for the health center and home environments.

Domain	Features Checked
Health Center Environment
Infrastructure	Electricity
	Backup electricity
	Designated rooms for delivery and post-delivery care
	Sufficient lighting for health care activities
Hand hygiene	Hand washing points
	Soap present Clean towels for drying present Near to areas where health care carried out Near to latrines
Routine cleaning	Condition of:
	Floors Operating tables Surfaces which mother or newborn may contact
	Availability of cleaning supplies
	Availability of cleaning equipment
Sanitation	Latrines
	Adequate Clean latrines Accessible for all users
	Sharps disposal
	Waste disposal
Water	Indoor running water
	Outdoor running water
	Appearance of water
Sterilization	Sterilizing equipment
	Electric autoclave
Health care equipment and supplies	Sterile/non-sterile gloves
	Plastic sheeting for delivery
	Clean linens for delivery and post-partum care
	Clean cord care items
Home Environment
Sanitation	Toilet present
Animals	Presence of animals
Hand hygiene	Hand washing station at toilet
	Water at hand washing station
	Soap at hand washing station
Water	Source of household water
	Storage of household water