Table 5.
Selected facility characteristics and interventions at Baseline and Year 1 SMGL
| Characteristic/Intervention | Uganda (107 facilities) | Zambia (113 facilities) | ||||||
|---|---|---|---|---|---|---|---|---|
| Baselinea | Year 1a | % Changeb | Sig. Levelc | Baseline | Year 1 | % Changeb | Sig. Levelc | |
| Availability 24/7 | 80.4 | 95.3 | 19 | *** | 68.1 | 94.7 | 40 | *** |
| Community outreach activities (Zambia only) | NA | NA | NA | NA | 63.0 | 85.2 | 35 | *** |
| Electricity available | 57.9 | 94.4 | 62 | *** | 56.6 | 76.1 | 33 | *** |
| Water available | 76.6 | 94.4 | 22 | *** | 90.3 | 99.1 | 10 | *** |
| Functional communications availabled | 93.5 | 92.5 | −1 | NS | 45.1 | 89.4 | 98 | *** |
| Transportation available5f | 59.8 | 64.5 | 8 | NS | 54.9 | 61.1 | 11 | NS |
| Sufficient number of beds | 35.5 | 73.8 | 108 | *** | 63.7 | 67.3 | 6 | NS |
| Use of parenteral antibiotics in last 3 months | 85.0 | 92.5 | 9 | NS | 78.8 | 75.2 | −5 | NS |
| Use of parenteral oxytocin in last 3 months | 70.1 | 95.3 | 36 | *** | 90.3 | 94.7 | 5 | NS |
| Use of parenteral anticonvulsants in last 3 months | 49.5 | 37.4 | −24 | NS | 44.2 | 33.6 | −24 | NS |
| Perform newborn resuscitation in last 3 months | 31.8 | 69.2 | 118 | *** | 26.5 | 63.7 | 140 | *** |
| Perform manual removal of placenta in last 3 months | 26.2 | 48.6 | 85 | *** | 38.1 | 33.6 | −12 | NS |
| Remove retained products in last 3 months | 18.7 | 50.2 | 168 | *** | 16.8 | 38.1 | 127 | *** |
| Perform assisted vaginal delivery (AVD) in last 3 months | 4.7 | 11.2 | 138 | ** | 9.7 | 14.2 | 46 | NS |
| Perform surgery (C-section) (HC IV or higher) in last 3 months | 7.5 | 15.0 | 100 | *** | 4.4 | 4.4 | 0 | NS |
| Perform blood transfusion (HC IV or higher) in last 3 months | 7.5 | 13.1 | 75 | ** | 5.3 | 6.2 | 17 | NS |
| Breech delivery performed in last 3 months | 35.5 | 52.3 | 47 | ** | 36.3 | 51.3 | 41 | ** |
| No stock out last 12 months: magnesium sulfatef | 46.7 | 61.7 | 32 | ** | 22.4 | 87.3 | 290 | *** |
| No stock out last 12 months: oxytocinf | 56.1 | 82.2 | 47 | *** | 78.2 | 97.5 | 25 | *** |
| HIV rapid test kits currently availablef,g | 71.0 | 82.2 | 16 | NS | 82.7 | 93.8 | 13 | ** |
| Active management of 3rd stage of labor (AMTSL) | 75.7 | 92.5 | 22 | *** | 70.8 | 91.2 | 29 | *** |
| Perform maternal death reviews | 6.5 | 33.6 | 417 | *** | 42.0 | 55.6 | 32 | NS |
| Number of functioning CEmONC facilities | 7 | 16 | 129 | *** | 4 | 5 | 25 | *** |
| Number of functioning BEmONC facilities | 3 | 9 | 200 | *** | 3 | 6 | 100 | *** |
| Lower-level health facilities with partial BEmONCh | 28 | 44 | 57 | *** | 24 | 37 | 54 | *** |
aBaseline period is June 2011–May 2012; Year 1 period is June 2012–May 2013
bPercent change calculations based on unrounded numbers
c Asterisks indicate significance level of the difference between baseline and Year 1 outcomes for all facilities combined, using McNemar’s exact test, as follows: *** p < 0.01, ** p < 0.05, NS not significant
dUganda: Facility owned landline, cell, two-way, or radio, or individual had cell phone. Zambia: Includes 2-way radio, landline, or cell phone with service
eUganda: Available and functional motorized vehicle with fuel, funds for driver and maintenance generally available. Zambia: Includes motor vehicle, motorcycle, or bicycle
fZambia: Kalomo facilities did not collect the information and were excluded from the analysis
gUganda: Rapid HIV test was used in maternity ward in the last 3 months (does not indicated current availability)
hPercent of health centers (HC) that performed 4–5 basic emergency obstetric care interventions in the past 3 months
Note: Unless otherwise noted, the figures in the table are percentages of all facilities