Table 6.
Pregnancy and maternal health outcomes in facilities at baseline and during Year 1 SMGL
| Pregnancy and Maternal Health Outcomes | Uganda | |||
|---|---|---|---|---|
| Baseline | Year 1 | % Change | Significancea | |
| Number of live births – All facilities | 33,492 | 56,571 | 69 | *** |
| Institutional delivery rate - All facilities (%) | 45.5 | 73.8 | 62 | *** |
| Institutional delivery rate - EmONC facilities (%) | 28 | 36 | 28 | *** |
| Number of obstetric complications treatedb | 5249 | 7696 | 47 | *** |
| C-section rate as a proportion of all births (%) | 5.3 | 6.5 | 23 | *** |
| Met need for emergency obstetric care -All facilities (%) | 46 | 66 | 42 | *** |
| Met need for emergency obstetric care -EmONC facilities (%) | 39 | 49 | 25 | *** |
| Direct Obstetric Case Fatality Rate (%) | 2.6 | 2.0 | −25 | *** |
| Direct Maternal Mortality Ratio (MMR) | 416 | 269 | −35 | *** |
| Facility MMR, overall | 534 | 345 | −35 | *** |
| Obstetric hemorrhage MMRc | 131 | 94 | −29 | *** |
| Puerperal infection/Sepsis MMR | 75 | 32 | −57 | ** |
| Obstructed labor MMRd | 72 | 30 | −58 | *** |
| Abortion-related MMRe | 63 | 35 | −44 | NS |
| Pre-eclampsia/Eclampsia MMR | 45 | 46 | 3 | NS |
| Other Direct Obstetric Causes MMRf | 30 | 32 | 7 | NS |
| Indirect Obstetric Causes MMRg | 119 | 76 | −36 | NS |
| Zambia | ||||
| Number of live births –All facilities | 21,914 | 30,619 | 40 | *** |
| Institutional delivery rate (%) | 62.6 | 84.3 | 35 | *** |
| Institutional delivery rate-EmONC facilities (%) | 26 | 30 | 17 | *** |
| Number of obstetric complications treatedb | 1833 | 2462 | 34 | *** |
| C-section rate as a proportion of all births (%) | 2.7 | 3.1 | 15 | *** |
| Met need for emergency obstetric care -All facilities (%) | 34 | 45 | 31 | *** |
| Met need for emergency obstetric care -EmONC facilities (%) | 26 | 32 | 23 | *** |
| Direct Obstetric Case Fatality Rate (%) | 3.1 | 2.0 | −34 | ** |
| Direct Maternal Mortality Ratio (MMR) | 260 | 166 | −36 | ** |
| Facility MMR, overall | 310 | 202 | −35 | ** |
| Obstetric hemorrhage MMRc | 110 | 72 | −34 | NS |
| Obstructed labor MMRd | 59 | 13 | −78 | ** |
| Other Direct Obstetric Causes MMRf | 91 | 82 | −11 | NS |
| Indirect Obstetric Causes MMRg | 50 | 36 | −28 | NS |
aAsterisks indicate significance level of the difference between baseline and Year 1 outcomes for all facilities combined, using a z-statistic to calculate the p-value of the difference, as follows: *** p < 0.01, ** p < 0.05, NS not significant
bExcludes first-trimester complications (e.g. abortion-related complications and ectopic pregnancy)
cIncludes antepartum, intrapartum and postpartum hemorrhage
dObstructed and prolonged labor including rupture of the uterus
eIncludes both induced and spontaneous abortions
fIncludes embolism, anesthetic-related deaths, and ectopic pregnancy
gIncludes HIV-, TB- and malaria-related maternal deaths, and those due to other medical conditions