Table 6. Difference in facility preparedness, comparing facilities with births in facilities (delivery caseload weight used).
| Childbirth Care Function | Proportion of facilities meeting criteria (Facility weight) % | Proportion of total facility births taking place in a facility meeting criteria (Delivery caseload weight) % | Difference in proportion (Deliveries%—Facility%) |
|---|---|---|---|
| General Requirements | |||
| Service availability 24/7 | 83 | 98 | +15 |
| Infrastructure | |||
| Communication tools | 92 | 96 | +4 |
| High quality referral system | 15 | 56 | +41 |
| Electricity, any type | 83 | 98 | +15 |
| Toilet or latrine | 98 | 98 | 0 |
| Water supply | 46 | 81 | +35 |
| Total | 13 | 51 | +38 |
| Routine Childbirth Care (Maternal)# | |||
| Monitoring and management of labor using partograph | 61 | 85 | +24 |
| Infection prevention measures during delivery (hand-washing, gloves) | 30 | 64 | +34 |
| Active management of 3rd stage of labor | |||
| Routine injection of oxytocin within one minute of delivery | 45 | 63 | +18 |
| Controlled cord traction | 76 | 87 | +11 |
| Uterine massage after delivery of placenta | 81 | 91 | +10 |
| Total | 13 | 36 | +23 |
| Routine Childbirth Care (Newborn)# | |||
| Thermal protection | |||
| Drying baby immediately after birth | 30 | 54 | +24 |
| Skin-to-skin with mother | 50 | 60 | +10 |
| Wrapping | 27 | 30 | +3 |
| No bath in first 6 hours | 93 | 94 | +1 |
| Immediate and exclusive breastfeeding | 95 | 95 | 0 |
| Hygienic cord care (cutting with sterile blade) | 94 | 97 | +3 |
| Total | 11 | 18 | +7 |
| Basic EmOC# | |||
| Parenteral antibiotics | 24 | 46 | +22 |
| Parenteral oxytocin | 65 | 87 | +22 |
| Parenteral anticonvulsants | 18 | 61 | +43 |
| Manual removal of placenta | 33 | 69 | +36 |
| Removal of retained products | 40 | 77 | +37 |
| Assisted vaginal delivery | 3 | 30 | +27 |
| Total BEmOC-1 | 6 | 46 | +40 |
| Basic EmNC | |||
| Antibiotics to mother if preterm or prolonged PROM | 48 | 52 | +4 |
| Corticosteroids in preterm labor | 21 | 46 | +25 |
| Resuscitation with bag and mask | 35 | 76 | +41 |
| KMC for premature/very small babies | 50 | 59 | +9 |
| Injectable antibiotics | 44 | 51 | +7 |
| Total | 3 | 12 | +9 |
| Comprehensive EmONC | |||
| Blood transfusion | 13 | 59 | +46 |
| Caesarean section | 14 | 58 | +44 |
| Intravenous fluids | 87 | 90 | +3 |
| Total | 1 | 6 | +5 |
#All tracer items in this category must be present in the room where deliveries take place or in an adjacent room