Table 2.

Indicators used to measure BIS index score and their operational definitions

SN	Indicators	Definition	Data source
I	Input indicators
1	Number of BEmONC-trained personnel available	Number of BEmONC-trained providers (health officers, nurses, or midwives) working in the facility at the time of the survey	Interviews with facility heads
2	Number of laboratory tests available	Number of the following laboratory tests: hemoglobin/hematocrit, blood group, urine analysis, venereal disease research laboratory (VDRL), and HIV test for PMTCT available in the facility at the time of the data collection	Interviews with facility staff
3	Number of items of equipment available	Number of functional equipment, including oxygen concentrator, sphygmomanometer, vacuum extractor, suction machine, radiant heater, and Ambu-bag mask available in the facility for provision of BEmONC care at the time of the survey	Interviews with facility staff and observation
4	Number of drugs available	Number of the following drugs: intravenous (IV) uterotonics, IV fluids, Nifedipine, Hydralazine, IV antibiotics, IV MgSO4 and calcium gluconate available in the facility for provision of BEmONC services at the time of the survey	Interviews with facility staff and observation
5	Availability of ambulance services	Availability of ambulance service in the facility 24 h a day	Interviews with facility heads
6	Availability of maternity waiting homes	Availability of maternity waiting area/homes in or around the facility	Interviews with facility head and observation
7	Availability of a focal person for referral	Availability of a designated referral focal person to coordinate in- and out-referrals 24 h a day in the facility	Interviews with facility heads
II	Process indicators
8	Infection-prevention amenities and practices	The following infection-prevention amenities and practices were observed at the time of the survey: clean facility compound, cleaning done after birth, availability of disinfectant solutions, disinfectant solution prepared and used correctly, availability of a container for sharps’ disposal, providers practice hand washing, quality mechanism in place for sterilization, staff use personal protective barriers, availability of a light source for vaginal procedure, enough physical space, good illumination and ventilation, and easily washable delivery floor	Interviews with facility staff and observation
9–12	Provision of BEmONC signal functions	Provision of the following life-saving BEmONC services in the past 3 months for the treatment of obstetric complications; 9) removal of retained products of conception; 10) manual removal of placenta; 11) assisted vaginal birth; and 12) neonatal resuscitation	Interviews with facility staff