Table 4.
Key indicators from hospital staff questionnaire
| Evidence-based practices | Care of low-risk birth N (%) |
Care of low-risk newborn N (%) |
Obstetrics emergencies N (%) |
Neonatology emergencies N (%) |
| Perceived availability of updated clinical protocols* | 23 (22.3) | 36 (34.6)† | 42 (40.8)‡ | 55 (52.9)† |
| Regular training* | 6 (5.9) | 15 (14.4)† | 11 (1.7) | 26 (25.0) |
| Proper equipment and supplies* | 54 (52.9) | 63 (61.2) | 71 (68.9)‡ | 89 (85.6) |
| Adequate physical structure* | 27 (26.2) | 33 (31.7) | – | – |
| Skills and drills/in-service training* | – | 10 (9.7)† | 3 (2.9) | 16 (15.4) |
| Health information system | N (%) |
| Regular data collection* | 19 (18.4) |
| Use of data for quality improvement* | 17 (16.3) |
| Maternal/perinatal deaths and near miss review meetings* | 24 (27.6) |
| Communication | |
| Adequate communication with mothers and families* | 27 (26.2) |
| Regular training* | 10 (9.7) |
| Updated protocols for interpersonal communication* | 10 (9.7) |
| Health education materials* | 22 (25.9) |
| In-service supervision* | 6 (5.8) |
| Adequate handover* | 45 (43.3) |
| Handover protocols* | 12 (11.5)† |
| Adequate communication system for multiprofessional care* | 27 (26.5) |
| Respect and dignity during care | |
| Physical structure for privacy and confidentiality* | 23 (22.8) |
| Protocols to ensure privacy* | 19 (18.4) |
| Mechanisms to identify event of violation of privacy* | 15 (14.6) |
| Protocols to prevent mistreatment and abuse* | 7 (6.9) |
| In-service training and supportive supervision regarding women rights* | 6 (8.3) |
| Mechanisms to identify an event of mistreatment* | 35 (34.7) |
| Events of physical or verbal abuse* | 14 (14.4) |
| Informed consent protocols* | 71 (69.6) |
| Standard informed consent forms* | 82 (79.6) |
| In-service training and supportive supervision for informed consent procedures* | 33 (32.4) |
| Mechanisms to identify an event of denied informed choice* | 21 (21.6) |
| Choices and preferences respected* | 39 (38.2)† |
| Partner/companion of woman choice encouraged* | 62 (60.8) |
| Training or in-service refresher sessions in providing emotional support* | 6 (5.9) |
| Emotional support* | 20 (19.6) |
| In-service training in pain relief (non-pharmacological or pharmacological)* | 16 (15.7) |
| Human resources management | |
| Sufficient number* | 7 (6.8) |
| Continuing professional and skills development programme* | 16 (15.5) |
| Mechanisms for evaluation and for recognising good performance* | 4 (3.9) |
| Encouragement to collaborative group practices* | 12 (11.8)† |
| Received a clear job description* | 26 (25.7) |
| General satisfaction | |
| Mechanisms for regular collection of provider satisfaction information* | 3 (2.9) |
| Mechanisms for regular collection of patient satisfaction information* | 24 (23.1) |
| Highly satisfied* | 15 (14.3) |
| Satisfied* | 65 (62.0) |
| Considering change job or hospital* | 43 (41.4) |
*WHO quality standard.
†Significant difference (p<0.05) by professional type (bigger from neonatal area—see online supplementary table 6).
‡Significant difference (p<0.05) by professional type (bigger from maternal care area—see online supplementary table 6).