Table 3.
Operational capacity of health facilities to provide quality comprehensive EmOC according to select characteristics (N = 647)
| No. Of Facilities | Guidelines On Comprehensive EmOC, n (%) | P Value | HWs Trained In CEmOC, n (%) | P value | Operational Capacity Score, %a | |
|---|---|---|---|---|---|---|
| Province | < 0.001 | < 0.001 | ||||
| Sud Kivu | 60 | 32 (53.3) | 34 (56.7) | 53.5 | ||
| Katanga | 78 | 20 (25.6) | 14 (17.9) | 51.3 | ||
| Nord Kivu | 82 | 47 (57.3) | 48 (58.5) | 46.7 | ||
| Kinshasa | 66 | 33 (50.0) | 34 (51.5) | 43.4 | ||
| Kongo Central | 73 | 34 (46.6) | 29 (39.7) | 41.4 | ||
| Bandundu | 60 | 10 (16.7) | 13 (21.7) | 34.6 | ||
| Equateur | 36 | 5 (13.9) | 6 (16.7) | 34.6 | ||
| Maniema | 38 | 7 (18.4) | 10 (26.3) | 34.6 | ||
| Kasaï Occidental | 50 | 11 (22.0) | 25 (50.0) | 34.4 | ||
| Province Orientale | 57 | 10 (17.5) | 18 (31.6) | 32.9 | ||
| Kasai Oriental | 47 | 7 (14.9) | 4 (8.5) | 20.4 | ||
| Type | – | – | ||||
| Hospital | 433 | 155 (35.8) | 167 (38.6) | 47.4 | ||
| Referral health center | 174 | 55 (31.6) | 56 (32.2) | 38.5 | ||
| Health center | 35 | 5 (14.3) | 11 (31.4) | 36.5 | ||
| Health post | 5 | 1 (17.1) | 1 (17.1) | 11.9 | ||
| Administrative identity | 0.211 | 0.110 | ||||
| Public | 316 | 98 (31.0) | 105 (33.2) | 34.8 | ||
| Private | 331 | 118 (35.6) | 130 (39.2) | 41.9 | ||
| Location | 0.003 | 0.001 | ||||
| Urban | 185 | 78 (42.2) | 86 (46.5) | 47.8 | ||
| Rural | 462 | 138 (29.9) | 149 (32.3) | 34.3 | ||
| Total | 647 | 216 (33.4) | 235 (36.3) | 38.7 | ||
HW healthcare worker
aWhen no health facilities offered quality basic or comprehensive EmOC, the operational capacity was calculated as a proportion of the corresponding items available at each health facility