Table 2. Uniform indicator definitions applied for each intervention.
| Antenatal care (ANC) | |
| Intervention | Definition |
| Tetanus toxoid vaccination | Observed at least one valid unexpired unit of tetanus toxoid vaccine |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| Intermittent preventive treatment of malaria during pregnancy | Observed at least one valid unexpired unit of sulphadoxine/pyrimethamine (SP) |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| Syphilis detection and treatment | Observed at least one valid syphilis test (RDT, RPR, or VDRL) |
| Observed at least one valid unexpired unit of injectable penicillin (benzathine penicillin or procaine penicillin) | |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| Iron supplementation in pregnancy | Observed at least one valid unexpired unit of iron or iron and folic acid tablets |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| Hypertensive disorder case management | Observed at least one valid dipstick for urine protein |
| Observed at least one functioning blood pressure apparatus | |
| Observed at least one valid unexpired unit of amlodipine/nifedipine/methyldopa | |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| Diabetes case management | Observed at least one glucometer AND glucometer test strips |
| Observed at least one valid dipstick for urine glucose | |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| Malaria case management | Observed at least one RDT kit; or smear with microscope, slides, and Wright Giemsa stain |
| Observed at least one valid unexpired unit of Artemisinin-based Combination Therapy (ACT) | |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| MgSO4 management of preeclampsia | Observed at least one valid unexpired unit of magnesium sulfate |
| At least one staff member trained in at least one aspect of ANC | |
| Reported availability of ANC guidelines | |
| Childbirth (CB) care | |
| Intervention | Definition |
| Clean birth practices | Observed availability of guidelines for IMPAC |
| Observed availability of guidelines on standard precautions for infection prevention | |
| Observed availability of soap and running water or gloves or alcohol-based hand rub | |
| Observed availability and reported functionality of either a dry heat sterilizer or an autoclave | |
| Labor and delivery management | Observed availability of blank partographs |
| Observed availability of at least one delivery pack or all the following individual equipment: cord clamp, episiotomy scissors, scissors or blade to cut cord, suture material with needle, and needle holder. | |
| Observed availability of a delivery bed | |
| Observed availability and reported functionality of a spotlight source (or flashlight) | |
| Observed availability of guidelines IMPAC | |
| Neonatal resuscitation | At least one staff member trained for neonatal resuscitation in past 2 years (SPA only) |
| Observed availability and reported functionality of a newborn bag and mask | |
| Observed availability of guidelines for IMPAC | |
| Antibiotics for pPRoM | Observed at least one valid unexpired unit of azithromycin |
| Observed availability of guidelines for IMPAC | |
| Management of eclampsia with MgSO4 | Observed availability of at least one valid unit of injectable magnesium sulfate in service area or where routinely stocked |
| Observed availability of guidelines for IMPAC | |
| Active management of the third stage of labor (AMTSL) | At least one staff member trained in AMTSL in past 2 years (SPA only) |
| Observed availability of at least one valid unit of injectable uterotonic (oxytocin or other) or oral misoprostol | |
| Observed availability of guidelines for IMPAC | |
| Induction of labor for pregnancies lasting 41+ weeks | Observed availability of at least one valid unit of injectable uterotonic (oxytocin or other) or oral misoprostol |
| Observed availability of guidelines for IMPAC | |
| Postnatal care | |
| Intervention | Definition |
| Hygienic cord care | Observed availability of at least one valid unexpired unit of chlorhexidine (SPA only) |
| Observed availability of guidelines for IMPAC | |
| Thermal care for case management of premature babies | Reported routinely observing the drying/wrapping or skin-to-skin of newborns (SPA only) |
| Observed availability of guidelines for IMPAC | |
| Kangaroo Mother Care for case management of premature babies | At least one staff member trained in Kangaroo Mother Care in past 2 years (SPA only) |
| Observed availability of guidelines for IMPAC | |
| Case management of neonatal sepsis/pneumonia with injectable antibiotics | Observed availability of at least one valid unexpired unit of procaine benzylpenicillin or gentamicin and ceftriaxone |
| Observed availability of guidelines for IMPAC | |
Abbreviations: IMPAC, Integrated Management of Pregnancy and Childbirth; pPRoM, preterm premature rupture of the membranes; RDT, rapid diagnostic test; RPR, rapid plasma reagin; SPA, Service Provision Assessment; VDRL, venereal disease research laboratory