Table 4. Mechanism of integration of EmONC into maternal and newborn care in tertiary healthcare facilities (n = 137).
| Variables | SA Freq (%) | A Freq (%) | NAND Freq (%) | DS Freq (%) | SD Freq (%) |
|---|---|---|---|---|---|
| Coherence | |||||
| EmONC differs from usual maternal and neonatal care | 73 (53.3) | 37 (27.0) | 13(9.5) | 10 (7.3) | 4 (2.9) |
| Staff have an understanding of the purpose of EmONC | 78 (56.9) | 32 (23.4) | 13 (9.5) | 7(5.1) | 7 (5.1) |
| I understand how EmONC affects my work | 82 (59.9) | 33 (24.1) | 13 (9.5) | 5 (3.6) | 4 (2.9) |
| I can see the potential value of EmONC for my work | 92 (67.2) | 35 (25.5) | 7 (5.1) | 2 (1.5) | 1(0.7) |
| Cognitive participation | |||||
| Key people drive EmONC forward and get others involved | 79 (57.7) | 42 (30.7) | 9 (6.6) | 6 (4.4) | 1(0.7) |
| Participating in EmONC is a legitimate part of my role | 70 (51.1) | 53 (38.7) | 10 (7.3) | 2 (1.5) | 2 (1.5) |
| I’m open to working with colleagues in new ways to deliver EmONC | 64 (46.7) | 60 (43.8) | 8 (5.8) | 2(1.5) | 3 (2.2) |
| I will continue to support EmONC | 60 (43.8) | 68 (49.6) | 5 (3.6) | 3 (2.2) | 1 (0.7) |
| Collective action | |||||
| I can easily integrate EmONC into my existing work | 78 (56.9) | 42 (30.7) | 13 (9.5) | 3 (2.2) | 1 (0.7) |
| EmONC disrupts working relationships | 7 (5.11) | 23 (16.8) | 8 (5.8) | 70 (51.1) | 29 (21.2) |
| Confident in other people’s ability to deliver EmONC | 75 (54.7) | 14 (10.2) | 28 (20.4) | 18 (13.1) | 2 (1.5) |
| Work assigned to those with appropriate EmONC skills | 79 (57.7) | 27 (19.7) | 12 (8.8) | 14 (10.2) | 5(3.6) |
| Sufficient training is provided to implement EmONC | 42 (30.7) | 34 (24.8) | 28 (20.4) | 27 (19.7) | 6 (4.4) |
| Sufficient resources are available to support EmONC | 40 (29.2) | 17 (12.4) | 29 (21.2) | 33 (24.1) | 18 (13.1) |
| Management adequately supports EmONC | 69 (50.4) | 15 (10.9) | 22 (16.1) | 23 (16.8) | 8 (5.8) |
| Reflexive monitoring | |||||
| I am aware of reports about the effects of EmONC | 67 (48.9) | 31 (22.6) | 22 (16.1) | 14 (10.2) | 3 (2.2) |
| The staff agree that EmONC is worthwhile | 79 (57.7) | 33 (24.1) | 15 (10.9) | 6 (4.4) | 4 (2.9) |
| I value the effects that EmONC has on my work | 76 (55.5) | 37 (27) | 17 (12.4) | 6 (4.4) | 1 (0.7) |
| Feedback about EmONC can be used to improve it | 74 (54.0) | 54 (39.4) | 4(2.9) | 4 (2.9) | 1 (0.7) |
| I can modify how I work with EmONC | 87 (63.5) | 24 (17.5) | 19 (13.9) | 4(2.9) | 3 (2.2) |
Key—SA strongly agree; A agree; NAND neither agree nor disagree; D disagree; SD strongly disagree.