Table 3.
Maternal outcome according to availability of clinical practices, obstetric care capacity, infection prevention, and WASH measures as reported by the facility (n=2560)
| All women | Less severe infections | Infections with complications | Infection-related SMO | ||
|---|---|---|---|---|---|
| Ability to do certain clinical practices or tests | |||||
| Cultures | |||||
| Yes | 2114 | 1304 (62%) | 495 (23%) | 315 (15%) | |
| No | 446 | 276 (62%) | 104 (23%) | 66 (15%) | |
| Laboratory services | |||||
| Yes | 2506 | 1543 (62%) | 584 (23%) | 379 (15%) | |
| No | 54 | 37 (69%) | 15 (28%) | 2 (4%) | |
| Obstetric care capacity | |||||
| BEmONC | |||||
| Yes | 2280 | 1388 (61%) | 551 (24%) | 341 (15%) | |
| No | 253 | 170 (67%) | 46 (18%) | 37 (15%) | |
| CEmONC | |||||
| Yes | 2253 | 1371 (61%) | 545 (24%) | 337 (15%) | |
| No | 280 | 187 (67%) | 52 (19%) | 41 (15%) | |
| Transfer services* | |||||
| Yes | 2130 | 1316 (62%) | 486 (23%) | 328 (15%) | |
| No | 430 | 264 (61%) | 113 (26%) | 53 (12%) | |
| Infection prevention | |||||
| Training programmes in infection prevention and control | |||||
| Yes | 2233 | 1354 (61%) | 538 (24%) | 341 (15%) | |
| No | 299 | 203 (68%) | 59 (20%) | 37 (12%) | |
| Infection prevention and control committee | |||||
| Yes | 2341 | 1440 (62%) | 554 (24%) | 347 (15%) | |
| No | 209 | 132 (63%) | 43 (21%) | 34 (16%) | |
| Antibiotic or antimicrobial surveillance | |||||
| Yes | 1783 | 1087 (61%) | 420 (24%) | 276 (15%) | |
| No | 773 | 492 (64%) | 177 (23%) | 104 (13%) | |
| WASH availability | |||||
| Sanitation† | |||||
| Yes | 2179 | 1351 (62%) | 502 (23%) | 326 (15%) | |
| No | 356 | 220 (62%) | 85 (24%) | 51 (14%) | |
| Hygiene‡ | |||||
| Yes | 2365 | 1474 (62%) | 539 (23%) | 352 (15%) | |
| No | 181 | 105 (58%) | 49 (27%) | 27 (15%) | |
| Waste management§ | |||||
| Yes | 1427 | 887 (62%) | 328 (23%) | 212 (15%) | |
| No | 1098 | 683 (62%) | 255 (23%) | 160 (15%) | |
Data are n (%). BEmONC=basic emergency obstetric and newborn care. CEmONC=comprehensive emergency obstetric and newborn care. SMO=severe maternal outcome (includes maternal near-miss and death). WASH=water, sanitation, and hygiene.
Includes availability of a functional ambulance, petrol supplies for transport support, and a driver for patient transport.
Facility reported availability of shower or washing facilities for women and usable improved toilet or latrine in the post-partum ward, and a sewerage system in the facility.
Facility reported availability of water and soap for hand hygiene and hand sanitiser for staff in the place where childbirth is intended to take place.
Facility reported availability of puncture-proof boxes for sharps and three colour-coded and lined containers for infectious, non-infectious, and hazardous waste in the place where childbirth is intended to take place, and an incinerator in the facility.