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. 2021 Oct 5;6(10):e006698. doi: 10.1136/bmjgh-2021-006698

Table 3.

Key characteristics of childbirth service readiness indices

No of items Items <40% Items ≥90% Coefficient of variation Floor effects (score=0) Ceiling effects (score=1) Correlation with delivery volume
n % % % % r* P value
Hospitals (n=160)
SARA tracer, simple 22 0 73 0.10 0 21 0.33 <0.001
SARA tracer, weighted 0.11 0 21 0.32 <0.001
SARA tracer, PCA 0.20 1 <1 0.33 <0.001
DHS, simple 33 0 85 0.07 0 14 0.25 0.002
DHS, weighted† 0.07 0 20 0.20 0.013
DHS, PCA 0.15 1 <1 0.31 <0.001
WHO standards, simple 52 0 67 0.09 0 6 0.23 0.003
WHO standards, weighted 0.09 0 6 0.26 <0.001
WHO standards, PCA 0.16 1 <1 0.29 <0.001
Health centres/clinics (n=246)
SARA tracer, simple 15 7 53 0.17 0 7 0.19 0.004
SARA tracer, weighted 0.19 0 7 0.18 0.004
SARA tracer, PCA 0.18 1 7 0.20 0.002
DHS, simple 30 3 33 0.16 0 1 0.35 <0.001
DHS, weighted† 0.16 0 2 0.39 <0.001
DHS, PCA 0.20 1 1 0.36 <0.001
WHO standards, simple 44 2 23 0.20 0 0 0.31 <0.001
WHO standards, weighted 0.20 0 0 0.35 <0.001
WHO standards, PCA 0.24 1 <1 0.31 <0.001

*Spearman’s correlation coefficients.

†Weighted addition of DHS items excluded the domain for ‘guidelines, staff training and supervision’ given limited information on these items for this sample.

DHS, Demographic and Health Survey; PCA, principal components analysis; SARA, Service Availability and Readiness Assessment.