TABLE 3.
Clinical Services | District Hospital, % (N=2) | Subdistrict Hospital, % (N=2) | Community Health Center, % (N=8) | Primary Health Center, % (N=8) | |
---|---|---|---|---|---|
Evidence-based practices | |||||
Adequate gestational age assessment | Ultrasound fetal biometry | 100 | 100 | 87.5 | 100 |
Fundal height | 100 | 100 | 87.5 | 87.5 | |
Advise for USG <24 weeks | 100 | 100 | 100 | 100 | |
Adequate obstetric carea | Parenteral antibiotics for maternal infection | 100 | 100 | 100 | 100 |
Parenteral magnesium sulfate for pre-eclampsia | 100 | 100 | 100 | 100 | |
Parenteral oxytocic drugs for hemorrhage | 100 | 100 | 100 | 100 | |
Manual removal of retained placenta | 100 | 50 | 87.5 | 100 | |
Removal of retained products of conception | 100 | 100 | 100 | 75 | |
Assisted vaginal delivery | 50 | 100 | 50 | 50 | |
Resuscitation with bag and mask | 100 | 100 | 100 | 100 | |
Obstetric surgery with anesthesia | 100 | 100 | NA | NA | |
Blood transfusion facility | 100 | 100 | NA | NA | |
Protocol for threatened preterm birth | 0 | 0 | 0 | 0 | |
Adequate preterm care | Measure labor room temperature | 100 | 100 | 100 | 100 |
Measure postnatal unit temperature | 0 | 0 | 12.5 | 12.5 | |
Kangaroo mother care | 100 | 50 | 37.5 | 25 | |
Physical resources | |||||
Essential medicine and functional equipment | Dexamethasone | 100 | 100 | 100 | 100 |
Oxytocin | 100 | 100 | 100 | 100 | |
Magnesium sulfate | 100 | 100 | 100 | 100 | |
Parenteral antibiotics | 100 | 100 | 100 | 100 | |
Antihypertensives | 100 | 100 | 100 | 87.5 | |
Antipyretics | 100 | 100 | 100 | 87.5 | |
Oxygen | 100 | 100 | 87.5 | 100 | |
Thermometer | 100 | 100 | 75 | 100 | |
Ultrasound | 100 | 50 | 0 | 0 | |
Fetoscope | 50 | 50 | 100 | 75 | |
Dipstick for urine protein | 100 | 50 | 100 | 75 | |
Phototherapy lights | 100 | 100 | 75 | 62.5 | |
Pulse oximeters | 100 | 100 | 75 | 50 | |
Radiant warmers | 100 | 100 | 100 | 75 | |
Oxygen tubing | 100 | 100 | 100 | 75 | |
Oxygen blender | 50 | 0 | 0 | 0 | |
Nasogastric tube | 100 | 100 | 100 | 87.5 | |
Container and cup | 50 | 50 | 50 | 50 | |
Wall suction | 50 | 50 | 25 | 62.5 | |
CPAP | 50 | 0 | 0 | 0 |
Abbreviations: ACS, antenatal corticosteroids; CPAP, continuous positive airway pressure; NA, not applicable; USG, ultrasonography.
Basic emergency obstetric care and comprehensive emergency obstetric care.