Table 2.

Respondents’ culture context in EmONC in secondary and tertiary health facilities

Culture context	Secondary	Tertiary
Culture	2.68 ± 0.48	2.79 ± 0.43
Conducive environment to develop and share ideas	2.90 ± 0.79	2.96 ± 0.65
Patients feedback on care is encouraged	2.84 ± 0.74	2.93 ± 0.69
Performance review process is in place which enables reflection on EmONC practice, goal setting	2.61 ± 0.88	2.80 ± 0.69
High regard for patients’ privacy and dignity	3.27 ± 0.63	3.12 ± 0.66
Appropriate information on EmONC (in large prints, tapes, etc.) is accessible to patients	2.47 ± 0.84	2.55 ± 0.85
Development of healthcare providers’ expertise is viewed as a priority by clinical leaders	2.86 ± 0.70	2.80 ± 0.67
Staff use reflexive process (e.g. clinical supervision) to evaluate and develop practice	2.73 ± 0.86	2.93 ± 0.69
In this organization, all necessary resources are available to deliver EmONC	2.22 ± 0.74	2.37 ± 0.81
Facility management provides professionals with training to deliver EmONC	2.23 ± 0.80	2.71 ± 0.74
Goals and outcome for implementing EmONC are communicated with healthcare providers	2.76 ± 0.75	2.85 ± 0.72
Clinical leaders help to remove barriers to changing practice in maternal & child care	2.94 ± 0.86	2.84 ± 0.73
Provision of sufficient support for EmONC by government and local authorities	2.51 ± 0.79	2.50 ± 0.82
National Health Insurance Scheme (NHIS) covers basic emergency obstetric and neonatal care	2.59 ± 0.91	2.88 ± 0.75
National Health Insurance Scheme (NHIS) covers comprehensive emergency obstetric and neonatal care	2.39 ± 0.93	2.80 ± 0.83