Rapid reduction of maternal mortality in Uganda and Zambia through the saving mothers, giving life initiative: results of year 1 evaluation

Serbanescu, Florina; Goldberg, Howard I.; Danel, Isabella; Wuhib, Tadesse; Marum, Lawrence; Obiero, Walter; McAuley, James; Aceng, Jane; Chomba, Ewlyn; Stupp, Paul W.; Conlon, Claudia Morrissey

doi:10.1186/s12884-017-1222-y

Table 5 Selected facility characteristics and interventions at Baseline and Year 1 SMGL

From: Rapid reduction of maternal mortality in Uganda and Zambia through the saving mothers, giving life initiative: results of year 1 evaluation

Characteristic/Intervention	Uganda (107 facilities)				Zambia (113 facilities)
Characteristic/Intervention	Baseline^a	Year 1^a	% Change^b	Sig. Level^c	Baseline	Year 1	% Change^b	Sig. Level^c
Availability 24/7	80.4	95.3	19	***	68.1	94.7	40	***
Community outreach activities (Zambia only)	NA	NA	NA	NA	63.0	85.2	35	***
Electricity available	57.9	94.4	62	***	56.6	76.1	33	***
Water available	76.6	94.4	22	***	90.3	99.1	10	***
Functional communications available^d	93.5	92.5	−1	NS	45.1	89.4	98	***
Transportation available5^f	59.8	64.5	8	NS	54.9	61.1	11	NS
Sufficient number of beds	35.5	73.8	108	***	63.7	67.3	6	NS
Use of parenteral antibiotics in last 3 months	85.0	92.5	9	NS	78.8	75.2	−5	NS
Use of parenteral oxytocin in last 3 months	70.1	95.3	36	***	90.3	94.7	5	NS
Use of parenteral anticonvulsants in last 3 months	49.5	37.4	−24	NS	44.2	33.6	−24	NS
Perform newborn resuscitation in last 3 months	31.8	69.2	118	***	26.5	63.7	140	***
Perform manual removal of placenta in last 3 months	26.2	48.6	85	***	38.1	33.6	−12	NS
Remove retained products in last 3 months	18.7	50.2	168	***	16.8	38.1	127	***
Perform assisted vaginal delivery (AVD) in last 3 months	4.7	11.2	138	**	9.7	14.2	46	NS
Perform surgery (C-section) (HC IV or higher) in last 3 months	7.5	15.0	100	***	4.4	4.4	0	NS
Perform blood transfusion (HC IV or higher) in last 3 months	7.5	13.1	75	**	5.3	6.2	17	NS
Breech delivery performed in last 3 months	35.5	52.3	47	**	36.3	51.3	41	**
No stock out last 12 months: magnesium sulfate^f	46.7	61.7	32	**	22.4	87.3	290	***
No stock out last 12 months: oxytocin^f	56.1	82.2	47	***	78.2	97.5	25	***
HIV rapid test kits currently available^f,g	71.0	82.2	16	NS	82.7	93.8	13	**
Active management of 3rd stage of labor (AMTSL)	75.7	92.5	22	***	70.8	91.2	29	***
Perform maternal death reviews	6.5	33.6	417	***	42.0	55.6	32	NS
Number of functioning CEmONC facilities	7	16	129	***	4	5	25	***
Number of functioning BEmONC facilities	3	9	200	***	3	6	100	***
Lower-level health facilities with partial BEmONC^h	28	44	57	***	24	37	54	***

^aBaseline period is June 2011–May 2012; Year 1 period is June 2012–May 2013
^bPercent change calculations based on unrounded numbers
^c Asterisks indicate significance level of the difference between baseline and Year 1 outcomes for all facilities combined, using McNemar’s exact test, as follows: *** p < 0.01, ** p < 0.05, NS not significant
^dUganda: Facility owned landline, cell, two-way, or radio, or individual had cell phone. Zambia: Includes 2-way radio, landline, or cell phone with service
^eUganda: Available and functional motorized vehicle with fuel, funds for driver and maintenance generally available. Zambia: Includes motor vehicle, motorcycle, or bicycle
^fZambia: Kalomo facilities did not collect the information and were excluded from the analysis
^gUganda: Rapid HIV test was used in maternity ward in the last 3 months (does not indicated current availability)
^hPercent of health centers (HC) that performed 4–5 basic emergency obstetric care interventions in the past 3 months
Note: Unless otherwise noted, the figures in the table are percentages of all facilities

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