Table 1 Standards of care variables
Standards | Results | Indicators measured as availability of equipment or performance of a service |
|---|---|---|
S1 Evidence-based practices (15) | Input (7) | (i) Health facility with at least one functioning unit of each of seven basic equipment and supplies for mothers: delivery pack, partograph, examination light, blood pressure apparatus, latex gloves, sterilization equipment, delivery bed |
(ii) Health facility with any delivery care guidelines | ||
(iii) Health facility with at least one provider trained on delivery care | ||
(iv) Health facility with five essential medicines for mothers: magnesium sulfate, uterotonics, antibiotics, intravenous solution, skin antiseptics | ||
(v) Health facility with two types of equipment for an assisted delivery: vacuum aspirator, manual vacuum extractor | ||
(vi) Health facility with three basic types of equipment for newborns: suction apparatus, bag and mask, infant weighing scale | ||
(vii) Health facility with five essential medicines for newborns: gentamycin, chlorhexidine, tetracycline, amoxicillin, ceftriaxone powder | ||
Output (8) | (i) Provider monitored the mother’s vital signs | |
(ii) Provider administered immediate postpartum uterotonic | ||
(iii) Provider dried, covered, and cleaned the newborn | ||
(iv) Provider delivered the newborn to the mother’s abdomen | ||
(v) Provider supported the initiation of early breastfeeding | ||
(vi) Provider checked newborn breathing and crying | ||
(vii) Provider helped mother to initiate skin-to-skin contact | ||
(viii) Provider counseled on postpartum family planning | ||
S2 Actionable health information systems (5) | Input (4) | (i) Health facility with Maternal and Newborn Health Service Register |
(ii) Health facility with Health Management Information System monthly reports | ||
(iii) Health facility that displayed health statistics | ||
(iv) Health facility with Quality Assurance Action Plans | ||
Output (1) | (i) Women who had a completed discharge slip | |
S3 Functional referral systems (2) | Input (2) | (i) Health facility with at least one unit of functioning ambulance or emergency transport |
(ii) Health facility with at least one type of communication equipment | ||
Output (0) | None | |
S4 Effective communication (6) | Input (3) | (i) Health facility with at least one unit of information materials on maternal care |
(ii) Health facility that received at least one external supervision from federal, provincial, or local authorities in the last 12-month-period before data collection | ||
(iii) Health facility which had a 24-hour on-call service | ||
Output (3) | (i) Women received postnatal counseling before discharge | |
(ii) Provider explained to women about the delivery procedures | ||
(iii) Provider completed a partograph | ||
S5 Respect and preservation of dignity (8) | Input (2) | (i) Health facility with physical environment that allows privacy |
(ii) Health facility with a system for collecting clients’ opinions | ||
Output (6) | (i) Woman did not experience use of physical force or abrasive behavior from the provider | |
(ii) Woman experienced caring and appropriate behavior from the provider | ||
(iii) Woman felt comfortable with visual and auditory privacy | ||
(iv) Woman did not experience discriminatory behavior from the provider | ||
(v) Woman was attended to by a provider when she called | ||
(vi) Woman was not scolded by any provider | ||
S6 Emotional support (3) | Input (1) | (i) Health facility with a maternity waiting room |
Output (2) | (i) Woman who was allowed a companion to join her when requested | |
(ii) Provider who provided emotional support and reassurance to the woman | ||
S7 Competent, motivated human resources (5) | Input (4) | (i) Provider received supervision in the last 12 months |
(ii) Health facility that implemented quality assurance activities routinely | ||
(iii) Provider reported having a written job description | ||
(iv) Provider reported opportunities for staff promotion | ||
Output (1) | (i) Provider who was experienced (worked more than 1 year) | |
S8 Essential physical resources (9) | Input (6) | (i) Health facility with regular source of electricity |
(ii) Health facility with basic water supply in maternity care areas | ||
(iii) Health facility with one functioning unit of the six-infection prevention and control equipment (surgical masks, waste receptacle, disinfectant, sterilization equipment, aprons/gowns, latex gloves) | ||
(iv) Health facility with health-care waste management system | ||
(v) Health facility with a toilet for female clients | ||
(vi) Health facility with a newborn corner | ||
Output (3) | (i) Women who reported access to drinking water | |
(ii) Women who reported access to a toilet | ||
(iii) Women who reported getting a maternity bed on time | ||
Total (53) | Input (29); Output (24) | |