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Table 2 Selected national and SMGL Districts Indicators before Interventions

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

Characteristic

Uganda

Zambia

National Indicators

 Life expectancy at birth (male/female) (2012)a

56/58

55/58

 Health Expenditures

  Total expenditure on health as % of GDP (2011)a

9.3

6.2

  Total expenditure on health as % of general government expendituresa

10.1

16.4

SMGL 4-District Indicators

 Area (sq. km)

10,851

49,468

 Population (2011)b

1,750,000

925,198

  % of Population in rural areas

84%

61%

 Women of Reproductive Ageb

342,060

193,515

 Expected Live Birthsc

78,261

37,267

 Type of Health Care Facilityd

  Health Posts

19

16

  Health centers without surgical care

72

91

  Health centers with surgical care

8

0

  District Hospitals

7

6

  Regional Hospitale

1

0

 Facility Ownershipf

  Government

65

106

  Private for profit

11

0

  Private not for profit

31

7

 Emergency Obstetric and Newborn Care (EmONC) Facilitiesf

  Comprehensive EmONC

7

4

  Basic EmONC

3

3

  1. a GDP Gross Domestic Product. Source: World Health Statistics, 2014
  2. bBased on the district-wide census of the population conducted in 2013 in Uganda (4 districts) and in 2012 in Zambia (4 districts) and projected back to 2011 [31]
  3. cEstimated by summing the expected births in each age group (number of women of reproductive age from district-wide census multiplied by their age specific fertility rates from 2011 DHS) in Uganda and by applying 2010 Census crude birth rates in Zambia
  4. dHealth facilities providing delivery care prior to SMGL [29]
  5. eFort Portal is the regional referral hospital located in Kabarole district; it has 351 beds and serves the entire Ruwenzori region constituted of 3 SMGL-supported districts (Kabarole, Kyenjojo, Kamwenge) and 4 non-SMGL districts (Kasese, Ntoroko, Kyegegwa and Bundibujyo)
  6. fEmONC includes a set of life-saving interventions (aka “signal functions”) that the World Health Organization has recommended to reduce maternal and neonatal mortality (WHO, 2009). Basic EmONC interventions include administration of parenteral antibiotics, uterotonics, or anticonvulsants; manual removal of placenta; removal of retained products; assisted vaginal delivery; and basic neonatal resuscitation. Comprehensive care interventions include two additional services: ability to perform obstetric surgery (e.g., C- section) and blood transfusion. Facilities were classified based on whether they had, within the previous 3 months, performed each of these interventions. Because assisted vaginal delivery—using either forceps or vacuum extractor—is relatively uncommon in both Uganda and Zambia, some facilities were classified as fully providing EmONC care even if they did not perform assisted vaginal deliveries within the past 3 months (EmONC-1)
  7. Note 1: in Uganda, district and regional hospitals and health centers with surgical capacity (health centers IV) are designated as CEmONC facilities, able to perform each of the 9 signal functions and serving about 100,000 population [27]; in Zambia, only district and higher level hospitals are designated to provide CEmONC care [28]
  8. Note 2: Unless otherwise noted, the figures in the table are numbers
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BMC Pregnancy and Childbirth

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