Skip to main content

Table 6 Pregnancy and maternal health outcomes in facilities at baseline and during 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

Pregnancy and Maternal Health Outcomes

Uganda

Baseline

Year 1

% Change

Significancea

Number of live births – All facilities

33,492

56,571

69

***

Institutional delivery rate - All facilities (%)

45.5

73.8

62

***

Institutional delivery rate - EmONC facilities (%)

28

36

28

***

Number of obstetric complications treatedb

5249

7696

47

***

C-section rate as a proportion of all births (%)

5.3

6.5

23

***

Met need for emergency obstetric care -All facilities (%)

46

66

42

***

Met need for emergency obstetric care -EmONC facilities (%)

39

49

25

***

Direct Obstetric Case Fatality Rate (%)

2.6

2.0

−25

***

Direct Maternal Mortality Ratio (MMR)

416

269

−35

***

Facility MMR, overall

534

345

−35

***

 Obstetric hemorrhage MMRc

131

94

−29

***

 Puerperal infection/Sepsis MMR

75

32

−57

**

 Obstructed labor MMRd

72

30

−58

***

 Abortion-related MMRe

63

35

−44

NS

 Pre-eclampsia/Eclampsia MMR

45

46

3

NS

 Other Direct Obstetric Causes MMRf

30

32

7

NS

 Indirect Obstetric Causes MMRg

119

76

−36

NS

 

Zambia

Number of live births –All facilities

21,914

30,619

40

***

Institutional delivery rate (%)

62.6

84.3

35

***

Institutional delivery rate-EmONC facilities (%)

26

30

17

***

Number of obstetric complications treatedb

1833

2462

34

***

C-section rate as a proportion of all births (%)

2.7

3.1

15

***

Met need for emergency obstetric care -All facilities (%)

34

45

31

***

Met need for emergency obstetric care -EmONC facilities (%)

26

32

23

***

Direct Obstetric Case Fatality Rate (%)

3.1

2.0

−34

**

Direct Maternal Mortality Ratio (MMR)

260

166

−36

**

Facility MMR, overall

310

202

−35

**

 Obstetric hemorrhage MMRc

110

72

−34

NS

 Obstructed labor MMRd

59

13

−78

**

 Other Direct Obstetric Causes MMRf

91

82

−11

NS

 Indirect Obstetric Causes MMRg

50

36

−28

NS

  1. aAsterisks indicate significance level of the difference between baseline and Year 1 outcomes for all facilities combined, using a z-statistic to calculate the p-value of the difference, as follows: *** p < 0.01, ** p < 0.05, NS not significant
  2. bExcludes first-trimester complications (e.g. abortion-related complications and ectopic pregnancy)
  3. cIncludes antepartum, intrapartum and postpartum hemorrhage
  4. dObstructed and prolonged labor including rupture of the uterus
  5. eIncludes both induced and spontaneous abortions
  6. fIncludes embolism, anesthetic-related deaths, and ectopic pregnancy
  7. gIncludes HIV-, TB- and malaria-related maternal deaths, and those due to other medical conditions