Table 2 Indicators used to measure BIS index score and their operational definitions
SN | Indicators | Definition | Data source |
|---|---|---|---|
I | Input indicators | Â | Â |
1 | Number of BEmONC-trained personnel available | Number of BEmONC-trained providers (health officers, nurses, or midwives) working in the facility at the time of the survey | Interviews with facility heads |
2 | Number of laboratory tests available | Number of the following laboratory tests: hemoglobin/hematocrit, blood group, urine analysis, venereal disease research laboratory (VDRL), and HIV test for PMTCT available in the facility at the time of the data collection | Interviews with facility staff |
3 | Number of items of equipment available | Number of functional equipment, including oxygen concentrator, sphygmomanometer, vacuum extractor, suction machine, radiant heater, and Ambu-bag mask available in the facility for provision of BEmONC care at the time of the survey | Interviews with facility staff and observation |
4 | Number of drugs available | Number of the following drugs: intravenous (IV) uterotonics, IV fluids, Nifedipine, Hydralazine, IV antibiotics, IV MgSO4 and calcium gluconate available in the facility for provision of BEmONC services at the time of the survey | Interviews with facility staff and observation |
5 | Availability of ambulance services | Availability of ambulance service in the facility 24Â h a day | Interviews with facility heads |
6 | Availability of maternity waiting homes | Availability of maternity waiting area/homes in or around the facility | Interviews with facility head and observation |
7 | Availability of a focal person for referral | Availability of a designated referral focal person to coordinate in- and out-referrals 24Â h a day in the facility | Interviews with facility heads |
II | Process indicators | Â | Â |
8 | Infection-prevention amenities and practices | The following infection-prevention amenities and practices were observed at the time of the survey: clean facility compound, cleaning done after birth, availability of disinfectant solutions, disinfectant solution prepared and used correctly, availability of a container for sharps’ disposal, providers practice hand washing, quality mechanism in place for sterilization, staff use personal protective barriers, availability of a light source for vaginal procedure, enough physical space, good illumination and ventilation, and easily washable delivery floor | Interviews with facility staff and observation |
9–12 | Provision of BEmONC signal functions | Provision of the following life-saving BEmONC services in the past 3 months for the treatment of obstetric complications; 9) removal of retained products of conception; 10) manual removal of placenta; 11) assisted vaginal birth; and 12) neonatal resuscitation | Interviews with facility staff |