Table 2 Quality of care index items by health facility type (n = 665)
From: Facility-level determinants of quality routine intrapartum care in Afghanistan
Quality of care index | Secondary and Tertiary Hospitals | Primary Care Facilities | Total average | ||
|---|---|---|---|---|---|
Specialized Hospitals | Regional Hospitals | Provincial Hospitals | District Hospitals and CHCs | ||
Initial client assessment and examination | n = 27 | n = 40 | n = 195 | n = 189 | n = 451 |
 1. Asks whether woman has experienced headaches or blurred vision | 15% (4) | 2% (1) | 12% (23) | 16% (31) | 13% (59) |
 2. Asks whether woman has experienced vaginal bleeding | 33% (9) | 7% (3) | 29% (56) | 36% (68) | 30% (136) |
 3. Takes blood pressure | 78% (21) | 30% (12) | 61% (120) | 65% (123) | 61% (276) |
 4. Takes pulse | 67% (18) | 27% (11) | 27% (53) | 31% (58) | 31% (140) |
 5. Washes his/her hand before any examination | 56% (15) | 42% (17) | 37% (72) | 37% (70) | 39% (174) |
 6. Wears high-level disinfected or sterile gloves for vaginal examination | 74% (20) | 47% (19) | 66% (128) | 73% (138) | 67% (305) |
First stage of labor | n = 43 | n = 39 | n = 213 | n = 220 | n = 515 |
 7. At least once, explains what will happen in labor to the woman and/or her support person | 35% (15) | 20% (8) | 33% (70) | 35% (77) | 33% (170) |
 8. Prepares uterotonic drug to use for AMTSL | 98% (42) | 79% (31) | 88% (187) | 93% (205) | 90% (465) |
 9. Uses partograph (during labor) | 74% (32) | 36% (14) | 42% (89) | 60% (133) | 52% (268) |
 10. Self-inflating ventilation bag (500 mL) and face masks (size 0 and size 1) are laid out and ready for use for neonatal resuscitation | 21% (9) | 13% (5) | 27% (58) | 30% (67) | 27% (139) |
Third stage of labor | n = 61 | n = 57 | n = 271 | n = 273 | n = 662 |
 11. Correctly administers uterotonic (timing, dose, route)a | 52% (32) | 28% (16) | 40% (108) | 37% (100) | 39% (256) |
 12. Assesses completeness of placenta and membranes | 56% (34) | 32% (18) | 57% (154) | 49% (135) | 51% (341) |
 13. Assesses for perineal and vaginal lacerations | 80% (49) | 56% (32) | 75% (203) | 68% (185) | 71% (469) |
Immediate newborn and postpartum care | n = 61 | n = 56 | n = 263 | n = 272 | n = 652 |
 14. Immediately dries baby with towel | 92% (56) | 82% (46) | 87% (230) | 87% (238) | 87% (570) |
 15. Places newborn on mother’s abdomen skin-to-skin | 64% (39) | 36% (20) | 47% (124) | 48% (131) | 48% (314) |
 16. Ties or clamps cord when pulsations stop, or by 2–3 min after birth (not immediately after birth) | 88% (54) | 66% (37) | 70% (183) | 71% (194) | 72% (468) |
 17. Takes mother's vital signs 15 min after birth | 25% (15) | 11% (6) | 30% (78) | 34% (92) | 29% (191) |
 18. Palpates uterus 15 min after birth | 44% (27) | 20% (11) | 48% (126) | 50% (135) | 46% (299) |
 19. Assists mother to initiate breastfeeding within one hour | 28% (17) | 34% (19) | 34% (89) | 44% (119) | 37% (244) |