Changes in Outputs and Outcomes Related to Activities Conducted Under SMGL Strategies Addressing the Second Delay in SMGL-Supported Districts, Uganda
| Baseline June 2012 (105 facilities) | Endline Dec 2016 (105 facilities) | % Relative changea | Significance levelb | |
|---|---|---|---|---|
| Service delivery outcomesc | ||||
| Deliveries in all facilities | 45.5% | 66.8% | +47% | P<.01 |
| Deliveries in EmONC facilities | 28.2% | 41.0% | +45% | P<.01 |
| Deliveries in non-EmONC facilities | 17.3% | 25.8% | +49% | P<.01 |
| Strategy 1: Decrease distance to skilled birth attendance by increasing the number of EmONC facilitiesd | ||||
| Facilities offering services 24 hours a day, 7 days a week | 80.0% | 87.6% | +10% | NS |
| Facilities with electricity | 57.1% | 96.2% | +69% | P<.01 |
| Facilities with running water | 76.2% | 100.0% | +31% | P<.01 |
| Number of BEmONC facilities | 3 | 9 | +200% | NA |
| Number of CEmONC facilities | 7 | 17 | +143% | NA |
| Number of pregnant women who received antiretroviral therapy for the prevention of mother-to-child-transmission of HIV/AIDS | 1,262 | 6,837 | +442% | NA |
| Number of HIV-exposed infants receiving HIV prophylaxis | 1,117 | 3,245 | +191% | NA |
| Health facilities reporting that at least 1 doctor, nurse, or midwife is on staff | 100.0% | 100.0% | 0% | NS |
| Strategy 2: Improve the accessibility of EmONC facilitiesd | ||||
| Institutional deliveries supported by Baylor transportation voucherse | 0.9% | 23.8% | +258% | P<.01 |
| Health facilities that reported having available transportation (motor vehicle or motorcycle) | 61.0% | 59.0% | −3% | NS |
| Health facilities that reported having communication equipment (including 2-way radio, landline, or cell phone with service) | 93.3% | 99.0% | +6% | P<.05 |
Abbreviations: BEmONC, basic emergency obstetric and newborn care; CEmONC, comprehensive emergency obstetric and newborn care; EmONC, emergency obstetric and newborn care; NA, not applicable; NS, not significant; SMGL, Saving Mothers, Giving Life.
↵a Percentage of change calculations are based on unrounded numbers.
↵b To test for significance, z scores based on the normal approximation to the binomial distribution were used to calculate P values.
↵c The number of facility deliveries was collected through the Pregnancy Outcome Monitoring data collection. The number of live births was estimated by applying crude birth rates (derived from the age-specific fertility rates among women of reproductive age enumerated in 2013 in the SMGL Uganda districts) to the baseline and endline district populations.
↵d The number of health facilities performing deliveries varied over the 5-year initiative. Health facility assessments results for Uganda were compiled from only the 105 facilities that maintained delivery capacity from baseline to endline.
↵e Transportation vouchers were introduced in April 2012 in the 3 Baylor districts; the system was rapidly scaled up with SMGL support.