Changes in Outputs and Outcomes Related to Activities Conducted Under SMGL Strategies Addressing the Second Delay in SMGL-Supported Districts, Uganda

June 2012
(105 facilities)
Dec 2016
(105 facilities)
% Relative changeaSignificance levelb
Service delivery outcomesc
Deliveries in all facilities45.5%66.8%+47%P<.01
Deliveries in EmONC facilities28.2%41.0%+45%P<.01
Deliveries in non-EmONC facilities17.3%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 week80.0%87.6%+10%NS
Facilities with electricity57.1%96.2%+69%P<.01
Facilities with running water76.2%100.0%+31%P<.01
Number of BEmONC facilities39+200%NA
Number of CEmONC facilities717+143%NA
Number of pregnant women who received antiretroviral therapy for the prevention of mother-to-child-transmission of HIV/AIDS1,2626,837+442%NA
Number of HIV-exposed infants receiving HIV prophylaxis1,1173,245+191%NA
Health facilities reporting that at least 1 doctor, nurse, or midwife is on staff100.0%100.0%0%NS
Strategy 2: Improve the accessibility of EmONC facilitiesd
Institutional deliveries supported by Baylor transportation voucherse0.9%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.