Changes in Outputs and Outcomes Related to Activities Conducted Under SMGL Strategies Addressing the Second Delay in SMGL-Supported Districts, Zambia
| Baseline June 2012 (110 facilities) | Endline Dec 2016 (110 facilities) | % Relative changea | Significance levelb | |
|---|---|---|---|---|
| Service delivery outcomesc | ||||
| Deliveries in all facilities | 62.6% | 90.2% | +44% | P<.01 |
| Deliveries in EmONC facilities | 26.0% | 29.1% | +12% | P<.01 |
| Deliveries in non-EmONC facilities | 36.7% | 61.1% | +67% | 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 | 68.2% | 96.4% | +41% | P<.01 |
| Facilities with electricity | 55.5% | 92.7% | +67% | P<.01 |
| Facilities with running water | 90.0% | 97.3% | +8% | P<.05 |
| Number of BEmONC facilities | 3 | 8 | +167% | NA |
| Number of CEmONC facilities | 4 | 5 | +25% | NA |
| Number of pregnant women who received antiretroviral therapy for the prevention of mother-to-child transmission of HIV/AIDS | 930 | 1,036 | +11% | NA |
| Number of HIV-exposed infant receiving HIV prophylaxis | 523 | 1,030 | +97% | NA |
| Number of health providers hired | — | 89 | — | NA |
| Health facilities reporting that at least 1 doctor, nurse, or midwife is on staff | 90.0% | 98.8% | +10% | P<.05 |
| Strategy 2: Improve the accessibility of EmONC facilitiesd | ||||
| Health facilities that reported having available transportation (motor vehicle or motorcycle) | 55.5% | 72.7% | +31% | P<.01 |
| Health facilities that reported having communications equipment (including 2-way radio, landline, or cell phone with service) | 44.6% | 100.0% | +124% | NA |
| Health facilities that reported having an associated maternity waiting home | 28.8% | 48.8% | +69% | P<.01 |
| Health facilities that reported having an associated Safe Motherhood Action Group | 63.8% | 96.3% | +51% | P<.01 |
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 2010 national census in Zambia) 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 Zambia were compiled from only the 110 facilities that maintained delivery capacity from baseline to endline.