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

June 2012
(110 facilities)
Dec 2016
(110 facilities)
% Relative changeaSignificance levelb
Service delivery outcomesc
Deliveries in all facilities62.6%90.2%+44%P<.01
Deliveries in EmONC facilities26.0%29.1%+12%P<.01
Deliveries in non-EmONC facilities36.7%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 week68.2%96.4%+41%P<.01
Facilities with electricity55.5%92.7%+67%P<.01
Facilities with running water90.0%97.3%+8%P<.05
Number of BEmONC facilities38+167%NA
Number of CEmONC facilities45+25%NA
Number of pregnant women who received antiretroviral therapy for the prevention of mother-to-child transmission of HIV/AIDS9301,036+11%NA
Number of HIV-exposed infant receiving HIV prophylaxis5231,030+97%NA
Number of health providers hired89NA
Health facilities reporting that at least 1 doctor, nurse, or midwife is on staff90.0%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 home28.8%48.8%+69%P<.01
Health facilities that reported having an associated Safe Motherhood Action Group63.8%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.