Selected Facility Characteristics and Interventions at Baseline and Endline in Uganda and Zambia SMGL-Supported Districts

Facility Characteristic/InterventionUganda
(n=105 facilities)
(n=110 facilities)
Baselinea,bEndlinea,b% ChangecSig.
Baselinea,bEndlinea,b% ChangecSig.
Facility infrastructure
Availability of delivery services 24 hours a day/7 days a week80.087.6+10NS68.296.4+41***
Uninterrupted electricity available57.196.2+69***55.592.7+67***
Running water available76.2100.0+31N/A90.097.3+8**
Functional communications availablee93.399.0+6**44.6100.0+124N/A
Transportation availablef61.059.0−3NS55.572.7+31***
Sufficient number of obstetric beds35.291.4+160***62.773.6+17NS
Women do not deliver on the floor85.791.4+7NS71.383.8+18NS
Mother shelter present03.9NAN/A28.848.8+69***
Availability of medications and supplies
No stock-out in last 12 months: magnesium sulfateg47.663.8+34***20.043.0+115***
No stock-out in last 12 months: oxytocing56.281.9+46***75.375.0−0.4NS
HIV rapid test kits currently availableg,h70.579.0+12NS82.593.8+14**
At least 1 long-acting reversible family planning method currently available41.055.2+35***20.071.3+257***
EmONC functions and labor management
Number of functioning CEmONC facilities717+143N/A45+25N/A
Number of functioning BEmONC facilities39+200N/A38+167N/A
Number of facilities with partial BEmONCi1934+79N/A2229+32N/A
Use of partograph to monitor labor33.392.4+178***NA92.7NANA
Active management of third stage of labor75.296.2+28***71.895.5+33***
Use of parenteral antibiotics in last 3 months85.792.4+8NS79.173.6−7NS
Use of parenteral oxytocin in last 3 months69.598.1+41***90.995.5+5NS
Use of parenteral anticonvulsants in last 3 months48.634.3−29**44.640.0−10NS
Perform newborn resuscitation in last 3 months34.387.6+155***27.374.6+173***
Perform manual removal of placenta in last 3 months28.654.3+90***39.130.0-23NS
Remove retained products in last 3 months19.061.9+226***17.349.1+184***
Perform assisted vaginal delivery in last 3 months4.810.5+119NS10.015.5+55NS
Perform surgery (cesarean delivery) (HC IV or higher) in last 3 months7.616.2+113***3.64.6+28NS
Perform blood transfusion (HC IV or higher) in last 3 months8.616.2+88***5.54.6−16NS
Perform maternal death reviewsi6.732.4+384***42.575.0+76**
Health facility has associated community volunteers18.391.5+400***63.896.3+51***
  • Abbreviations: BEmONC, basic emergency obstetric and newborn care; CEmONC, comprehensive emergency obstetric and newborn care; EmONC, emergency obstetric and newborn care; HC, health center; Sig., significance.

  • Note: All data reported as percentages unless otherwise noted.

  • a Baseline period is June 2011–May 2012; endline period is January–December 2016.

  • b Baseline and endline results are percentages of all facilities, unless otherwise noted.

  • c Percent change calculations based on unrounded numbers.

  • d Asterisks indicate significance level of the difference between baseline and endline outcomes using McNemar's exact test, as follows: ***P<.01, **P<.05, NS = not significant. NA = data not available. N/A = not applicable.

  • e Uganda: facility-owned landline, cell, two-way radio, or individual had cell phone; Zambia: two-way radio, landline, or cell phone with service.

  • f Uganda: available and functional motorized vehicle with fuel today and funds generally available; Zambia: motor vehicle, motorcycle, or bicycle.

  • g Zambia: Kalomo facilities did not collect the information and were excluded from the analysis.

  • h Uganda: Rapid HIV test was used in maternity ward in the last 3 months (does not indicate current availability).

  • i Percentage of health centers that performed 4 to 5 basic emergency obstetric care interventions in the past 3 months.