TABLE 4.

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

Facility Characteristic/Intervention	Uganda (n=105 facilities)				Zambia (n=110 facilities)
Facility Characteristic/Intervention	Baseline^a^,^b	Endline^a^,^b	% Change^c	Sig. Level^d	Baseline^a^,^b	Endline^a^,^b	% Change^c	Sig. Level^d
Facility infrastructure
Availability of delivery services 24 hours a day/7 days a week	80.0	87.6	+10	NS	68.2	96.4	+41	***
Uninterrupted electricity available	57.1	96.2	+69	***	55.5	92.7	+67	***
Running water available	76.2	100.0	+31	N/A	90.0	97.3	+8	**
Functional communications available^e	93.3	99.0	+6	**	44.6	100.0	+124	N/A
Transportation available^f	61.0	59.0	−3	NS	55.5	72.7	+31	***
Sufficient number of obstetric beds	35.2	91.4	+160	***	62.7	73.6	+17	NS
Women do not deliver on the floor	85.7	91.4	+7	NS	71.3	83.8	+18	NS
Mother shelter present	0	3.9	NA	N/A	28.8	48.8	+69	***
Availability of medications and supplies
No stock-out in last 12 months: magnesium sulfate^g	47.6	63.8	+34	***	20.0	43.0	+115	***
No stock-out in last 12 months: oxytocin^g	56.2	81.9	+46	***	75.3	75.0	−0.4	NS
HIV rapid test kits currently available^g^,^h	70.5	79.0	+12	NS	82.5	93.8	+14	**
At least 1 long-acting reversible family planning method currently available	41.0	55.2	+35	***	20.0	71.3	+257	***
EmONC functions and labor management
Number of functioning CEmONC facilities	7	17	+143	N/A	4	5	+25	N/A
Number of functioning BEmONC facilities	3	9	+200	N/A	3	8	+167	N/A
Number of facilities with partial BEmONCⁱ	19	34	+79	N/A	22	29	+32	N/A
Use of partograph to monitor labor	33.3	92.4	+178	***	NA	92.7	NA	NA
Active management of third stage of labor	75.2	96.2	+28	***	71.8	95.5	+33	***
Use of parenteral antibiotics in last 3 months	85.7	92.4	+8	NS	79.1	73.6	−7	NS
Use of parenteral oxytocin in last 3 months	69.5	98.1	+41	***	90.9	95.5	+5	NS
Use of parenteral anticonvulsants in last 3 months	48.6	34.3	−29	**	44.6	40.0	−10	NS
Perform newborn resuscitation in last 3 months	34.3	87.6	+155	***	27.3	74.6	+173	***
Perform manual removal of placenta in last 3 months	28.6	54.3	+90	***	39.1	30.0	-23	NS
Remove retained products in last 3 months	19.0	61.9	+226	***	17.3	49.1	+184	***
Perform assisted vaginal delivery in last 3 months	4.8	10.5	+119	NS	10.0	15.5	+55	NS
Perform surgery (cesarean delivery) (HC IV or higher) in last 3 months	7.6	16.2	+113	***	3.6	4.6	+28	NS
Perform blood transfusion (HC IV or higher) in last 3 months	8.6	16.2	+88	***	5.5	4.6	−16	NS
Perform maternal death reviewsⁱ	6.7	32.4	+384	***	42.5	75.0	+76	**
Health facility has associated community volunteers	18.3	91.5	+400	***	63.8	96.3	+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.