Baseline SMGL-Supported District Characteristics

Area (sq. km)10,85149,468
Population (2011)a1,750,000925,198
    % of population in rural areas84%61%
Number of women of reproductive age (in 2011)a330,776193,515
Number of expected live births (in 2011)b78,26137,267
Number of health care facilities, by type (in 2011)
    Health posts1916
    Health centers without surgical care7291
    Health centers with surgical care80
    District hospitals75
    Regional hospitalc11
Number of facilities, by ownership (in 2011)
    Private for profit110
    Private not-for-profit317
Number of EmONC facilities (in 2011)d
    Basic EmONC33
    Comprehensive EmONC74
  • Abbreviations: CEmONC, comprehensive emergency obstetric and newborn care; EmONC, emergency obstetric and newborn care; SMGL, Saving Mothers, Giving Life.

  • a Based on the 2013 4-district population census in Uganda and the Population and Housing Census 2010 in Zambia projected to 2011 for the 4 SMGL districts.

  • b In Uganda, expected births were estimated by multiplying the number of women of reproductive age from the 2013 4-district census by age-specific fertility rates from the 2011 Demographic and Health Survey; in Zambia, expected births were derived from the 2010 census crude birth rates.

  • c Fort Portal Regional Referral Hospital is a 351-bed level-3 referral hospital located in Kabarole district and serving 3 SMGL-supported districts (Kabarole, Kyenjojo, and Kamwenge) and 4 non-SMGL districts (Kasese, Ntoroko, Kyegegwa, and Bundibugyo); Mansa General Hospital is a 352-bed level-2 referral hospital providing care to Luapula province, which, in 2011, included 1 SMGL-supported district (Mansa) and 5 nonsupported districts.

  • d Facilities were classified based on whether they had, within the previous 3 months, performed the signal functions associated with each level of EmONC care. Because assisted vaginal delivery—using either forceps or vacuum extractor—is relatively uncommon in both Uganda and Zambia, some facilities were classified as fully providing EmONC care even if they did not perform assisted vaginal deliveries within the past 3 months (EmONC-1). In Uganda, district and regional hospitals and health centers with surgical capacity (health centers IV) are designated as CEmONC facilities, able to perform each of the 9 signal functions and serving about 100,000 population; in Zambia, only district and higher-level hospitals are designated to provide CEmONC care.