BOX 1.

Definitions and Descriptions of Indicators of Interest for SMGL Monitoring and Evaluation

Performance of EmONC signal functionsBasic Services:
  • Administer parenteral antibiotics

  • Administer uterotonic drugs (e.g., parenteral oxytocin)

  • Administer parenteral anticonvulsants for pre-eclampsia and eclampsia (e.g., magnesium sulfate)

  • Manual removal of placenta

  • Remove retained products (e.g., manual vacuum aspiration, dilation and curettage)

  • Perform assisted vaginal delivery (e.g., vacuum extraction, forceps delivery)

  • Perform basic neonatal resuscitation (e.g., bag and mask)

Comprehensive Services:
  • Perform surgery (e.g., caesarean section)

  • Perform blood transfusion

Basic facility infrastructure
  • Electricity

  • Regular water supply

  • Functional communications systems

  • Motorized vehicles available

  • Services available 24 hours a day

Promotion of protocols and guidelinesFacilities with protocols available and displayed on the following topics:
  • Obstetric and newborn complications

  • Postpartum hemorrhage

  • Active management of the third stage of labor

  • Helping Babies Breathe or kangaroo mother care

  • Early newborn care

Availability of essential drugs
  • Oxytocin, magnesium sulfate, gentamycin

  • Abbreviation: EmONC, emergency obstetric and newborn care.