Selected Facility and Population-Based Indicators Documented by External Monitoring, Kigoma Region, 2013/2014 and 2018a,b

Indicators From Facility-Based Surveys20132018% ChangeSignificancec
Institutional maternal mortality ratio (per 100,000 live births)303174-43***
Predischarge neonatal mortality rate (per 1,000 live births)10.77.6-29***
Institutional intrapartum stillbirth rate (per 1,000 births)14.46.0-58***
Number of BEmONC facilitiesd26+200NA
Number of CEmONC facilitiesd915+67NA
Indicators from population-based surveys (RHS)20142018% ChangeSignificancec
Contraceptive prevalence all methods (current use among married women aged 15–49 years)20.626.3+28***
Contraceptive prevalence modern methods (current use among married women aged 15–49)15.621.0+35***
Prevalence of implant and IUD use (current use among married women aged 15–49 years)2.19.4+348***
Unmet need for contraception (married women aged 15–49 years)39.235.1-11***
  • Abbreviations: BEmONC, basic emergency obstetric and newborn care; CEmONC, comprehensive emergency obstetric and newborn care; EmONC, emergency obstetric and newborn care; IUD, intrauterine device; RHS,, reproductive health survey.

  • a Source: CDC evaluations in health facilities30,31 and population-based surveys.23,24,29

  • b Baseline/endline population-based indicators were measured in mid-2014 (2014 RHS)23 and mid-2018 (2018 RHS).24

  • c Asterisks indicate significance level of the difference between baseline and endline outcomes for all facilities combined, using a z-statistic test for rates and proportions to calculate the p-value of the difference, as follows: *** = P<.01. NA=Not applicable.

  • d Include facilities with provision of lifesaving interventions that constitute EmONC that performed these interventions in the last 3 months: BEmONC interventions include administration of parenteral antibiotics, uterotonics, or anticonvulsants; manual removal of placenta; removal of retained products; assisted vaginal delivery; and basic neonatal resuscitation. CEmONC interventions include 2 additional services: ability to perform obstetric surgery (e.g., C- section) and blood transfusion; BEmONC and CEmONC facilities may or may not have performed assisted vaginal delivery in past 3 months (i.e., BEmONC-1 and CEmONC-1). According to the World Health Organization—which recommends at least 5 EmONC facilities per 500,000 population, including at least 1 CEmONC facility—by 2018 Kigoma achieved a sufficient number of CEmONC facilities but is still lagging behind in BEmONC facilities.9