Presence of Readiness Attributes in 197 Facilities Providing Maternity Care by Facility Type in Kigoma Region, Tanzania
Attribute | Dispensary, No. (%)a (N=164) | Health Center, No. (%)a (N=27) | Hospital, No. (%)a (N=6) |
---|---|---|---|
Adequate staffing | 112 (68.3) | 15 (55.6) | 5 (81.3) |
At least 1 staff trained in emergency obstetric care | 87 (53.1) | 18 (66.8) | 4 (66.7) |
Electricity available 24 hours/day and 7 days/week | 153 (93.3) | 22 (81.5) | 6 (100.0) |
Improved water source within 500 m | 150 (91.5) | 27 (100.0) | 6 (100.0) |
Private room for patient consultation | 137 (83.5) | 25 (92.6) | 6 (100.0) |
Access to clean and functional toilets | 164 (100.0) | 27 (100.0) | 6 (100.0) |
Communication equipment | 60 (36.6) | 18 (66.7) | 5 (83.3) |
Safe disposal of sharps and infectious waste | 144 (87.8) | 27 (100.0) | 6 (100.0) |
Newborn bag and mask | 162 (98.8) | 27 (100.0) | 6 (100.0) |
Blood pressure cuff | 163 (99.4) | 27 (100.0) | 6 (100.0) |
Adult stethoscope | 163 (99.4) | 27 (100.0) | 6 (100.0) |
Fetal stethoscope | 164 (100.0) | 27 (100.0) | 6 (100.0) |
Oxygen source | 18 (11.0) | 22 (81.5) | 6 (100.0) |
Suction apparatus (mucus extractor) | 153 (93.3) | 26 (96.3) | 6 (100.0) |
Sterilization equipment | 159 (97.0) | 27 (100.0) | 6 (100.0) |
Manual vacuum extractor for assisted vaginal delivery | 76 (46.3) | 19 (70.4) | 6 (100.0) |
Vacuum aspirator or D&C kit | 121 (73.8) | 23 (85.2) | 6 (100.0) |
Adequate delivery instrument sets | 157 (95.7) | 27 (100.0) | 6 (100.0) |
Gloves | 158 (96.3) | 27 (100.0) | 6 (100.0) |
Injectable uterotonic | 164 (100.0) | 27 (100.0) | 6 (100.0) |
Injectable antibiotics | 157 (95.7) | 26 (96.3) | 6 (100.0) |
Injectable magnesium sulfate | 163 (99.4) | 27 (100.0) | 6 (100.0) |
Intravenous solution | 145 (88.4) | 26 (96.3) | 5 (83.3) |
Antihypertensive medication | 119 (72.6) | 27 (100.0) | 6 (100.0) |
Antibiotic eye ointment for newborns | 145 (88.4) | 24 (88.9) | 5 (88.3) |
Guidelines for Integrated Management of Pregnancy and Childbirth | 137 (83.5) | 19 (70.4) | 5 (83.3) |
Partograph forms and proof of use | 122 (74.4) | 21 (77.8) | 6 (100.0) |
Adequate number of delivery beds | 17 (10.4) | 15 (55.6) | 6 (100.0) |
Availability of labor and delivery services 24 hours/day and 7 days/week | 159 (97.0) | 27 (100.0) | 6 (100.0) |
Motorized vehicle with motor fuel | 6 (3.7) | 18 (66.7) | 3 (50.0) |
Quality index of 28 attributes or more (highest tercile) | 1 (0.61) | 11 (40.7) | 5 (83.3) |
Mean number of attributes (SD) | 23.4 (23.0–23.7) | 26.5 (25.5–27.4) | 28.3 (26.9–29.8) |
Abbreviations: D&C, dilation and curettage; SD, standard deviation.
↵a Counts and percentages represent unweighted frequencies of a specified element within a facility type.