in SMGL-Supported Districts in Zambia

Table 2. Summary of Maternal and Perinatal Outcomes Indicators for Health Facilities in SMGL-Supported Districts in Zambia

Indicator and Definition1

Institutional Delivery Rate

Proportion of all births occurring in health facilities over a specified time period

Cesarean Sections as a Proportion of All Births

Proportion of all births delivered by Cesarean section over a specified time period

Met Need for EmONC

Proportion of women with major direct obstetric complications treated in health facilities over a specified time period

Direct Obstetric Case Fatality Rate4

Proportion of women with major direct obstetric complications who die in health facilities over a specified time period

Maternal Mortality Ratio4

Number of women who deliver and die in health facilities per 100,000 live births in health facilities

Perinatal Mortality Rate

Number of stillbirths and predischarge neonatal deaths (usually within the first 24 hours) in health facilities per 1,000 births in health facilities

Facility Type Baseline Endline % Change2 Significance Level3

All facilities 63% 84% 35% *** EmONC facilities 26% 30% 17% ***

All facilities 2.7% 3.1% 15% ***

All facilities 34% 45% 31% *** EmONC facilities 26% 32% 23% ***

All facilities 3.0% 2.0% -33% **

EmONC facilities 3.4% 2.2% -35% ** All facilities 310 202 -35% ** EmONC facilities 629 453 -28% *

All facilities 37.9 32.8 -14% ***

Stillbirth Rate

Number of stillbirths in health facilities per 1,000 births in health facilities All facilities 30.5 24.8 -19% ***

Predischarge Neonatal Mortality Rate

Number of births that result in a predischarge neonatal death (usually within the first 24 hours) in health facilities per 1,000 live births in health facilities All facilities 7.7 8.2 7% NS

CEmONC = Comprehensive Emergency Obstetric and Newborn Care, EmONC = Emergency Obstetric and Newborn Care. 5. Definitions are from World Health Organization resources, including Monitoring Emergency Obstetric Care: A Handbook. 6. Percentage change calculations are based on unrounded numbers. 7. Asterisks indicate significance levels calculated with a z-statistic as follows: *** = P < .01, ** = P < .05, * = P < .1, NS = not significant. 8. Baseline maternal deaths in facilities were cross-checked with maternal deaths identified by the 2012 community census. Endline maternal deaths in facilities were cross-checked with community maternal deaths identified by community key informants.