Table 2

Structural preparedness at the selected health facilities

IndicatorsOverall (n=15)DH (n=3)UHC (n=12)
Physical environment and basic amenities
 Separate maternity ward624
 Separate labour room15312
 Screen or curtain for privacy in labour room1037
 Separate toilet for pregnant and recently delivered woman12210
 Toilet with hand washing facility725
 Clean toilet000
 Waste bins1037
 Colour coded waste bins101
 Puncture proof containers at facility000
 Government protocol for infection prevention and control000
 Display chart with numbers of deliveries and sick newborns15312
Specialised care for newborn
 Separate neonatal corner1138
 Availability of specialised unit*220
 Radiant warmers202
 Availability of KMC ward/beds101
Essential drugs that are always available
 Intravenous fluid (normal saline or ringer’s lactate)15312
 Inj. magnesium sulfate220
 Inj. diazepam734
 Inj. oxytocin**0
 Inj. steroid734
 Inj. antibiotic (Ampicillin/Penicillin/Gentamicin/Cephalosporin)43*
Equipment that are functional
 Wall clock with a secondhand000
 Freezer/fridge for storing medicine12210
 Pulse oximeter321
 Bag and mask for newborn15312
 Penguin sucker1037
 Filled oxygen cylinder15312
 Paediatric nebulizer101
Readiness of the referral system
 Availability of referral system for mother and newborn14212
 Ambulance available round the clock13211
 Patients have to pay for using the ambulance1028
 Referral facilities contacted over phone before sending patients716
  • *Availability of SCANU was assessed in DH and NSU in UHC as specialised care unit.

  • DH, district hospital;KMC, kangaroo mother care; NSU, neonatal stabilisation unit; SCANU, special care newborn unit; UHC, Upazilla health complex.