Structural preparedness at the selected health facilities
Indicators | Overall (n=15) | DH (n=3) | UHC (n=12) |
Physical environment and basic amenities | |||
Separate maternity ward | 6 | 2 | 4 |
Separate labour room | 15 | 3 | 12 |
Screen or curtain for privacy in labour room | 10 | 3 | 7 |
Separate toilet for pregnant and recently delivered woman | 12 | 2 | 10 |
Toilet with hand washing facility | 7 | 2 | 5 |
Clean toilet | 0 | 0 | 0 |
Waste bins | 10 | 3 | 7 |
Colour coded waste bins | 1 | 0 | 1 |
Puncture proof containers at facility | 0 | 0 | 0 |
Government protocol for infection prevention and control | 0 | 0 | 0 |
Display chart with numbers of deliveries and sick newborns | 15 | 3 | 12 |
Specialised care for newborn | |||
Separate neonatal corner | 11 | 3 | 8 |
Availability of specialised unit* | 2 | 2 | 0 |
Radiant warmers | 2 | 0 | 2 |
Availability of KMC ward/beds | 1 | 0 | 1 |
Essential drugs that are always available | |||
Intravenous fluid (normal saline or ringer’s lactate) | 15 | 3 | 12 |
Inj. magnesium sulfate | 2 | 2 | 0 |
Inj. diazepam | 7 | 3 | 4 |
Inj. oxytocin | * | * | 0 |
Inj. steroid | 7 | 3 | 4 |
Inj. antibiotic (Ampicillin/Penicillin/Gentamicin/Cephalosporin) | 4 | 3 | * |
Equipment that are functional | |||
Wall clock with a secondhand | 0 | 0 | 0 |
Freezer/fridge for storing medicine | 12 | 2 | 10 |
Glucometer | 15 | 3 | 12 |
Pulse oximeter | 3 | 2 | 1 |
Bag and mask for newborn | 15 | 3 | 12 |
Penguin sucker | 10 | 3 | 7 |
Filled oxygen cylinder | 15 | 3 | 12 |
Paediatric nebulizer | 1 | 0 | 1 |
Readiness of the referral system | |||
Availability of referral system for mother and newborn | 14 | 2 | 12 |
Ambulance available round the clock | 13 | 2 | 11 |
Patients have to pay for using the ambulance | 10 | 2 | 8 |
Referral facilities contacted over phone before sending patients | 7 | 1 | 6 |
*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.