Definition of composite variables measured at baseline and endline at the quality improvement facilities
| Variable | Definition |
| Cleanliness of the health facility | It is a composite measure of clean compound, MCH ward, maternity room, labour and delivery room, pharmacy room, laboratory and toilet cleanliness. |
| Basic amenity | It is a composite measure of availability of safe toilet, electric and water supplies. |
| Availability of newborn commodities | It is a composite indicator of mask, weight scale, intravenous cannula, mucus extractor towels, sterile equipment for cutting, tube for feeding and sterile glove. |
| BEmONC service availability | It is a composite measure of antibiotics availability, uterotonics, anticonvulsant, placenta removal service, retained product removal service and availability of assisted vaginal delivery. |
| Availability of essential emergency drugs in labour ward | It is a composite of availability of oxytocin, MgSo4, antihypertensive drugs, antiasthma, ampicillin, gentamicin, metronidazole and analgesics. |
| Provision of all essential ANC components of care | It is a composite measure of tests and service provision for ANC women namely blood test, Hgb, VDRL, urine, PITC, hepatitis antigen test and provision of IFA tablets. All specific items were measured by observation of 10 randomly selected ANC charts. |
| Correct use of partograph | It is a composite measure of temperature, BP, pulse rate, fetal heart rate, number of contractions, cervical dilatation, fetal descent, membrane and liquor, augmentation check and documentation of time of delivery. All specific items were measured by observation of 10 randomly selected ANC charts. |
| Correct active third stage labour management | It is a composite measure of use of 10 IU oxytocin, application of controlled cord traction, examination of vaginal cleanliness and placenta removal. All specific items were measured by observation of 10 randomly selected ANC charts. |
ANC, antenatal care; BEmONC, basic emergency obstetrical and newborn care; BP, blood pressure; Hgb, heamoglobin; IFA, iron and folic acid; IU, international unit; MCH, maternal and child health; MgSo4, magnesium sulfate; PITC, provider initiated test and counsel; VDRL, venereal disease research laboratory test.