Table 4 Process indicators and minimum acceptable levels for Safe Motherhood monitoring
Key questions | Indicator | Minimum acceptable level |
|---|---|---|
I. Coverage 1. Is emergency obstetric care (EmOC) available and reasonably distributed? | ||
A. Amount of emergency obstetric care (EmOC): | For every 500,000 population, there should be: | |
Basic EmOC facilities | At least 4 Basic EmOC Facilities | |
Comprehensive EmOC facilities | At least 1 Comprehensive EmOC facility | |
B. Geographical distribution of EmOC Facilities | Minimum level for amount of EmOC services is met in sub-national areas | |
2. Are the women using maternity services at basic and comprehensive EmOC facilities? | C. Proportion of all births in Basic and comprehensive EmOC facilities | At least 15% of all births in the population take place in either Basic or Comprehensive EmOC facilities |
3. Are the women who really need EmOC services using these services? | D. Met need for EmOC – Proportion of women estimated to have complications who are treated in EmOC facilities | At least 100% of women with obstetric complications (estimated as 15% of births) are treated in EmOC facilities |
E. Quantity of critical services Caesarean sections as a percentage of all Births | As a proportion of all births in the population, Caesarean sections account for not less than 5% nor more than 15% | |
II. Performance 4. Is treatment successful? | ||
F. Quality of care Case fatality rate | The case fatality rate among women with obstetric complications in comprehensive EmOC facilities is less than 1% |