From: A health system framework for perinatal care in South African district hospitals: a Delphi technique
Domains | Indicators |
---|---|
Medicines | 1. Availability of signal drugs (i.e. parenteral antibiotics, parenteral uterotonic drugs and parenteral anticonvulsants for pre-eclampsia and eclampsia) |
 2. Availability of essential medicines for perinatal care in wards (as per essential drug list) | |
 3. Proper storage of medicines, (i.e. in a cool environment) | |
 4. Monthly stock taking of general medicines | |
 5. Weekly stock taking of dependency producing drugs (schedule 5 and above) | |
Medical Equipment | 1. Availability of adequate numbers and functional medical equipment |
 2. Availability of back up medical equipment for use while some stock has gone for repairs or servicing | |
 3. Availability of emergency boxes for emergency intrapartum care | |
 4. Availability of resuscitation trollies for emergency neonate care | |
Functional Theatre | 1. Functional theatre 24 h, 7 days a week |
 2. Availability of essential theatre drugs (as per essential drug list) | |
 3. Availability of functional essential theatre equipment | |
 4. Availability of backup theatre equipment for use while some stock has gone for repairs or servicing | |
 5. Availability of functional air-conditioning | |
 6. Availability of back-up generator | |
 7. Availability of the following theatre staff with respect to staff norms per shift  a. Operating theatre nurse  b. Enrolled nurse | |
Obstetric Ambulances | 1. Access to obstetric ambulance on site |
 2. Waiting time for obstetric ambulance to transfer patient to regional hospital less than one hour | |
 3. Availability of functional obstetric ambulance equipment | |
 4. Availability of skilled birth attendant during transit | |
 5. Availability of essential medicines for intrapartum care during transit | |
Mothers’ waiting homes (for rural hospitals) | 1. Availability of mothers waiting homes on site |
 2. Guidelines for admission to waiting homes followed | |
 3. Adequate utilization of mothers’ waiting homes | |
Infrastructure | 1. Location of maternity ward and neonate high care unit in close proximity to each other |
 2. Availability of necessary power points to connect equipment for perinatal care (i.e. suction points and oxygen points.) | |
 3. Availability of Kangaroo Mother Care ward |