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Table 1 Characteristics of study countries

From: Action leveraging evidence to reduce perinatal mortality and morbidity (ALERT): study protocol for a stepped-wedge cluster-randomised trial in Benin, Malawi, Tanzania and Uganda

 

Benin

Malawi

Tanzania

Uganda

Country-level indicators

 Estimated population (in 2020, million)

12.1

20.3

62.8

47.2

 Maternal mortality ratio per 100,000 live births (2017) [3]

397

349

524

375

 Neonatal mortality rate per 1000 live births (2019) [1]

31

20

20

20

 Stillbirth rate per 1000 total births (2019) [2]

20.3

16.3

18.8

17.8

 % of live births in health facilities #

83.9%

91.4%

62.6%

73.4%

 % of facility births in hospitals ##

35.4%

42.2%

47.8%

47.8%

 Annual growth rate in % of births in health facilities (most recent DHS compared to survey between 2004 and 2006 ##

0.7%

2.5%

2.6%

5.8%

 % of all live births by CS # - Poorest v Richest wealth quintile

5.1 1.6–12.3%

6.1 3.0–9.1%

5.9 2.4–15.8%

6.2 2.7–14.2%

Among live births in health facilities

 % checked before discharge after facility births ##

81%

57%

51%

47%

 % of all live births by CS#

6.1%

6.3%

9.5%

8.3%

Among live births in hospitals

 Neonatal mortality per 1000 live births ##

32.8

35.8

31.8

27.1

 % of newborns breastfed within 1 h of birth ##

61.8%

73.1%

54.9%

65.3%

Health system indicators

 Doctors /10,000 people population ^

0.8 (2018)

0.4 (2018)

0.1 (2016)

1.7 (2017)

 Nursing cadres /10,000 people population^

3.9 (2018)

4.3 (2018)

5.8 (2017)

12.4 (2018)

 Predominant midwifery provider [21]

Midwife

Nurse-midwife

Nurse-midwife

Midwife

 Hospital beds / 10,000 people population^

5 (2010)

13 (2011)

7 (2010)

5 (2010)

 Current health expenditure per capita (USD PPP, 2018)^

83.2

119.5

112.5

139.3

 Out-of-pocket expenditure as % of current health expenditure (201^

45

11

24

38

 User fees for childbirth (vaginal/caesarean)^

Official fees

No official

No official

No official

  1. CS caesarean section
  2. # DHS StatCompiler and Survey reports for Demographic and Health Survey data, Benin; 2017–8; Malawi: 2015–16; Tanzania: 2015–16; Uganda: 2016
  3. ## Additional analysis of Demographic and Health Survey data, Benin; 2017–8; Malawi: 2015–16; Tanzania: 2015–16; Uganda: 2016
  4. ^WHO observer http://apps.who.int/gho/data/node.main.HWFGRP_0020?lang=en