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Table 2 Antenatal care and EmOC guidelines, supplies and medicines

From: Health facility readiness to care for high risk newborn babies for early childhood development in eastern Uganda

Stage of care

Items/requirements

Public hospitals

n = 4

PNFPs Hospitals

n = 2

All hospitals

n = 6 (%)

HCIVs

n = 10

n (%)

Antenatal care

 

Guidelines

3

2

5 (83.3)

7 (70)

Visual aids for counselling

4

2

6 (100)

9 (90)

Adult weighing scale

4

2

6 (100)

10 (100)

Blood Pressure machine

2

2

4 (67)

9 (90)

Ferrous sulphate

1

2

3 (50)

10 (100)

Folic acid

3

2

5 (83.3)

10 (100)

Oral Antibiotics (Amoxycillin, etc.)

4

2

6 (100)

9 (100)

Intermittent Preventive Therapy (Fansidara)

3

2

5 (83.3)

10 (100)

Antenatal care

Diagnostics (for syphilis, malaria, blood sugar, Urine tests)

    
 

Syphilis testing

3

2

5 (83.3)

10 (100)

Malaria testing

4

2

6 (100)

10 (100)

Urine protein test

2

0

2 (33.3)

8 (80)

Urine Glucose test

2

0

2 (33.3)

9 (90)

Blood glucose test

1

0

1 (16.7)

8 (80)

Any rapid test for hemoglobin

1

0

1 (16.7)

9 (90)

Ultrasonography

0

2

2 (33.3)

2 (20)

Examination light (flashlight)

0

0

0 (00)

5 (50)

Fetal doppler

1

1

2 (33.3)

7 (70)

Thermometer

1

2

3 (50.0)

8 (80)

Visual privacy only

1

1

2 (33.3)

8 (80)

Overall mean score

ANC

2.1 (52.5)

1.4 (68.4)

3.4 (58.3)

8.3 (83)

EmOC

 

Guidelines for emergencies (Pre/Eclampsia, Postpartum hemorrhage, etc.)

3

2

5 (83.3)

9 (90)

Partographs for monitoring labor

4

2

6 (100)

10 (100)

Oxytocin to augment labor

3

2

5 (83.3)

9 (90)

Items available and functioning in the delivery area

    

Ultrasound machine

1

0

1 (16.7)

4 (40)

Blood pressure cuff

4

2

5 (83.3)

9 (90)

Resuscitation table with heat source

2

1

3 (50.0)

3 (30)

Pulse oximeter with neonatal probe

2

0

1 (16.7)

5 (50)

Filled oxygen canisters

1

0

1 (16.7)

5 (50)

Infant weighing scale

2

1

3 (50.0)

9 (90)

Suction bulb

4

2

6 (100)

9 (90)

Soap or hand disinfectant

3

2

5 (83.3)

10 (100)

IV/IM Antibiotics

4

2

6 (100)

8 (80)

IM/IV Magnesium Sulphate (anticonvulsant)

3

2

5 (83.3)

8 (80)

Antihypertensive e.g. hydralazine

4

2

6 (100)

5 (50)

Vacuum extractor-for assisted delivery

2

1

3 (50)

5(50)

Ability to do surgery (C/S): MO/OBGY, Theatre, Anesthetics, Surgical instruments, etc

4

2

6 (100)

8 (80)

Blood transfusion

4

2

6 (100)

8 (80)

Referral protocols

2

0

2 (33.3)

9 (90)

Resuscitation algorithm

2

2

4 (66.7)

7 (70)

Overall mean score

EmOC + Blood transfusion

2.8 (71.1)

1.4 (71.1)

4.2 (70.0)

7.4 (74)

  1. Fansidara = sulphadoxine/pyrimethamine, EmOC Emergency Obstetric Care
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