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Table 3 Proportion of public facilities performing individual PAC & SAC signal functions, Ethiopia 2018 & 2020

From: Postabortion and safe abortion care coverage, capacity, and caseloads during the global gag rule policy period in Ethiopia and Uganda

 

Overall

Primary-level health facilityb

Referral-level health facilityc

Overall

Primary-level health facility

Referral-level health facility

2018

2020

2018

2020

2018

2020

% change

% change

% change

Total number of facilities that provide PAC and/or SAC

262

269

164

171

98

98

–

–

–

Capability to provide basic postabortion and safe abortion care signal functions

Perform removal of retained products

90.5

94.4

84.8

91.2

100.0

100.0

4.0***

6.5***

0.0

 Perform manual/electric vacuum aspiration

85.5

91.1

78.7

86.0

96.9

100.0

5.6***

7.3***

3.1***

 Provide medication abortion

63.7

79.9

53.0

70.2

81.6

96.9

16.2*

17.1*

15.3*

Administer parenteral antibiotics

98.9

97.8

98.2

97.1

100.0

99.0

−1.1

−1.1

−1.0

Administer uterotonics

87.4

90.3

80.5

84.8

99.0

100.0

2.9

4.3

1.0

Administer intravenous fluids

93.9

93.7

90.9

91.8

99.0

96.9

−0.2

1.0

−2.0

Provide at least one short-acting contraceptive (condoms, pills or injectables)

99.2

99.6

99.4

99.4

99.0

100.0

0.4

0.0

1.0

Facility offers family planning at least once a week

100.0

99.6

100.0

100.0

100.0

99.0

−0.4

0.0

−1.0

Facility offers family planning 7 days a week

12.2

16.0

15.2

17.5

7.1

13.3

3.8

2.3

6.1

Has 1+ staff capable of providing PAC available

100.0

100.0

100.0

100.0

100.0

100.0

0.0

0.0

0.0

Has 1+ staff capable of providing abortion available

100.0

100.0

100.0

100.0

100.0

100.0

0.0

0.0

0.0

Proportion of facilities with basic PAC capability

9.3

15.0

10.6

16.0

7.1

13.3

5.7**

5.4

6.1

Proportion of facilities with basic SAC capability

66.7

82.8

58.4

74.1

78.0

95.8

16.1*

15.7*

17.8*

Capability to provide comprehensive postabortion and safe abortion care signal functionsa

Provide dilation and evacuation

29.3

16.7

16.1

6.0

51.0

34.7

−12.7*

−10.1*

−16.3**

Provide at least one long-acting reversible contraceptive (IUDs or implants)

99.2

98.5

98.8

98.2

100.0

99.0

−0.7

−0.5

−1.0

Perform blood transfusion

39.3

37.9

6.7

5.8

93.9

93.9

−1.4

−0.9

0.0

Surgical/laparotomy capability

30.5

30.9

3.0

2.3

76.5

80.6

0.3

−0.7

4.1

Proportion of referral-level facilities with comprehensive PAC capability

–

–

–

–

7.1

11.2

–

–

4.1

Proportion of referral-level facilities with comprehensive SAC capability

–

–

–

–

38.5

32.6

–

–

−5.8

  1. aComprehensive PAC facilities must have all of the basic signal functions plus at least one long-acting reversible contraceptive method (IUDs or implants), blood transfusion and surgical capability. For comprehensive SAC, facility must also provide dilation and evacuation. Primary-level facilities are not included in the denominator for comprehensive signal functions
  2. bPrimary-level includes Health Centers
  3. cReferral-level includes Hospitals
  4. * p < 0.001
  5. ** p < 0.05
  6. *** p < 0.1