Indicator | Total N | True Preva (%) | Sensitivityb (95 % CI) | Specificityc (95 % CI) | Self-report survey estimate (%), Based on sensitivity and specificityd | AUC (95 % CI) (>0.60) | IFe (0.75 to 1.25) | Criteria Metf |
---|---|---|---|---|---|---|---|---|
Indicators of Health Service Contacts | ||||||||
Main provider labor- doctor or medical resident | 580 | 96.2 | 82.3 (78.8-85.3) | 27.3 (10.7-50.2) | 81.9 | 0.55 (0.51-0.59) | 0.85 | IF |
Main provider delivery– doctor or medical resident | 563 | 91.1 | 90.1 (87.1-92.5) | 14.0 (5.8-26.7) | 89.7 | 0.52 (0.48-0.56) | 0.98 | IF |
Indicators of Content of Care | ||||||||
Takes urine sample | 572 | 25.2 | 50.0 (0.63-0.71) | 84.4 (80.6-87.7) | 24.3 | 0.67 (0.63-0.71) | 0.97 | Both |
Injection or IVg medication received at some time during labor, before birth of baby (general) | 571 | 76.0 | 70.1 (65.5-74.3) | 56.9 (48.2-65.4) | 63.6 | 0.63 (0.59-0.68) | 0.84 | Both |
Episiotomy performed | 580 | 67.8 | 97.7 (95.7-98.9) | 63.1 (55.8-70.0) | 78.1 | 0.80 (0.77-0.84) | 1.2 | Both |
Blood products given | 582 | 2.41 | 35.7 (12.8-64.9) | 98.4 (97.0-99.3) | 2.4 | 0.67 (0.63-0.71) | 1.0 | Both |
Receives injection or IVg medication for induction or augmentation of labor | 476 | 76.1 | 59.1 (53.9-64.2) | 79.8 (71.3-86.8) | 49.8 | 0.69 (0.65-0.74) | 0.65 | AUC |
Augments labor with uterotonic | 472 | 75.2 | 49.6 (44.3-54.9) | 81.2 (72.9-87.8) | 42.0 | 0.65 (0.61-0.70) | 0.56 | AUC |
Membranes ruptured (labor induction or augmentation) | 356 | 57.0 | 38.4 (31.7-45.5) | 88.2 (82.0-92.9) | 27.0 | 0.63 (0.58-0.68) | 0.47 | AUC |
Breastfeeding initiated within first hour of birthi | 449 | 34.7 | 81.4 (74.4-87.2) | 44.1 (38.3-49.9) | 64.8 | 0.63 (0.58-0.67) | 1.9 | AUC |
First post-delivery exam, provider checks for involution | 556 | 81.7 | 84.6 (80.9-87.8) | 21.6 (14.0-30.8) | 83.5 | 0.53 (0.49-0.57) | 1.0 | IF |
Palpates uterus after delivery of placenta | 580 | 82.4 | 79.5 (78.4-85.5) | 19.6 (9.7-25.4) | 79.7 | 0.50 (0.45-0.54) | 0.97 | IF |
Uterotonic received 1-3 min after birth | 580 | 64.0 | 61.5 (56.3-66.4) | 40.7 (33.9-47.7) | 60.7 | 0.51 (0.47-0.55) | 0.95 | IF |
3 AMTSLh elements: prophylactic uterotonic + controlled cord traction + uterine massage following delivery of placenta | 549 | 81.2 | 75.7 (71.5-79.6) | 24.0 (16.0-33.6) | 75.7 | 0.50 (0.46-0.54) | 0.93 | IF |
HIV status checked | 569 | 69.8 | 54.9 (49.9-59.9) | 47.7 (40.0-55.4) | 54.1 | 0.51 (0.47-0.55) | 0.78 | IF |
Induces labor with uterotonic | 559 | 11.6 | 27.7 (17.3-40.2) | 89.1 (86.0-91.7) | 12.9 | 0.58 (0.54-0.62) | 1.1 | IF |
Woman received pain relief medication | 581 | 79.4 | 89.4 (86.2-92.0) | 20.0 (13.3-28.3) | 87.4 | 0.55 (0.51-0.59) | 1.1 | IF |
First post-delivery exam, provider ask/checks for bleeding | 590 | 80.5 | 87.4 (84.0-90.2) | 12.2 (6.8-19.6) | 87.5 | 0.50 (0.46-0.54) | 1.1 | IF |
First post-delivery exam, provider examines perineum | 586 | 75.1 | 90.2 (87.1-92.8) | 10.3 (5.9-16.4) | 90.1 | 0.50 (0.46-0.54) | 1.2 | IF |
First post-delivery exam, provider takes temperature | 586 | 66.9 | 94.4 (91.6-96.4) | 8.8 (5.2-13.7) | 93.4 | 0.52 (0.47-0.56) | 1.4 | |
Encourages/assists woman to ambulate during labor | 580 | 22.2 | 7.8 (3.8-13.8) | 91.6 (88.6-94.0) | 8.3 | 0.50 (0.46-0.54) | 0.37 | |
Woman asked for pain relief medication at some time | 575 | 44.7 | 32.7 (27.0-38.8) | 78.9 (74.0-83.3) | 26.3 | 0.56 (0.52-0.60) | 0.59 | |
Something other than breastmilk given to baby within first hour of birthi | 438 | 21.7 | 71.6 (61.4-80.4) | 46.1 (40.7-51.5) | 57.8 | 0.59 (0.54-0.64) | 2.7 | |
Uterotonic received 1-3 min after delivery of placenta | 576 | 20.0 | 95.7 (90.1-98.6) | 6.3 (4.3-8.9) | 94.1 | 0.51 (0.47-0.55) | 4.7 | |
Baby given to mother immediately after birthi | 580 | 10.3 | 63.3 (49.9-75.4) | 40.6 (36.3-44.9) | 59.8 | 0.52 (0.48-0.56) | 5.8 | |
Maternal Complications | ||||||||
Severe bleeding (hemorrhage) | 593 | 8.1 | 50.0 (35.2-64.8) | 95.2 (93.1-96.9) | 8.4 | 0.73 (0.69-0.76) | 1.0 | Both |
High blood pressure/convulsions (eclampsia) | 594 | 2.4 | 57.1 (28.9-82.3) | 79.5 (76.0-82.7) | 21.4 | 0.68 (0.64-0.72) | 9.1 | AUC |
Complication (yes to any) | 595 | 13.6 | 60.5 (50.3-72.3) | 65.4 (61.3-69.7) | 38.2 | 0.64 (0.60-0.68) | 2.8 | AUC |
None | 595 | 86.4 | 65.6 (61.3-69.7) | 61.7 (50.3-72.3) | 61.8 | 0.64 (0.60-0.68) | 0.72 | AUC |