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Table 2 Measurement of indicators of Table 1 across the different assessment tools [5]

From: If you can’t measure it- you can’t change it – a longitudinal study on improving quality of care in hospitals and health centers in rural Kenya

Staff survey
  There is good collaboration between my facility and traditional birth atendants Likert scale 1 (strongly agree)-5 (strongly disagree)
Patient survey Questions (asked of maternity patients only)  
  Were you ensured of privacy at the delivery? Y/N
  Did you get a hot drink after the delivery? Y/N
  Did you get anything to eat after the delivery? Y/N
  Did you receive sanitary pads after the delivery? Y/N
  Were you given warm bathing water after the delivery? Y/N
Self-assessment
  Total number of macerated still births at the facility in the last 12 months Provide number from maternity register
  Total number of fresh still births at the facility in the last 12 months Provide number from maternity register
  Total number of deliveries in the facility in the last 12 months Provide number from maternity register
  Number of maternal deaths in the facility in the last 12 months Provide number from maternity register
  Total number of perinatal deaths Provide number from maternity register
  Total number of live births at the facility during the last 12 months Provide number from maternity register
Facilitator checklist   Instruction
  Total number of correctly filled out partographs in the last month Look at the documentation of 10 randomly selected deliveries in the last month and enter number of times this was the case
  Does the facility practice kangaroo mother care Y/N
  If yes, can staff members give a demonstration and explain when and how it should be used? Y/N
  in the equipment dimension  
  The following basic equipment is available and functional: Weighing scale for newborns, scissors/blade, suction apparatus, disinfectant for cleaning perineum, drip stand, torches/portable lights Y/N in each case. Yes only to be ticked if equipment is both available and functional on day of assessment
  in the amenities dimension  
  Are the following basic amenities for service provision of maternity unit for level 2 and 3 available according to norms and standards: three examination coaches, three screens, two delivery beds, 10 delivery kits, one resuscitation tray, oxygen, incubator, maternity beds, MWV kids, five stiching trays, CS kits, etc Y/N in each case
  Does the labour ward provide privacy for clients? Y/N in each case
  in the infection control dimension  
  Does the facility have a functional placental pit; is it lockable, is it concretelined with depth greater than 1 m, is it inside the facility compound secured from unauthorised access? Y/N in each case
  in the drugs dimension  
  Are the following available on day of assessment: antibiotics for newborn sepsis according to guidelines; ARVs or PMTCT according to guidelines; oxytocic according to guidelines, dextrose 5%; normal saline; ringer lactate; IV infusion set etc Y/N in each case
  also aspects covered in the supplies, referral and community interface dimensions
Manager interview
  Are the standard clinical guidelines available for active management of 3rd stage of labour? Y/N
  Is the implementation of this guideline in the daily routine work discussed with members of the clinical team? Y/N
  in the community dimension  
  Do health promotion activities covering the importance of delivering at a facility take place at least quarterly? Y/N
  also aspects covered in the referral and critical incident reporting dimensions