Table 1
EmONC protocol availability on labor ward.
| EMONC CONDITION MANAGEMENT | HOSPITAL (N = 4) | COMMUNITY HEALTH CENTER (CHC) (N = 4) |
|---|---|---|
| Post-partum-hemorrhage | 100% | 100% |
| Ante partum-hemorrhage | 75% | 100% |
| Sepsis in newborn | 50% | 100% |
| Puerperal sepsis | 100% | 75% |
| Pre-eclampsia/eclampsia | 100% | 100% |
| Magnesium sulphate use | 100% | 100% |
| Neonatal resuscitation | 75% | 100% |
| Obstructed labor | 50% | 50% |
| Incomplete abortion | 25% | 50% |
| Manual removal of placenta | 0% | 25% |
| Ruptured uterus | 0% | 0% |
Table 2
Hospital postpartum hemorrhage – intervention frequency (%).
| INTERVENTION | HOSPITAL – FREQUENCY (N = 4) |
|---|---|
| Analgesia | 93% |
| Antibiotic therapy | 93% |
| Bladder catheterization | 70% |
| Oxytocin 40 units per liter over 6 hours | 63% |
| Suturing of tissue trauma | 52% |
| Uterine massage | 48% |
| Misoprostol | 41% |
| Tranexamic acid | 37% |
| Laparotomy | 11% |
| Manual removal of placenta | 4% |
Table 3
Drugs and consumables in hospital & community health centers.
| DRUGS & CONSUMABLES | HOSPITAL N = 4 | COMMUNITY HEALTH CLINIC N = 4 |
|---|---|---|
| Magnesium sulfate | 100% | 100% |
| Oxytocin injectable | 100% | 75% |
| Oxytocin refrigeration | 100% | 100% |
| Misoprostol | 100% | 50% |
| Urinary catheters | 75% | 50% |
| Sutures in various sizes | 75% | 0% |
| Uterine balloon tamponade | 75% | 75% |
| Tranexamic acid | 75% | 0% |
| Ampicillin | 75% | 100% |
| Analgesia | 50% | 75% |