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Table 5 Indicators of EmONC in the study health zones (HZs) in the North-Kivu Province of Eastern Democratic Republic of Congo (DRC), 2016–2017

From: The status of emergency obstetric and newborn care in post-conflict eastern DRC: a facility-level cross-sectional study

Indicators Description* HZ of Goma HZ of Karisimbi HZ of Rutshuru Overall
   MAL LFF DAF (n = 11) MAL LFF DAF (n = 14) MAL LFF DAF (n = 17) MAL LFF DAF (n = 42)
Availability of functioning EmONC At least 5 functioning EmONC facilities per 500,000 population including with at least 1 functioning cEmONC facility. 3 2 NA 5 0 NA 3 1 NA 10 3 NA
Proportion of all births in functioning EmONC facilities Proportion of births in functioning EmONC facilities among expected number of births in a populationa 15% 17.8%
(1753/9869)
79.3%
(7824/9869)
15% _ 70.9%
(14,997/21,164)
15% 35.2%
(4578/13,009)
95.8%
(12,462/13,009)
15% 14.4%
(6331/44,042)
80.1%
(35,283/44,042)
Met need for EmONC Proportion of women with direct obstetric complications (DOC) treated in functioning EmONC facilities among all expected number of women with DOC b 100% 6.6%
(97/1480)
17.2%
(254/1480)
100% _ 4.9%
(154/3175)
100% 5.4%
(105/1951)
7.0%
(137/1951)
100% 3.1%
(202/6606)
8.3%
(545/6606)
Caesarean sections as a proportion of all births Proportion of caesarean section occurring in EmONC facilities among expected number of live births in a populationc 5–15% 7.2%
(715/9869)
22.9%
(2261/9869)
5–15% _ 5.1%
(1076/21,164)
5–15% 11.5%
(1491/13,009)
13.8%
(1797/13,009)
5–15% 5.0%
(2206/44,042)
11.7%
(5134/44,042)
Direct obstetric case fatality rate (DOCFR) Proportion of women with MDOC who died in EmONC facilities < 1% 5.2%
(5/97)
4.7%
(12/254)
< 1% _ 7.4%
(9/121)
< 1% 3.8%
(4/105)
5.1%
(7/137)
< 1% 4.5%
(9/202)
5.1%
(28/545)
Intrapartum and very early neonatal death rate (INDR) Proportion of births that result in a very early neonatal death or an intrapartum death among the births occurring in functioning EmONC facilities 1.2%
(21/1753)
2.1%
(167/7824)
_ 1.7%
(258/14,997)
2.0%
(95/4578)
0.9%
(107/12,462)
1.9%
(119/6331)
1.5%
(532/35,283)
  1. *Source: Monitoring emergency obstetric care: a handbook. WHO, 2009 [26]
  2. EmONC: emergency obstetric and newborn care, cEmNOC: comprehensive EmONC, MAL: minimum acceptable level, LFF: Level met by functioning facilities, DAF: data for all facilities
  3. a Calculated as number of births in functioning EmONC/expected live births × 100 (for expected live birth see Table 2)
  4. b Expected number of women with MDOC was calculated multiplying 15% with expected number of births in Table 2
  5. c Calculated as number of CS/expected number of births × 100
  6. ‡ Standard to be determined
  7. NA: not applicable, _: not calculated