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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