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Table 1 Readiness to provide tracer drugs, supplies and equipment to perform the signal functions

From: Referral patterns through the lens of health facility readiness to manage obstetric complications: national facility-based results from Ghana

Signal Function

Hospitals

Health Centers, Clinics, Maternity Homes, CHPS

Antibiotics (drugs in stock)

(Amoxicillin or ampicillin or ceftriaxone or chloramphenicol) and (metronidazole or clindamycin) and gentamicin

(Amoxicillin or ampicillin and gentamicin) OR (ceftriaxone and gentamicin) and (metronidazole or clindamycin)

Uterotonics (drugs in stock)

Has oxytocin or ergometrine (injection) and misoprostol

Anticonvulsants (drugs in stock)

Has magnesium sulfate 50% or magnesium sulfate 20%

Manual removal of placenta (supplies available)

Has examination gloves or long gloves

Removal of retained products of conception (equipment functioning and available)

Has manual vacuum aspiration kit or dilation and curettage equipment

Assisted vaginal delivery (equipment functioning and available)

Has vacuum extractor with different size cups or outlet forceps or other forceps.

Obstetric surgery/ cesarean (equipment available and functioning)

Hospitals only

Has anesthetic vaporizers and operating table and adjustable light and oxygen cylinders with manometer and flowmeter and (halothane/isoflurane or ketamine or lignocaine/lidocaine 2% or 1%)

Blood transfusion (equipment and supplies available)

Has (reagents for blood typing/cross matching, and uses central blood supply, and has a functioning refrigerator for blood bank)

or

Has (reagents for blood typing/cross matching, and a functioning refrigerator for blood bank, empty blood bags, microscope, and blood tests for Hepatitis B, Hepatitis C, HIV, and syphilis)

Note, if there was no answer to the question about central blood supply, we assumed they do not use it.