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Table 2 Operational capacity of health facilities to provide quality basic EmOC according to select characteristics (N = 1,196)

From: Distribution and quality of emergency obstetric care service delivery in the Democratic Republic of the Congo: it is time to improve regulatory mechanisms

 

No. Facilities Offering RHS

Guidelines On Basic EmOC, n (%)

P value

HWw Trained In Basic EmOC, n (%)

P value

Ambulance, n (%)

P value

Operational Capacity Score, %a

Province

  

< 0.001

 

< 0.001

 

< 0.001

 

 Kinshasa

91

35 (38.5)

 

42 (46.2)

 

16 (21.3)

 

60.1

 Nord Kivu

124

27 (21.8)

 

35 (28.2)

 

20 (20.3)

 

57.3

 Sud Kivu

106

37 (34.9)

 

37 (34.9)

 

30 (35.7)

 

54.8

 Kongo Central

126

22 (17.5)

 

14 (11.1)

 

42 (41.3)

 

46.5

 Katanga

128

15 (11.7)

 

13 (10.2)

 

9 (8.8)

 

42.2

 Bandundu

112

21 (18.8)

 

26 (23.2)

 

2 (2.0)

 

40.8

 Kasaï Occidental

109

26 (23.9)

 

31 (28.4)

 

19 (22.0)

 

40.6

 Province Orientale

99

8 (8.1)

 

18 (18.2)

 

7 (8.6)

 

39.7

 Kasaï Oriental

126

13 (10.3)

 

6 (4.8)

 

1 (0.8)

 

33.4

 Equateur

91

3 (3.3)

 

27 (29.7)

 

2 (2.6)

 

31.6

 Maniema

84

18 (21.4)

 

16 (19.0)

 

0 (0.0)

 

29.2

Type

  

< 0.001

 

< 0.001

 

< 0.001

 

 Hospital

432

117 (27.1)

 

136 (31.5)

 

83 (19.2)

 

68.5

 Referral health center

195

47 (24.1)

 

45 (23.1)

 

26 (13.3)

 

56.8

 Health center

396

49 (12.4)

 

76 (19.2)

 

28 (7.1)

 

42.7

 Health post

173

12 (6.9)

 

8 (4.6)

 

11 (6.4)

 

29.9

Administrative identity

  

0.100

 

0.003

 

< 0.001

 

 Public

691

119 (17.2)

 

132 (19.1)

 

63 (9.1)

 

38.3

 Private

505

106 (20.9)

 

133 (26.3)

 

85 (16.8)

 

46.6

Location

  

0.006

 

0.002

 

< 0.001

 

 Urban

269

66 (24.5)

 

78 (29.0)

 

54 (20.1)

 

51.8

 Rural

927

159 (17.2)

 

187 (20.2)

 

94 (10.1)

 

38.9

 Total

1196

225 (18.8)

 

265 (22.1)

 

147 (12.3)

 

41.3

  1. RHS reproductive health services (76.9% of facilities in this study offered RHS), HW healthcare worker
  2. aWhen no health facilities offered quality basic or comprehensive EmOC, the operational capacity was calculated as a proportion of the corresponding items available at each health facility