Table 2 Direct observation result of delivery service by health care providers in University of Gondar comprehensive specialized hospital, 2021
| Â | Performed by care providers Frequency (%) |
|---|---|
Tasks for pregnant mother performed in labor ward (n = 25) |  |
 Check for the availability of washing facilities (water, soap, towel) | 3 (12) |
 Greets and calls client by her name and introduce herself/himself/ | 19 (76) |
 Reviews patients record before the procedure and check previous obstetric history | 10 (40) |
 Provider used partograph to follow labor | 17 (68) |
 Take pulse rate, blood pressure, temperature, respiratory rate | 17 (68) |
 Provider document information on partograph and registers | 18 (72) |
 Do neonatal resuscitation performed based on algorithm | 11 (100) |
 Informs mothers about her and fetus’s health condition | 24 (96) |
 Informs mothers about any complication and management | 20 (80) |
 Records all findings, assessments, diagnosis, and care with clients | 23 (92) |
Laboratory investigation requested for mothers | Â |
 Coagulopathy test (platelet counts) | 9 (36) |
 Urine analysis | 16 (64) |
 Serum blood sugar test | 6 (24) |
 HGB/HC | 19 (76) |
 X-match | 16 (64) |
 Blood group and RH factor | 25 (100) |
 HIV test | 12 (48) |
Tasks performed by operation teams in operation room theatre (n = 24) |  |
 Mother whose surgical safety check list filled during caesarean section | 12 (50) |
 Has the patient confirmed his/her identity, site, procedure, and consent? | 23 (95.8) |
 Is the site marked? | 10 (42) |
 Is the anesthesia machine and medication checked complete? | 24 (100) |
 Is the pulse oximetery on the patient and functioning? | 21 (88) |
 Does the patient have a known allergy? | 4 (17) |
 Difficult airway or aspiration risk | 8 (34) |
 If yes, equipment/assistance available | 8 (100) |
 Confirm the patient’s name, procedure, and where the incision will be made | 14 (59) |
 Has antibiotic prophylaxis been given with in the last 60 min? | 22 (92) |
 Anticipated blood loss | 17 (71) |
 Has sterility been confirmed? | 23 (96) |
 Are there equipment issues or any concerns? | 9 (38) |
 Nurse verbally confirms the procedure, completion of instrument, sponge and needle counts, specimen labeling addressed any equipment problems | 18 (75) |
 Are there any key concerns for recovery and management of this patient? | 10 (42) |
 Confirm all team members have introduced themselves by name and role | 8 (34) |