Primary outcome indicators | |
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Severe maternal morbidity | • PPH near-miss cases among all women who delivered in the facility • PPH near-miss cases among women who suffered PPH during health facility delivery • Near-miss cases among all women who delivered in the facility |
Secondary outcome indicators | |
Mortality (case fatality) in PPH near misses | • Deaths in PPH near-miss cases |
Preventive actions and case management for PPH | • Proportion of women who received AMTSL of total women with PPH • Proportion of women with haemoglobin less than 70 g/L before discharge among those who suffered PPH • Proportion of women who received blood transfusion, intravenous oxytocin, balloon tamponade or a hysterectomy among those who suffered PPH • Proportion of women who need emergency transfer to a higher-level facility among those who suffered PPH in the health centre |
Knowledge, skills and confidence in preventing and managing PPH | • Proportion of health care providers passing the knowledge test assessing preventive and emergency PPH care • Confidence score summing five questions about AMTSL, PPH, assessing advanced care, completeness of the placenta and bimanual uterine compression • Clinical skills score summing routine care including AMTSL, retained placenta and severe PPH • Team work |
Facility readiness for prevention and care of PPH | • Proportion of facilities with AMTSL protocols and emergency tray available on day of visit • Proportion of facilities with at least a team of two midwives and one clinician on day of visit • Proportion of facilities with oxytocin and infusion set available in delivery room on day of visit • Stock-outs of oxytocin |