Indian Public Health Standards | DLHS question | Data type | Categorisation |
Management of normal deliveries | Can you tell me whether normal delivery services are provided in this facility? | Self-reported | – |
Assisted vaginal deliveries including forceps/vacuum delivery whenever required | Can you tell me whether assisted (forceps delivery/vacuum) delivery services are provided in this facility? | Self-reported | Process |
24-hour delivery services both normal and assisted | Whether deliveries are conducted in this facility or no? If yes, whether the deliveries are conducted 24×7? | Self-reported | – |
Manual removal of placenta | NA | ||
Appropriate and prompt referral for cases needing specialist care | NA | ||
Management of pregnancy-induced hypertension and referral | NA | ||
Prereferral management (obstetric first aid) in obstetric emergencies that need expert assistance | NA | ||
Proficient in identification and basic first aid treatment for PPH, eclampsia, sepsis and prompt referral | Can you tell me whether administration of parenteral antibiotics is provided in this facility? | Self-reported | Process |
Can you tell me whether administration of parenteral oxytocics is provided in this facility? | Self-reported | Process | |
Can you tell me whether administration of parenteral magnesium sulfate is provided in this facility? | Self-reported | Process | |
Can you tell me whether management of PPH is provided in this facility? | Self-reported | Process | |
Minimum 48 hours of stay after delivery | NA | ||
Facilities for essential newborn care and resuscitation (newborn care corner in LR/OT) | Whether the following essential newborn care services are available? Resuscitation | Self-reported | Process |
Availability of designated newborn baby corner (functional) | Observed | – | |
Management of neonatal hypothermia, infection protection, cord care and identification of sick newborn and prompt referral | Whether the following essential newborn care services are available? Thermal protection (warmer/table lamp) | Self-reported | Process |
Early initiation of breast feeding within 1 hour of birth | NA | ||
At least one medical officer—MBBS | Availability of human resources (medical officer—regular)—No. In position | Self-reported | Structure: human resources |
Three nurse-midwives (staff nurse) | Availability of human resources (ANM/female health worker—regular)—No. In position | Self-reported | Structure: human resources |
Health worker (female) | NA | ||
Health assistant (female) | NA | ||
Training for staff for emergency management to be ensured | Training received by any medical officer during the last 5 years (SBA or Basic Emergency Obstetric Care training) | Self-reported | Structure: human resources |
Training received for paramedical staff during the last 5 years (SBA training) | Self-reported | Structure: human resources | |
Labour table | Physically verify and record availability of labour table with McIntosh sheet | Observed | Structure: facilities and supplies for functional labour room |
Managing labour using partograph | Partographs being recorded for the recently delivered women or women in labour at the facility | Self-reported | Structure: facilities and supplies for functional labour room |
Suction machine | Physically verify and record availability of suction machine (functional) | Observed | Structure: facilities and supplies for functional labour room |
Facility for oxygen administration | NA | Structure: facilities and supplies for functional labour room | |
Sterilisation equipment (autoclave) | Physically verify and record availability of autoclave/steriliser (functional) | Observed | Structure: facilities and supplies for functional labour room |
24-hour running water | Physically verify and record availability of 24-hour running water supply | Observed | Structure: facilities and supplies for functional labour room |
Electricity supply with backup facility (generator) | Whether the generator supply is connected to the LR | Observed | Structure: facilities and supplies for functional labour room |
Attached toilet facilities | Physically verify and record availability of attached toilet in the LR (functional) | Observed | Structure: facilities and supplies for functional labour room |
Delivery kits, including those for normal and assisted deliveries | Normal delivery kits available in the facility? | Self-reported | Structure: facilities and supplies for functional labour room |
Privacy of woman ensured | Observe and record the condition of the LR—privacy in the LR (satisfactory) | Observed | Structure: facilities and supplies for functional labour room |
Radiant warmer, fixed height with trolley | Radiant warmer | Observed | Structure: equipment and supplies for newborn care |
Resuscitation bag and mask with reservoir | Ambu bag with mask (functional) | Observed | Structure: equipment and supplies for newborn care |
Weighing scale | Baby weighing machine of any time (functional) | Observed | Structure: equipment and supplies for newborn care |
Thermometer, clinical, digital | NA | Structure: equipment and supplies for newborn care | |
Light examination | NA | Structure: equipment and supplies for newborn care | |
Intravenous cannula 24G, 26G | Suction catheter/cannula (functional) | Observed | Structure: equipment and supplies for newborn care |
Mucus extractor; pump suction, foot operated | Pedal suction machine/mucus extractor (functional) | Observed | Structure: equipment and supplies for newborn care |
Feeding tube | NA | ||
Oxygen catheter | NA | ||
Sterile gloves | Whether following emergency drugs and consumables are available: at least two pairs of gloves | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Injectable oxytocin | Whether following emergency drugs and consumables are available: oxytocin injection | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Injectable diazepam | Whether following emergency drugs and consumables are available: diazepam injection | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Tablet nifedipine | Whether following emergency drugs and consumables are available: nifedipine tablet | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Injectable magnesium sulfate | Whether following emergency drugs and consumables are available: magnesium sulfate injection | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Injectable lignocaine hydrochloride | Whether following emergency drugs and consumables are available: lignocaine hydrochloride injection | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Injectable methylergometrine maleate | NA | Structure: emergency drugs and supplies for labour and delivery | |
Intravenous Haemaccel | NA | Structure: emergency drugs and supplies for labour and delivery | |
Sterilised cotton and gauze | Whether following emergency drugs and consumables are available: sterilised cotton and gauze | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Syringe | Whether following emergency drugs and consumables are available: sterile syringes and needles (different sizes) | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Hub cutter | Hub cutter (available and functional) | Observed | Structure: emergency drugs and supplies for labour and delivery |
Oxygen bottles | Whether following emergency drugs and consumables are available: oxygen cylinder with face mask, wrench and regulator—functional | Self-reported | Structure: emergency drugs and supplies for labour and delivery |
Indicators were extracted from Indian Public Health Standards (IPHS) for primary health centre; DLHS questions from both primary and community health centre surveys; NA refers to IPHS indicators that were not included in the DLHS facility survey.
ANM, Auxiliary Nurse Midwife; DLHS, District Level Household and Facility Survey; LR, labour room; OT, operation theatre; PPH, postpartum haemorrhage; SBA, skilled birth attendance.