Geo-coordinates of household/distance from nearest health facility

Age and sex of household members

Education level of household members

Recent pregnancy/delivery of household members

Number of pregnancies

Outcome of pregnancies

Number of living/deceased children

Characteristics of living quarters (eg, roof type, floor type, cooking fuel type)

Access to and quality of water

Household wealth indicators and assets

Antenatal care services used

HIV testing

• Status at last pregnancy

• PMTCT services

Perceived satisfaction with antenatal care

Location of last delivery

• Decision making around location for delivery

• Mode of transportation

Referral and bypassing

Receipt of CEmONC services (C-section, blood transfusion, intravenous antibiotics)

Perceived quality/satisfaction with delivery services

Maternal and neonatal vital status

Knowledge of MWH

Source of knowledge of MWH

Nearest MWH to home

Use of MWH before/after last delivery

• Cost of using MWH

• Perceived quality of MWH (safety, comfort, management and services)

• Satisfaction with MWH

Use of MWH for other pregnancies or other maternal health visits

Intended future use of MWH

Planned or intended location for delivery

• Adherence to planned or intended location for delivery

Barriers to birth plan adherence

Savings for last delivery

Cost of last delivery (broken down by expense)

Time to first maternal and newborn postnatal visit after delivery

Perceived quality of postnatal services received

Breast feeding practices

Supplementary feeding practices

Newborn vaccination status

PMTCT/ART for newborn

Interactions between the parent and the child

Maternal depression assessment

Health-seeking behaviour for child’s last illness

Use of contraceptives for family planning

Primary barriers to accessing healthcare

• Primary barriers to accessing skilled delivery services