Table 2

Labour characteristics and obstetric departments’ staffing in the four DHs year 2017 (12 months prior to the Moyo FHRM implementation)

Perinatal health variablesHospital AHospital BHospital CHospital D
Deliveries/year650015 000807811 045
Stillbirths/year n (%)130 (2%)400 (2.7%)153 (1.9%)210 (1.9%)
Fresh stillbirths/year n (%)130 (1.6%)74 (0.7%)
Caesarean section/year n (%)
Operative vaginal rate
114 (1.8%)
0
1180 (7.9%)
0
782 (9.7%)
0
782 (9.68%)
0
Newborn stimulation*232 (3.6%)284 (1.9%)558 (6.9%)1137 (10.3%)
Premature, <37 gestational week†34 (0.5%)170 (1.1%)180 (2.2%)
Human resources
Staff nurse/ANM per shift‡5344
RN/RM night shift3332
Doctors on call daytime2121
Doctors on call night-time1111
Hospital capacity
Number of maternity beds§35273030
  • Data: Information provided by the CTEs.

  • *Using Helping Babies Breathe (HBB) actions.21

  • †Prematurity definition is challenging because of the low number of antenatal visits and error estimates happen easily.

  • ‡Auxiliary nurse midwife: Village-level female health worker who is the first contact person between the community and the health services.

  • §In total including labour room, antenatal, postoperative and postnatal wards.

  • CTEs, clinical training experts; DHs, district hospitals; FHRM, fetal heart rate monitor; RM, registered midwife; RN, registered nurse.