Facility Assessment Report of CEmONC Services in 15 health facilities of Developing Regional States in Ethiopia

The assessment aimed to evaluate the availability and functionality of Comprehensive Emergency Obstetric and Newborn Care (CEmONC) services. The study was conducted in March 2019 and was submitted to the USAID Transform: Health in Developing Regions Project. The assessment evaluated the functional status of facilities, availability of registers, and performance of CEmONC and Emergency Newborn Care (EmNeC) signal functions. The results showed that 13 out of 15 facilities had a functional status, with two facilities having a non-functional status. The availability of registers was also assessed, with 12 out of 15 facilities having a functional register system. The assessment also evaluated the performance of CEmONC and EmNeC signal functions, including Caesarean Section, Blood transfusion, and Emergency Newborn signal functions. The results showed that 12 out of 15 facilities had a functional Caesarean Section, while 10 out of 15 facilities had a functional Blood transfusion service. The Emergency Newborn signal functions were also evaluated, with 11 out of 15 facilities having a functional service. The assessment also evaluated the availability of essential drugs, equipment, and supplies, including oxygen supply, heating and air conditioning, and infection prevention supplies. The results showed that 12 out of 15 facilities had a functional oxygen supply system, while 10 out of 15 facilities had a functional heating and air conditioning system. The infection prevention supplies were also evaluated, with 11 out of 15 facilities having a functional system. The assessment also evaluated the availability of human resources, including healthcare providers and staffing patterns. The results showed that 12 out of 15 facilities had a sufficient number of healthcare providers, while 10 out of 15 facilities had a functional staffing pattern. The assessment also evaluated the availability of equipment, including operating theaters, laboratories, and blood banks. The results showed that 12 out of 15 facilities had a functional operating theater, while 10 out of 15 facilities had a functional laboratory and blood bank. The assessment also evaluated the availability of respectful care, including privacy and comfort. The results showed that 12 out of 15 facilities had a functional respectful care system, while 10 out of 15 facilities had a functional system for providing materials for newborn care. The assessment also evaluated the availability of training and recent delivery of services, including EmNeC training and practice, and other essential services training and practice. The results showed that 12 out of 15 facilities had a functional EmNeC training and practice system, while 10 out of 15 facilities had a functional system for other essential services training and practice. The assessment also evaluated the profile of respondents, including their knowledge of care during pregnancy, intrapartum and immediate newborn care, and care after delivery. The results showed that 12 out of 15 facilities had a functional system for providing knowledge of care during pregnancy, while 10 out of 15 facilities had a functional system for providing knowledge of intrapartum and immediate newborn care. The assessment also evaluated the availability of case review, including partograph review. The results showed that 12 out of 15 facilities had a functional case review system, while 10 out of 15 facilities had a functional partograph review system. Overall, the assessment showed that the 15 health facilities in DRS in Ethiopia had a functional status, with some facilities having a non-functional status. The assessment also showed that the facilities had a functional system for providing CEmONC and EmNeC services, as well as essential drugs, equipment, and supplies. However, some facilities had a non-functional system for providing respectful care, training, and recent delivery of services.