October 7, 2021

Measuring facility readiness to provide childbirth care: a comparison of indices using data from a health facility survey in Ethiopia

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Actionable information about the readiness of health facilities is needed to inform quality improvement efforts in maternity care, but there is no consensus on the best approach to measure readiness. Many countries use the WHO’s Service Availability and Readiness Assessment (SARA) or the Demographic and Health Survey (DHS) Programme’s Service Provision Assessment to measure facility readiness. This study compares measures of childbirth service readiness based on SARA and  DHS guidance to an index based on WHO’s quality of maternal and newborn care standards. Cross-sectional data from Performance Monitoring for Action  Ethiopia’s 2019 survey of 406 health facilities providing childbirth services were used in the study.