A cross-sectional assessment of primary healthcare facilities for provision of antenatal care: calling for improvements in Basic Health Units in Punjab, Pakistan

Majrooh, Muhammad Ashraf; Hasnain, Seema; Akram, Javaid; Siddiqui, Arif

doi:10.1186/s12961-015-0046-3

Table 1 Facility resources of basic health units (BHUs) and rural health centres (RHCs)

From: A cross-sectional assessment of primary healthcare facilities for provision of antenatal care: calling for improvements in Basic Health Units in Punjab, Pakistan

	Overall		RHCs		BHUs
Number of facilities	171		18		153
	n	%	n	%	n	%
Infrastructure items
Good general condition (need for repairs and maintenance)	99	58	13	72	86	56
Cleanliness (good)	68	40	11	61	57	37
Phone (functional)	91	53	16	89	75	49
Electricity (available)	163	95	18	100	145	95
Electricity (functional)	160	94	18	100	142	93
Generator available	18	11	15	83	3	2
Generator (functional)	14	8	12	67	2	1
Availability of water supply	165	96	18	100	147	96
Availability of toilet	151	88	18	100	133	87
Separate toilets for males and females	35	20	13	72	22	14
Waiting area for patients	169	99	18	100	151	99
Privacy for examination of client/pregnant women	157	92	17	94	140	92
Ranking of facilities by availability of infrastructure (no items available/total items in list) × 100)
Good condition >80 %	49	29	17	94	32	21
Average condition 60–80 %	74	43	1	6	73	48
Poor condition <60 %	48	28	–	–	48	31
Equipment items
Weighing machine available	139	81	14	78	125	82
Weighing machine functional	130	76	13	72	117	76
Height meter available	28	16	6	33	22	14
Height meter functional	27	16	6	33	21	14
Thermometer available	142	83	15	83	127	83
Blood pressure apparatus available	164	96	18	100	146	95
Blood pressure apparatus functional	161	94	18	100	143	93
Stethoscope available	164	96	18	100	146	95
Stethoscope functional	163	95	18	100	145	95
Fetal stethoscope available	121	71	18	100	103	67
Exam couch available	160	94	18	100	142	93
Refrigerator available	151	88	18	100	133	87
Refrigerator functional	141	82	18	100	123	80
Availability of vaccine carrier	160	94	18	100	142	93
Vaccine carrier functional	151	88	16	89	135	88
Syringe cutter available	148	87	15	83	133	87
Syringe cutter functional	144	84	14	78	130	85
Haemoglobin meter available	68	40	18	100	50	33
Haemoglobin meter functional	54	32	18	100	36	24
Microscope available	68	40	18	100	50	33
Microscope functional	41	24	18	100	23	15
Sterilizer available	132	77	17	94	115	75
Sterilizer functional	97	57	14	78	83	54
Sharps container available	85	50	12	67	73	48
Ranking of facilities by availability of equipment(no items available/total items in list) × 100)
Good >80%	60	35	15	83	45	29
Average 60–80%	84	49	3	17	81	53
Poor <60%	27	16	–	–	27	18
Supplies items
Antenatal care cards	131	77	16	89	115	75
Maternal health register	167	98	18	100	149	97
Health education material	127	74	14	78	113	74
Disposable syringes available	152	89	18	100	134	88
Haemoglobin reagents available	41	24	16	89	25	16
Benedict solution available	17	10	14	78	3	2
Blood sugar testing strips available	94	55	13	72	81	53
Urine strips for albumin available	15	9	13	72	2	1
Slides for malaria parasites available	124	73	18	100	106	69
Disinfectant available	122	71	17	94	105	69
Latex gloves available	127	74	16	89	111	73
5-mL disposable syringe available	128	75	16	89	112	73
Branula available	102	60	16	89	86	56
Soap available	139	81	15	83	124	81
Ranking of facilities by availability of supplies (no items available/total items in list) × 100)
Adequate supplies >80%	54	32	17	94	37	24
Acceptable supplies 60–80%	105	61	1	6	104	68
Poor supplies <60%	12	7	–	–	12	8
Drugs list
Tetanus toxoid vaccine	156	91	18	100	138	90
Iron tablets	144	84	17	94	127	83
Folic acid tablets	142	83	17	94	125	82
Antimalarial tablets	144	84	14	78	130	85
Antipyretics	152	89	17	94	135	88
Calcium tablets	53	31	9	50	44	29
Multivitamins	106	62	16	89	90	59
Ranking of facilities by availability of drugs (no items available/total items in list) × 100)
Adequate drug supply >80%	90	53	13	72	77	50
Acceptable drug supply 60–80%	55	32	5	28	50	33
Poor drug supply <60%	26	15	–	–	26	17
Availability and display of guidelines and protocols
Protocol available	129	75	16	89	113	74
Protocol displayed	125	73	16	89	109	71
Infection control items
Disinfectant available	122	71	17	94	105	69
Latex gloves available	127	74	16	89	111	73
Sharps container available	85	50	12	67	73	48
5-mL disposable syringe available	128	75	16	89	112	73
Branula available	102	60	16	89	86	56
Soap available	139	81	15	83	124	81
Ranking of facilities by availability of infection control (no items available/total items in list) × 100)
Good infection control >80%	93	54	15	83	78	51
Acceptable control 60–80%	55	32	3	17	52	34
Poor control <60%	23	13	–	–	23	15

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ISSN: 1478-4505

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