Impacts of SMGL
Evaluation results showed that the SMGL Initiative led to substantial and significant declines in maternal and neonatal death rates over the 5 years of the initiative. By improving maternal health services and coordinating the systems that support them (such as antenatal education and emergency transportation systems), more mothers and their infants were able to reach skilled care in time to prevent avoidable deaths.
| Uganda | |||
|---|---|---|---|
| Baseline (2012) | Endline (2016) | % change | |
| Institutional delivery rate (% of all births that take place in health facilities) | 46% | 67% | increased by 47% |
| Cesarean-section rate (% of all births that are delivered by c-section, ideally between 5 and 15%) | 5.3% | 9.0% | increased by 71% |
| Number of facilities providing EmONC care | 10 | 26 | increased by 160% |
| Institutional MMR (number of maternal deaths per 100,000 live births in facilities) | 534 | 300 | decreased by 44% |
| Districtwide MMR (number of maternal deaths in the district per 100,000 live births) | 452 | 255 | decreased by 44% |
| Obstetric hemorrhage mortality (number of maternal deaths due to obstetric hemorrhage per 100,000 live births) | 128 | 70 | decreased by 42% |
| Institutional Stillbirth rate (deaths per 1,000 births in health facilities) | 31.26 | 27.0 | decreased by 13% |
| Zambia | |||
|---|---|---|---|
| Baseline (2012) | Endline (2016) | % change | |
| Institutional delivery rate (% of all births that take place in health facilities) | 62% | 90% | increased by 44% |
| Cesarean-section rate (% of all births that are delivered by c-section, ideally between 5 and 15%) | 2.7% | 4.8% | increased by 79% |
| Number of facilities providing EmONC care | 7 | 13 | increased by 86% |
| Institutional MMR (number of maternal deaths per 100,000 live births in facilities) | 370 | 231 | decreased by 38% |
| Districtwide MMR (number of maternal deaths in the district per 100,000 live births) | 480 | 284 | decreased by 41% |
| Obstetric hemorrhage mortality (number of maternal deaths due to obstetric hemorrhage per 100,000 live births) | 131 | 45 | decreased by 65% |
| Institutional Stillbirth rate (deaths per 1,000 births in health facilities) | 30.5 | 19.6 | decreased by 36% |