Table 1 Population and health system characteristics
| Â | Tanzania | Uganda | ||
|---|---|---|---|---|
| Â | Tandahimba (intervention district) | Newala (comparison district) | Mayuge (intervention district) | Namayingo (comparison district) |
Population | 227,514 | 205,492 | 412,500 | 233,000 |
Socio-economic characteristics of household | ||||
Possession of mobile phone | 48% | 47% | 70% | 64% |
Possession of tin/tile roof | 53% | 43% | 74% | 39% |
House with electricity | 3% | 1% | 3% | 1% |
Financing per capita spent on health per year, according to district reports | 7 USD | 12 USD | 6 USDa | |
Governance and leadership | Good continuity, some vision, increasingly bottom-up planning, good collaboration with partners | Interruption in leadership, clear vision, strong team spirit, bottom-up planning and good collaboration with partners | Interruption in leadership, clear vision, good team spirit, bottom-up planning | New team, some involvement of communities, |
Human resources | ||||
% of posts filled | 39% | 43% | 61% | 47% |
In-service training courses | Family planning, HIV, PMTCT and district management 1 course in emergency obstetric care | Family planning, HIV, PMTCT and district management | Life-saving skills, Helping Babies Breathe (HBB) and Kangaroo Mother Care | Not assessed |
Total number of nurses per 1000 population | 0.97 | 0.79 | 0.70 | 0.53 |
Total number of prescribers per 1000 population | 0.51 | 0.31 | 0.10 | 0.10 |
Drugs and supplies at facilitiesb | 1st round/6th round | 1st round/6th round | 1st round/6th round | 1st round/6th round |
Oxytocin | 39%/93% | 56%/90% | 24%/57% | 9%/25% |
Syphilis test | 67%/18% | 54%/10% | 56%/33% | 63%/33% |
Injectable ampicillin | 9%/10% | 0%/6% | 21%/17% | 5%/15% |
MG-sulphate | 21%/30% | 70%/46% | 3%/0% | 0%/0% |
Clamp/umbilical ties | 78%/97% | 64%/82% | 29%/57% | 9%/65% |
Resuscitation device/Ambu bag | 30%/100% | 48%/55% | 32/43% | 18%/65% |
Health information use for planning | HMIS, no other sources | HMIS, no other sources | HMIS EQUIP data and other survey information used | Â |
Delivery system infrastructure | ||||
Hospital/primary facilities | 1 hospital, 33 primary facilities (1 private) | 1 hospital, 29 primary facilities (no private) | 1 hospital, 41 primary facilities (8 private without MNC-services) | No hospital, 20 primary facilities |
Basic infrastructurec | Â | Â | Â | Â |
Electricity available | 57% | 43% | 32% | 10% |
Running water available | 72% | 96% | 54% | 46% |
Referral Ambulances/referral system | 1 ambulance: formal referral system established shortly before the end of project | 2 ambulances/formal referral system established | 1 ambulance in poor condition | 1 ambulance in poor condition |
Phone/communication with referral facility for last referral | 41% | 49% | 18% | 25% |