10.17037/DATA.00004762
The research study sought to enhance and refine the novel emergency obstetric care (EmOC) framework to enable it to meet future needs, through the incorporation new indicators, tools, and guidance for emergency obstetric and newborn care signal functions. To scope development needed and build consensus, a Delphi study was performed comprised of three rounds of data collection. This dataset contains participant information provided at round 1, 2, and 3.
participant information provided at round 1, 2, and 3 of the survey.
| Variable Name | Variable Label | Answer Label | Answer Code | Variable Type |
| R1_Consent1 | I confirm that I have read and understood the participant information about the modified Delphi study on obstetric and newborn care signal functions and levels of care (sent in the invitation email). I have had the opportunity to consider the information | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent2 | I understand that my consent is voluntary and that I am free to withdraw this consent at any time without giving any reason and without my legal rights being affected. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent3 | I understand that information submitted in questionnaires will be transcribed and reviewed by researchers in the study and that directly identifiable details will be removed from this transcription for confidentiality. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent4 | I understand that information that I submit in the questionnaires for this study will be used by researchers in the study and I give permission for these individuals to have access to my fully anonymised records. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent5 | I understand that the study is carried out in a series of rounds and that if I withdraw in a later round of the study it won’t be possible to withdraw information that was provided in previous rounds of the study. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent6 | I agree that anonymised direct quotes from my responses may be used in the study report, publications and/or presentations on the results of this study. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent7 | I understand that the anonymised data from this study will be stored in a data repository and that access to this data will only be provided at the discretion of the principal investigator by means of a request form. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent8 | I consent to provide my email address for the purpose of this study, which will be used to contact me and identify my responses by the study team, and that my email will be deleted from stored files at the end of the study. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_Consent9 | I agree to taking part in the above named study. | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Section A: Which aspects of maternal and newborn care should the revised functions capture? | ||||
| R1_RMNCH | Have you ever, or do you currently work in Reproductive, Maternal, Newborn or Child Health (RMNCH)? | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| 1) Type of care: For 2022 onwards, signal functions should cover these types of care (tick all that you think apply). For each one ticked please give your rationale in the comments box below. | Numeric | |||
| R1_A1_a | a) Emergency care for women and newborns | |||
| No | 0 | |||
| Yes | 1 | |||
| R1_A1_b | b) Routine care for women and newborns, including detection and prevention of complications | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A1_comments | Comments: | String | ||
| 2. Type of interventions: Signal functions should cover these types of care (tick all that you think apply). For each one ticked please give your rationale in the comments box below. | ||||
| R1_A2_a | a) Clinical interventions or services (e.g. medical treatments/drugs or procedures) for women and newborns | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A2_b | b) Non-clinical interventions or services (e.g. include broader dimensions of facility-based care such as organisation of referral) for women and newborns | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A2_comments | Comments: | String | ||
| 3. Timing of care: Signal functions should cover these areas of care (tick all that you think apply). For each one ticked please give your rationale in the comments box below. | ||||
| R1_A3_a | a) Intrapartum care (for both women and newborns) | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A3_b | b) Care during pregnancy | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A3_c | c) Postnatal care (for both women and newborns) | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A3_d | d) Care for small and sick newborns | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A3_e | e) Post abortion care | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| R1_A3_other | f) Other (please specify): | String | ||
| R1_A3_comments | Comments: | String | ||
| 4. If we maintain current assumptions based on signal functions as interventions/services to treat complications: | ||||
| R1_A4.1 | 4.1) Which priority complications for women should be included? (Include as many as you wish) | String | ||
| R1_A4.2 | 4.2) Which priority complications for newborns should be included? (Include as many as you wish) | String | ||
| Section B: Which criteria should influence how levels of maternal and newborn care should be organised? | ||||
| R1_B1 | 1) If you think about defining levels of care for women and newborns, which important health system criteria should be considered? Are interventions/signal functions sufficient to differentiate levels of care or which other criteria should be considered? | String | ||
| R1_B2 | 2) Linkage between maternal and newborn levels of care: The 2009 signal function framework has maternal and newborn signal functions grouped together for levels of care. Should the revised 2022 framework group maternal and newborn signal functions together or separately for levels of care? Please explain your rationale in the comments box. | Numeric | ||
| Seperately | 1 | |||
| Together | 2 | |||
| No preference | 3 | |||
| R1_B2_comments | Comments: | String | ||
| 3) Current levels of care for women and newborns in national health systems: Think about the levels in your national health system (or a system you are very familiar with). Some countries have 2 or 3 levels, others have 6 or more. Please describe how many levels of care there are in the setting you work in or know best and fill in one criterion of care for women and one for newborns that is used to designate these levels. Please name the levels beginning with level 1 as the lowest health system level, then level 2 as the next level up until all levels are numbered. Please add any comments in the comments box below the table. | ||||
| R1_B3_Lev1_a | Level 1 a) Name of level | String | ||
| R1_B3_Lev1_b | Level 1 b) Women | String | ||
| R1_B3_Lev1_c | Level 1 c) Newborn | String | ||
| R1_B3_Lev2_a | Level 2 a) Name of level | String | ||
| R1_B3_Lev2_b | Level 2 b) Women | String | ||
| R1_B3_Lev2_c | Level 2 c) Newborn | String | ||
| R1_B3_Lev3_a | Level 3 a)Name of level | String | ||
| R1_B3_Lev3_b | Level 3 b) Women | String | ||
| R1_B3_Lev3_c | Level 3 c) Newborn | String | ||
| R1_B3_Lev4_a | Level 4 a) Name of level | String | ||
| R1_B3_Lev4_b | Level 4 b) Women | String | ||
| R1_B3_Lev4_c | Level 4 c) Newborn | String | ||
| R1_B3_Lev5_a | Level 5 a) Name of level | String | ||
| R1_B3_Lev5_b | Level 5 b) Women | String | ||
| R1_B3_Lev5_c | Level 5 c) Newborn | String | ||
| R1_B3_Lev6_a | Level 6 a) Name of level | String | ||
| R1_B3_Lev6_b | Level 6 b) Women | String | ||
| R1_B3_Lev6_c | Level 6 a) Newborn | String | ||
| R1_B3_comments | Comments: | String | ||
| R1_B4 | 4) What is the optimal number of levels of care for women and newborns with complications? | Numeric | ||
| 2 levels | 1 | |||
| 3 levels | 2 | |||
| 3 levels plus one transition level between level 2 and level 3 (total 4 levels) | 3 | |||
| 3 levels plus one transition level between level 2 and level 3 and one transition between level 1 and 2 (total 5 levels) | 4 | |||
| More levels- please specify how many levels below | 5 | |||
| R1_B4_comments | Please give your rationale in the comments | String | ||
| Information about you | ||||
| Profession_a | a) Are you a: Obstetrician-Gynaecologist | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_b | b) Are you a: Neonatologist | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_c | c) Are you a: Paediatrician | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_d | d) Are you a: Physician/Medical Doctor | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_e | e) Are you a: Nurse | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_f | f) Are you a: Neonatal Nurse | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_g | g) Are you a: Midwife | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_h | h) Are you a: Associate Clinician/Clinical Officer | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_i | i) Are you a: Researcher/Academic in Maternal Health | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_j | j) Are you a: Researcher/Academic in Newborn Health | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_k | k) Are you a: Technical Advisor in Reproductive, Maternal, Newborn or Child Health | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_l | l) Are you a: Programme Manager in Reproductive, Maternal, Newborn or Child Health | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_m | m) Are you a: Policy-maker/Planner in Reproductive, Maternal, Newborn or Child Health | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_n | n) Are you a: Government Official | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_o | o) Are you a: Clinical Trainer or Instructor | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| Profession_other | p) Are you: Other (please specify) | String | ||
| No | 0 | |||
| RMNCHYears | How many years of experience do you have working in RMNCH? | |||
| Less than 2 years | 1 | |||
| 2-5 years | 2 | |||
| 6-10 years | 3 | |||
| 11-20 years | 4 | |||
| More than 20 years | 5 | |||
| ClinicianTrained | Are you trained as a clinician? | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| ClinicianProviding | Are you currently providing clinical care in Maternal and Newborn Health? | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| ClinicianSetting_a | a) In which type of setting(s) are you currently providing clinical care: Community | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| ClinicianSetting_b | b) In which type of setting(s) are you currently providing clinical care: Health post | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| ClinicianSetting_c | c) In which type of setting(s) are you currently providing clinical care: Health centre | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| ClinicianSetting_d | d) In which type of setting(s) are you currently providing clinical care: Hospital | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| ClinicianSetting_other | e) In which type of setting(s) are you currently providing clinical care: Other (please specify): | String | ||
| ClinicianSector_a | In which sector do you provide clinical care: Public | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| ClinicianSector_b | In which sector do you provide clinical care: Private | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| WHORegion_a | Which WHO regions of the world do you have significant experience working in Maternal and Newborn Health: (a) African Region | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| WHORegion_b | Which WHO regions of the world do you have significant experience working in Maternal and Newborn Health: (b) Americas Region | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| WHORegion_c | Which WHO regions of the world do you have significant experience working in Maternal and Newborn Health: (c) Eastern Mediterranean Region | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| WHORegion_d | Which WHO regions of the world do you have significant experience working in Maternal and Newborn Health: (d) European Region | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| WHORegion_e | Which WHO regions of the world do you have significant experience working in Maternal and Newborn Health: (e) South-East Asian Region | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| WHORegion_f | Which WHO regions of the world do you have significant experience working in Maternal and Newborn Health: (f) Western Pacific Region | Numeric | ||
| No | 0 | |||
| Yes | 1 | |||
| CountryExperience | In which country do you have the most experience working in Maternal and Newborn Health? | String | ||
| CountryBased | In which country are you currently based? | String | ||
| SettingsWorked | Which settings have you worked in? | Numeric | ||
| High-income country only | 1 | |||
| Low and Middle-income country only | 2 | |||
| A combination of High and Low and Middle-income countries | 3 | |||
| Institution | Please write the name of the primary institution where you are currently employed/affiliated: | String | ||
| Gender | To which gender identity do you most identify? | Numeric | ||
| Female | 1 | |||
| Male | 2 | |||
| Transgender female | 3 | |||
| Transgender male | 4 | |||
| Prefer not to say | 5 | |||
| Not listed. Option to specify | 6 | |||
| orginallanguage | Language in which survey was completed | String | ||
| English | EN | |||
| French | FR | |||
| Spanish | ES | |||
| R2_EmONCUse | In the past, for which purpose(s) have you used the EmONC framework? | String | ||
| R2_SectionSelection | Please select your sections | Numeric | ||
| Obstetric | 1 | |||
| Newborn | 2 | |||
| Obstetric and newborn | 3 | |||
| Emergency obstetric care signal functions | ||||
| Drag and drop (or number) the top nine signal functions that you think should be prioritised for the revised EmONC framework based on the information above. The numbers 1-9 will be used to count your top nine signal functions, not to rank them in order of importance. | ||||
| R2_Obstetric_a | a) Administer parenteral antibiotics (e.g. ampicillin, gentamicin) (maternal) | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_b | b) Administer appropriate medications to treat post-partum haemorrhage (PPH) (appropriate medications in the algorithm for PPH e.g. oxytocin or ergometrine (or combination of oxytocin and ergometrine), or oral misoprostol, or prostaglandin or heat stable carbetocin or tranexamic acid). | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_c | c) Administer magnesium sulfate for pre-eclampsia or eclampsia | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_d | d) Administer maternal antihypertensives (e.g. alpha methyldopa, hydralazine, labetalol, nifedipine) | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_e | e) Provide intravenous (IV) infusion/IV fluid replacement therapy (e.g. maternal resuscitation) | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_f | f) Perform manual uterine exploration and removal of placenta | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_g | g) Perform removal of retained products of conception (e.g. manual vacuum aspiration), dilation and curettage, medical management) | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_h | h) Perform assisted vaginal birth (e.g. vacuum extractor, forceps) | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_i | i) Perform blood transfusion | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_j | j) Perform caesarean section | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_k | k) Perform mechanical ventilation | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_l | l) Provide high dependency/intensive-care | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_m | m) Provision of continued emergency clinical obstetric and newborn care during interfacility transfer | Integer (min: 1, max: 13) | Numeric | |
| R2_Obstetric_other | Is there an additional emergency obstetric signal function that you think is essential to add? | String | ||
| R2_Obstetric_comments | Do you have any comments/suggestions on the wording of any of the signal functions? | String | ||
| Small and Sick Newborn Care Signal Functions | ||||
| Drag and drop (or number) the top nine signal functions that you think should be prioritised for the revised EmONC framework based on the information above. The numbers 1-9 will be used to count your top nine signal functions, not to rank them in order of importance. | ||||
| R2_Newborn_a | a) Administer antenatal corticosteroids (ACS) (e.g. dexamethasone, betamethasone) to women at risk of preterm birth | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_b | b) Administer magnesium sulfate to women at risk of preterm birth | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_c | c) Perform neonatal resuscitation with bag and mask | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_d | d) Initiate kangaroo mother care (for LBW/preterm newborns) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_e | e) Administer oxygen therapy with pulse oximetry | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_f | f) Administer parenteral antibiotics (e.g. gentamicin, ampicillin) (newborn) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_g | g) Perform assisted feeding with expressed breastmilk (e.g. cup and/or nasogastric feeding) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_h | h) Administer phototherapy for hyperbilirubinemia (jaundice) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_i | i) Administer parenteral anticonvulsants for seizures (newborn) (e.g. phenobarbitone) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_j | j) Perform blood transfusion (newborn) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_k | k) Administer CPAP (newborn) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_l | l) Perform services for retinopathy of prematurity | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_m | m) Administer intravenous (IV) fluids (newborn) | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_n | n) Provide thermal care (e.g. radiant warmer, incubator, heated cot) for preterm/LBW newborns | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_o | o) Administer methylxanthines (e.g. caffeine) for preterm newborns for prevention and treatment of apnoea | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_p | p) Provision of continued emergency clinical obstetric and newborn care during interfacility transfer | Integer (min: 1, max : 16) | Numeric | |
| R2_Newborn_other | Is there an additional small and sick newborn signal function that you think is essential to add? | String | ||
| Language | Language in which survey was completed | String | ||
| English | EN | |||
| French | FR | |||
| Spanish | ES | |||
| Section A: Levels of care | ||||
| R3_A1 | 1) What is your opinion on the proposal to use three levels of care as shown in the prototype above? | String | ||
| Strongly disagree | Strongly disagree | |||
| Disagree | Disagree | |||
| Agree | Agree | |||
| Strongly agree | Strongly agree | |||
| R3_A1_comments |
If you disagree or strongly disagree please state your reasons in the text box below: [only applies if selected "strongly disagree" or "disagree" above] |
String | ||
| R3_A2 | 2) What is your opinion on naming the lowest level of care "first line"? | String | ||
| Strongly disagree | Strongly disagree | |||
| Disagree | Disagree | |||
| Agree | Agree | |||
| Strongly agree | Strongly agree | |||
| R3_A2_comments | If you disagree or strongly disagree please state your reasons in the text box below [only applies if selected "strongly disagree" or "disagree" above] | String | ||
| R3_A3 | 3) What is your opinion on naming the middle level of care "comprehensive"? | String | ||
| Strongly disagree | Strongly disagree | |||
| Disagree | Disagree | |||
| Agree | Agree | |||
| Strongly agree | Strongly agree | |||
| R3_A3_comments | If you disagree or strongly disagree please state your reasons in the text box below [only applies if selected "strongly disagree" or "disagree" above] | String | ||
| R3_A4 | 4) What is your opinion on naming the highest level of care "intensive"? | String | ||
| Strongly disagree | Strongly disagree | |||
| Disagree | Disagree | |||
| Agree | Agree | |||
| Strongly agree | Strongly agree | |||
| R3_A4_comments | If you disagree or strongly disagree please state your reasons in the text box below [only applies if selected "strongly disagree" or "disagree" above] | String | ||
| R3_A5 | 5) Do you have any other general comments about the naming of the three levels? | String | ||
| Section B: Signal functions | ||||
| R3_SectionSelection | Please choose whether you would like to complete the sections on obstetric signal functions, newborn signal functions or obstetric and newborn signal functions for levels of care. | Numeric | ||
| Obstetric signal functions | 1 | |||
| Newborn signal functions | 2 | |||
| Obstetric and newborn signal functions | 3 | |||
| B1: Obstetric care signal functions | ||||
| 1) Based on the above criteria, the following obstetric signal functions should be included in the revised EmONC framework: | ||||
| R3_Obstetric1_a | a) Administer parenteral antibiotics (maternal) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_b | b) Administer medications to treat post-partum-haemorrhage (PPH) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_c | c) Administer magnesium sulfate for severe pre-eclampsia or eclampsia | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_d | d) Provide IV fluid replacement therapy (e.g. for shock or sepsis) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_e | e) Perform manual removal of retained placenta and uterine exploration | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_f | f) Perform removal of retained products of conception (POC) for abortion or post-abortion care (e.g., vacuum aspiration, dilation and evacuation, medical management) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_g | g) Perform assisted vaginal birth (e.g. vacuum extractor, ventouse, forceps) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_h | h) Perform blood transfusion | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_i | i) Perform caesarean section | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_j | j) Provide intensive level organ support | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_k | k) Provide continued clinical care during interfacility transfer | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| R3_Obstetric1_comments | Comments | String | ||
| R3_Obstetric2 | 2) I agree with the placement of "Administer parenteral antibiotics (maternal)" at first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Obstetric3 | 3) I agree with the placement of "Administer magnesium sulfate for severe pre-eclampsia or eclampsia" at first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree- should be placed at comprehensive level | Disagree- should be placed at comprehensive level | |||
| Disagree- should be placed at intensive level | Disagree- should be placed at intensive level | |||
| R3_Obstetric3_comments | Comments | Open text | String | |
| R3_Obstetric4 | 4) I agree with the placement of "Administer medications to treat post-partum-haemorrhage (PPH)" at first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree- should be placed at comprehensive level | Disagree- should be placed at comprehensive level | |||
| Disagree- should be placed at intensive level | Disagree- should be placed at intensive level | |||
| R3_Obstetric4_comments | Comments | Open text | String | |
| R3_Obstetric5 | 5) I agree with the placement of "Provide IV fluid replacement therapy (e.g. for shock or sepsis)" at first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Obstetric6 | 6) I agree with the placement of "Perform removal of retained products of conception (POC) for abortion or post-abortion care (e.g., vacuum aspiration, dilation and evacuation, medical management)" at the first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Obstetric7 | 7) I agree with the placement of "Perform manual removal of retained placenta and uterine exploration" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Obstetric8 | 8) I agree with the placement of "Perform assisted vaginal birth (e.g. vacuum extractor, ventouse, forceps)" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Obstetric9 | 9) I agree with the placement of "Perform blood transfusion" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Obstetric10 | 10) I agree with the placement of "Perform caesarean section" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Obstetric11 | 11) I agree with the placement of "Provide intensive level organ support" at the intensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| B2: Newborn Care Signal Functions | ||||
| 1) Based on the above criteria, the following newborn signal functions should be included in the revised EmONC framework: | ||||
| R3_Newborn1_a | a) Administer antenatal corticosteroids (ACS) to women at risk of preterm birth | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_b | b) Perform neonatal resuscitation with bag and mask | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_c | c) Initiate kangaroo mother care (for LBW/preterm newborns) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_d | d) Administer oxygen therapy for respiratory support | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_e | e) Administer parenteral antibiotics (newborn) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_f | f) Perform assisted feeding with expressed breastmilk (e.g. cup and/or nasogastric feeding) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_g | g) Administer phototherapy for hyperbilirubinemia (jaundice) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_h | h) Provide thermal care (e.g. with radiant warmer, incubator) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_i | i) Perform blood transfusion (newborn) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_j | j) Administer continuous positive airway pressure (CPAP) (newborn) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_k | k) Administer mechanical ventilation (newborn) | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_l | l) Perform services for retinopathy of prematurity | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_m | m) Provide continued clinical care during interfacility transfer | String | ||
| Agree | Agree | |||
| Disagree | Disagree | |||
| Not completed | . | |||
| R3_Newborn1_comments | Comments | Open text | String | |
| R3_Newborn2 | 2) I agree with the placement of "Provide continued clinical care during interfacility transfer" at the first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn2_comments | Comments | String | ||
| R3_Newborn3 | 3) I agree with the placement of "Perform neonatal resuscitation with bag and mask" at the first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn3_comments | Comments | |||
| R3_Newborn4 | 4) I agree with the placement of "Initiate kangaroo mother care (for LBW/preterm newborns)" at the first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn4_comments | Comments | String | ||
| R3_Newborn5 | 5) I agree with the placement of "Perform assisted feeding with expressed breastmilk (e.g. cup and/or nasogastric feeding)" at the first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn5_comments | Comments | |||
| R3_Newborn6 | 6) I agree with the placement of "Administer oxygen therapy for respiratory support" at the first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn6_comments | Comments | String | ||
| R3_Newborn7 | 7) I agree with the placement of "Administer parenteral antibiotics (newborn)" at the first line level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn7_comments | Comments | String | ||
| R3_Newborn8 | 8) I agree with the placement of "Provide thermal care (e.g. with radiant warmer, incubator)" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn8_comments | Comments | String | ||
| R3_Newborn9 | 9) I agree with the placement of "Administer antenatal corticosteroids (ACS) to women at risk of preterm birth" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn9_comments | Comments | String | ||
| R3_Newborn10 | 10) I agree with the placement of "Administer phototherapy for hyperbilirubinemia (jaundice)" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn10_comments | Comments | String | ||
| R3_Newborn11 | 11) I agree with the placement of "Perform services for retinopathy of prematurity" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn11_comments | Comments | String | ||
| R3_Newborn12 | 12) I agree with the placement of "Administer continuous positive airway pressure (CPAP) (newborn)" at the comprehensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn12_comments | Comments | String | ||
| R3_Newborn13 | 13) I agree with the placement of "Perform blood transfusion (newborn)" at the intensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn13_comments | Comments | String | ||
| R3_Newborn14 | 14) I agree with the placement of "Administer mechanical ventilation (newborn)" at the intensive level of care as proposed in the prototype. | String | ||
| Agree with placement at first line level | Agree with placement at first line level | |||
| Disagree. should be placed at comprehensive level | Disagree. should be placed at comprehensive level | |||
| Disagree. should be placed at intensive level | Disagree. should be placed at intensive level | |||
| R3_Newborn14_comments | Comments: | String | ||
| R3_Add1 | 1) Beyond the signal functions included in the prototype, are there signal functions for interventions for preventing stillbirth that you consider meet the signal function criteria? | Open text | String | |
| R3_Add2 | 2) Beyond the signal functions included in the prototype, are there signal functions that capture interventions that benefit women and newborns together that you consider meet the signal function criteria? | Open text | String | |
| R3_Add3 | 3) Are there any other signal functions other than those shown on the prototype that you think are essential to include in the revised EmONC framework? | Open text | String | |
| R3_Communications | I would like to receive communications and information about the revised EmONC framework and indicators. | String | ||
| No | No | |||
| Yes | Yes | |||
| R3_Feedback | I would be interested to provide feedback on other aspects of the EmONC framework and indicators as it develops. | String | ||
| No | No | |||
| Yes | Yes |