Key characteristics of childbirth service readiness indices
No of items | Items <40% | Items ≥90% | Coefficient of variation | Floor effects (score=0) | Ceiling effects (score=1) | Correlation with delivery volume | ||
n | % | % | % | % | r* | P value | ||
Hospitals (n=160) | ||||||||
SARA tracer, simple | 22 | 0 | 73 | 0.10 | 0 | 21 | 0.33 | <0.001 |
SARA tracer, weighted | “ | “ | “ | 0.11 | 0 | 21 | 0.32 | <0.001 |
SARA tracer, PCA | “ | “ | “ | 0.20 | 1 | <1 | 0.33 | <0.001 |
DHS, simple | 33 | 0 | 85 | 0.07 | 0 | 14 | 0.25 | 0.002 |
DHS, weighted† | “ | “ | “ | 0.07 | 0 | 20 | 0.20 | 0.013 |
DHS, PCA | “ | “ | “ | 0.15 | 1 | <1 | 0.31 | <0.001 |
WHO standards, simple | 52 | 0 | 67 | 0.09 | 0 | 6 | 0.23 | 0.003 |
WHO standards, weighted | “ | “ | “ | 0.09 | 0 | 6 | 0.26 | <0.001 |
WHO standards, PCA | “ | “ | “ | 0.16 | 1 | <1 | 0.29 | <0.001 |
Health centres/clinics (n=246) | ||||||||
SARA tracer, simple | 15 | 7 | 53 | 0.17 | 0 | 7 | 0.19 | 0.004 |
SARA tracer, weighted | “ | “ | “ | 0.19 | 0 | 7 | 0.18 | 0.004 |
SARA tracer, PCA | “ | “ | “ | 0.18 | 1 | 7 | 0.20 | 0.002 |
DHS, simple | 30 | 3 | 33 | 0.16 | 0 | 1 | 0.35 | <0.001 |
DHS, weighted† | “ | “ | “ | 0.16 | 0 | 2 | 0.39 | <0.001 |
DHS, PCA | “ | “ | “ | 0.20 | 1 | 1 | 0.36 | <0.001 |
WHO standards, simple | 44 | 2 | 23 | 0.20 | 0 | 0 | 0.31 | <0.001 |
WHO standards, weighted | “ | “ | “ | 0.20 | 0 | 0 | 0.35 | <0.001 |
WHO standards, PCA | “ | “ | “ | 0.24 | 1 | <1 | 0.31 | <0.001 |
*Spearman’s correlation coefficients.
†Weighted addition of DHS items excluded the domain for ‘guidelines, staff training and supervision’ given limited information on these items for this sample.
DHS, Demographic and Health Survey; PCA, principal components analysis; SARA, Service Availability and Readiness Assessment.