Additional file 1 of Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey

Additional file 1

Consolidated criteria for reporting qualitative research check list.

(DOCX)</p

FGD guide tool.

(DOCX)</p

Socio-demographic characteristics of the participants.

Socio-demographic characteristics of the participants.</p

Roles of workers in the industry.

Roles of workers in the industry.</p

OHL at different frequencies.

OHL at different frequencies.</p

A circular bar plot showing decision to delivery interval at different times of the day.

A circular bar plot showing decision to delivery interval at different times of the day.</p

Maternal and perinatal outcomes among women who had emergency caesarean sections at Mbale regional referral hospital.

Maternal and perinatal outcomes among women who had emergency caesarean sections at Mbale regional referral hospital.</p

S1 Dataset -

IntroductionThe decision to delivery interval is a key indicator of the quality of obstetric care. This study assessed the decision to delivery interval for emergency cesarean sections and factors associated with delay.MethodsWe conducted a cross-sectional study between October 2022 and December 2022 in the labor ward at Mbale regional referral hospital. Our primary outcome variable was the decision to delivery interval defined as the time interval in minutes from the decision to perform the emergency caesarean section to delivery of the baby. We used an observer checklist and interviewer administered questionnaire to collect data. Stata version 14.0 (StataCorp; College Station, TX, USA) was used to analyze the data.ResultsWe enrolled 352 participants; the mean age was 25.9 years and standard deviation (SD) ±5.9 years. The median (interquartile range) decision to delivery interval was 110 minutes (80 to 145). Only 7/352 (2.0%) participants had a decision to delivery time interval of ≤30 minutes. More than three quarters 281 /352 (79.8%) had a decision to delivery interval of greater than 75 minutes. Emergency cesarean section done by intern doctors compared to specialists [Adjusted Prevalence Ratio (aPR): 1.26; 95% CI: (1.09–1.45)] was associated with a prolonged decision to delivery interval.ConclusionThe average decision to delivery interval was almost 2 hours. Delays were mostly due to health system challenges. We recommend routine monitoring of decision to delivery interval as an indicator of the quality of obstetric care.</div

Factors associated with prolonged decision to delivery interval.

Factors associated with prolonged decision to delivery interval.</p