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WHO Safe Motherhood Needs Assessment

The table below describes the forms. Links to the forms are in the first column.

Short name Survey form name Description Level Sampling frame Source of information

DHT District health team interview Coded interview District No sampling District health team

FAC Facility management Coded interview and observation Facility Facilities in district Staff present, observation

NMW Interview with midwife or maternity nurse Coded interview Nurses and midwives present at the facility on day of visit Nurses or midwives

ANC Antenatal client exit interview Coded interview Antenatal clients on day of visit Clients

PPC Postpartum client exit interview Coded interview Postpartum clients with babies aged less than 1 year Clients

ANR Antenatal record review Coded review of records Antenatal client records in the facility from the past 12 months Antenatal records

NDR Normal delivery record review Coded review of records Records of non-complicated deliveries in the facility from the past 12 months Selected partographs or delivery records

CDE Complicated delivery (eclampsia) record review Coded review of records Records of complicated deliveries in the facility in the past 12 months Selected records and partographs from complicated deliveries

CDO Complicated delivery (obstructed labour) record review Coded review of records

SOV Surveyor observations Optional form for qualitative observations No sampling Surveyors

TBA Traditional birth attendant interview Coded interview Community

Birth attendants in the community or facility catchment area Traditional birth attendants

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*Short name*	*Survey form name*	*Description*	*Level*	*Sampling frame*	*Source of information*
DHT	District health team interview	Coded interview	District	No sampling	District health team
FAC	Facility management	Coded interview and observation	Facility	Facilities in district	Staff present, observation
NMW	Interview with midwife or maternity nurse	Coded interview		Nurses and midwives present at the facility on day of visit	Nurses or midwives
ANC	Antenatal client exit interview	Coded interview		Antenatal clients on day of visit	Clients
PPC	Postpartum client exit interview	Coded interview		Postpartum clients with babies aged less than 1 year	Clients
ANR	Antenatal record review	Coded review of records		Antenatal client records in the facility from the past 12 months	Antenatal records
NDR	Normal delivery record review	Coded review of records		Records of non-complicated deliveries in the facility from the past 12 months	Selected partographs or delivery records
CDE	Complicated delivery (eclampsia) record review	Coded review of records		Records of complicated deliveries in the facility in the past 12 months	Selected records and partographs from complicated deliveries
CDO	Complicated delivery (obstructed labour) record review	Coded review of records
SOV	Surveyor observations	Optional form for qualitative observations		No sampling	Surveyors
TBA	Traditional birth attendant interview	Coded interview	Community	Birth attendants in the community or facility catchment area	Traditional birth attendants