The 2016 EmONC assessment was a national cross-sectional census of public and private health facilities that provided maternal and newborn health services. The aim of this assessment was to generate evidence on the current availability, utilization, and quality of EmONC services in Ethiopia, and to measure progress since 2008 when the first EmONC Assessment was implemented. The data were collected from sampled 3804 health Facilities using 14 facility-based modules plus modules for woreda, zone, region, and national levels of the health system by trained health professional Survey data collectors between May and December 2016.

Key findings of this assessment include the following. First. the institutional delivery rate was 66 percent in 2016, indicating one-third of deliveries continue to be at home and the national population-based cesarean delivery rate was 2.7 percent. Second, the provision and readiness to provide the basic EmONC signal functions showed good progress between 2008 and 2016, especially among health centers. The only basic signal function to show a substantial decline in readiness was parenteral antibiotics. Third, eighty-five percent or more of facilities provided focused antenatal care, postnatal care, family planning, diagnosis and treatment for STIs, and the PMTCT package. Fourth, referral hospitals and health centers had only half the number of maternity beds they need when compared to international standards. Fifth, in health centers/clinics there was a gap between the number of established positions and the actual number of employees for every health worker cadre. In the sixth place, very few providers of any cadre had a written copy of their job description, and fewer than half reported a clear reporting structure (clinical or administrative). Next to that, almost all health facilities had one or more antibiotic drugs related to signal functions. (8) Finally, Nationally, 82, 77, and 76 percent of regions, woredas, and zones were implementing health care financing reform in all zones/facilities/woredas.

• Census
• Health Facility
• Basic Emergency Obstetric and Newborn Care
• Antenatal Care
• Averting Maternal Death and Disability
• Skilled Birth Attendant
• Postnatal Care
• Postpartum Haemorrhage
• Drug Supplies
• Ethiopia

Ethiopian Public Health Institute (EPHI), Ministry of Health (Ethiopia). Averting Maternal Death and Disability (AMDD), Columbia University New York, USA ,ETHIOPIAN Emergency Obstetric and Newborn Care (EmONC) Assessment 2016

The EmONC 2016 dataset is produced by the health facility assessment census amongst the 3804 health facilities from nine regional states and two city administrations of Ethiopia conducted between May and December 2016. The dataset captures information on the availability of infrastructure, equipment, essential drugs, and supplies; the range of practices related to user fees; availability, knowledge, and motivation of human resources; insight into the quality of clinical monitoring and management of labor, cesarean deliveries, maternal deaths, and women and newborns with complications; geographic availability of critical services; status of routine and emergency obstetric and newborn services; implementation of the MDSR system; availability and use of records for MNH services; and availability and functioning of maternity waiting for homes and the referral system. The data was collected by highly trained survey teams using pretested facility-based 14 modules and used to generate evidence on the current availability, utilization, and quality of EmONC services in Ethiopia, and to measure progress since 2008.

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