AMDD works with national ministries of health and United Nations (UN) partners (UNFPA, UNICEF, and WHO) to carry out national Needs Assessments for emergency obstetric and newborn care (EmONC) that evaluate how well and to what extent the health system is providing EmOC.
These Needs Assessments go a step further to provide details for planning to address gaps or problems in EmOC services. This is a first and critical step to improving equitable access to EmOC and to strengthening the overall health system.
This EmONC Toolkit contains documents needed to plan for and conduct an EmONC Needs Assessment. Read our EmONC Needs Assessment Overview and Introduction to Materials.
English version:
Data collection modules (updated December 2015):
District Level Module
National Information Module
Module 1: Identification of Facility and Infrastructure
Module 2: Human Resources
Module 3: Essential Drugs, Equipment, and Supplies
Module 4: Facility Case Summary
Module 5: EmOC Signal Functions and Other Essential Services
Module 6: Provider Knowledge and Competency for Maternal and Newborn Care, Supervisory Support and Motivation
Module 7: Partograph Review
Module 8: Cesarean Delivery Review
Module 9: Chart Review for Women with Obstetric Complications
Module 10: Chart Review of Newborns
Module 11: Referral for Obstetric, Newborn and Other Patients
Module 12: Maternity Waiting Homes
Data Collector's Manual (updated 2011)
Task List and Timeframe (updated 2010)
Needs Assessment Facilitation Guide (updated 2011):
Why Do a Needs Assessment
Examples of Analyses from Recent Needs Assessments
Utilization of EmONC Needs Assessment Data
Version en Français:
Modules spécifiques de collecte des donneés :
Table de matieres
Module sur les renseignements au niveau national
Module 1: Identification de l’établissement et de l’infrastructure
Module 2: Ressources humaines
Module 3: Médicaments, équipements et fournitures essentiels
Module 4: Récapitulatif des données de l’établissement
Module 4: Feuille de travail
Module 5: Fonctions SOU et autres services essentiels
Module 6: Revue des partogrammes
Module 7: Connaissances et compétences des prestataires en soins maternels et soins au nouveau-né
Module 8: Revue de cas de césariennes
Module 9: Revue de cas de décès maternels
Liste des établissements
Manuel de l’agent de collecte des données
- Guide de facilitation de l'évaluation des besoins
- Guide du formateur
Guide de l'analyse des donnees
EmOC Indicators/Measurement
Needs Assessment of Emergency Obstetric and Newborn Care: Data Collection Modules (AMDD, 2010) - see downloads
Maternal and newborn health national plans (Road Map) Assessment (UNFPA, 2012)
Monitoring emergency obstetric care: a handbook (WHO, UNFPA, UNICEF & AMDD, 2009) - Also available in Français and Español
Earlier editions of the handbook:
A tool for assessing "readiness" in emergency obstetric care The room-by-room "walk-through" (AMDD, 2005)
Using the U.N. process indicators of emergency obstetric services: questions and answers (AMDD, 2003) - Also available in Français and Español.
Guidelines for monitoring the availability and use of obstetric services (UNICEF, WHO & UNFPA, 1997) - Also available in Français and Español
Reducing maternal deaths: selecting priorities, tracking progress: Distance learning courses on population issues (UNFPA and AMDD, 2002)
Module 2: Using Indicators to Assess Progress in Reducing Maternal Deaths
Module 3: Targeting Maternal Deaths Through Policies and Programs
Clinical Training
Guidelines for In-Service Training in Basic and Comprehensive Emergency Obstetric and Newborn Care (JHPIEGO, 2012) - Also available in Français
A Handbook for Building Skills: Counseling for Maternal and Newborn Healthcare (WHO, 2010)
EmONC Training Curricula Comparison (AMDD, 2010) - Includes comparison of curricula and tools to support training
Guidelines for Assessment of Skilled Providers after Training in Maternal and Newborn Healthcare (JHPIEGO, 2004)
Anesthesia for emergency obstetric care: course handbook for trainers and participants (JHPIEGO & AMDD, 2003) - Includes assessment tools, follow-up guide, and log books. Also available in Français (Guide des Participants, Guide des Formateurs, Listes de Vérification, Conseils pour les Formateurs, Registre de l’Expérience Clinique)
Infection prevention practices in emergency obstetric care. A supplement to Infection Prevention: A Reference Booklet for Health Care Providers (EngenderHealth & AMDD, 2003) - Also available in Français and Español
Emergency Obstetric Care for Doctors and Midwives: Trainers’ Guide and Participants’ Guide (JHPIEGO & AMDD, 2002) - Includes assessment tools, follow-up guide, and log books. Also available in Français (Guide des Participants, Guide des Formateurs, Listes de Vérification, Conseils pour les Formateurs, Registre de l’Expérience Clinique)
Managing complications in pregnancy and childbirth: a guide for midwives and doctors (WHO, UNFPA, UNICEF & World Bank, 2000) - Also available in Français and Español
Quality improvement for emergency obstetric care: leadership manual and toolbook: An adaptation of COPE® (EngenderHealth & AMDD, 2003) - Also available in Français, and Español
Improving emergency obstetric care through criterion-based audit (AMDD, 2002) - Also available in Français and Español
Program Planning
Ten Good Practices in Essential Supplies for Family Planning and Maternal Health (UNFPA, 2012)
Program Implementation Guidance: Essential Obstetric and Newborn Care (USAID & inCHIP, 2012)
District Planning Tool for Maternal and Newborn Health Strategy Implementation: A Practical Tool for Strengthening Health Management System (WHO, 2011)
Essential Medicines for Reproductive Health: Guiding Principles for the Inclusion on National Medicines Lists (WHO, UNFPA & PATH, 2006)
Maine, D., Akalin, M.Z., Ward, V.M. & Kamara, A. The design and evaluation of maternal mortality programs (1997) - Also available in Français and Español
Maine, D. Safe motherhood programs: options and issues (1993) - Also available in Français and Español
Operating perinatal referral transport services in rural India: a toolkit (UNICEF, 2010)
Partnership Defined Quality (PDQ) resources from Save the Children:
PDQ: A tool book for community and health provider collaboration for quality improvement (2003)
PDQ: Facilitation Guide (2004)
Description of mHealth Programs
Description of ChildCount+ mHealth platform
Kanter, A.S., Negin, J., Olayo B., Bukachi, F., Johnson, E., Ehrlich Sachs, S. Millennium Global Village-Net: Bringing together Millennium Villages throughout sub-Saharan Africa (2009)
Strand et al. (2009) "Audit of referral of obstetric emergencies in Angola: A tool for assessing quality of care"
Murray, S.F., Davies, S., Kumwenda Phiri, R., & Ahmed, Y. "Tools for monitoring the effectiveness of district maternity referral systems" (2001)
Iiams-Hauser et al. "Utilizing SMS to improve the continuum of care for HIV positive pregnant women and HIV exposed children: The PMTCT Module" (2010) - poster - email Allegra for pdf
Geographic Information Systems (GIS) applications for referral and health systems: