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.



Contact to download the documents listed below.

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)

Evaluating the quality of care for severe pregnancy complications: The WHO near-miss approach for maternal health (WHO 2011)

Monitoring emergency obstetric care: a handbook (WHO, UNFPA, UNICEF & AMDD, 2009) - Also available in Français and Español

Earlier editions of the handbook:

Reducing maternal deaths: selecting priorities, tracking progress: Distance learning courses on population issues (UNFPA and AMDD, 2002)

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 ParticipantsGuide des FormateursListes de VérificationConseils pour les FormateursRegistre 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 ParticipantsGuide des FormateursListes de VérificationConseils pour les FormateursRegistre 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

Tools and Metrics: Studies and Resources

Operating perinatal referral transport services in rural India: a toolkit (UNICEF, 2010) 

Partnership Defined Quality (PDQ) resources from Save the Children:

Millennium Villages Project:

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:

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