UN recommended numbers of EmOC facilities in three districts contrasted with actual numbers provided by public and private sector high-load facilities
| Indicator source and availability of facilities | Surendranagar | Sabarkantha | Dahod | Total |
|---|---|---|---|---|
| Population18 | 1 750 000 | 2 430 000 | 2 120 000 | 6 300 000 |
| Births per year19 | 40 250 | 68 040 | 64 024 | 172 314 |
| UN handbook 2009 Recommendations for EmOC | ||||
| Required CEmOC facilities (at least 1 per 500 000) | 4 | 5 | 4–5 | 13–14 |
| Required BEMOC+CEmOC facilities (at least 5 per 500 000) | 18 | 25 | 21–22 | 64–65 |
| Availability of ‘able’ CEmOC facilities and, among these, ‘performed’ (in parenthesis) CEmOC facilities | ||||
| Public CEmOC facilities | 1 (1) | 2 (1) | 1 (1) | 4 (3) |
| CEmOC facilities added by private | ||||
| CY | 11 (0) | 19 (5) | 5 (2) | 35 (7) |
| Non-CY | 8 (2) | 34 (9) | 8 (2) | 50 (13) |
| Total CEmOC facilities added by private | 19 (2) | 53 (14) | 13 (4) | 85 (20) |
| Total available ‘able’ and ‘performed’ in the past 3 months CEmOC facilities | 20 (3) | 54 (15) | 15 (5) | 89 (23) |
| Availability of ‘able’ and ‘performed’ (in parentheses) CEmOC facilities by population norms (against recommended value of ‘1’ for ‘CEmOC’ and ‘4+1’ for ‘BEmOC+CEmOC’) | ||||
| CEmOC per 500 000 population | ||||
| Public provision | 0.28 (0.28) | 0.41 (0.21) | 0.24 (0.24) | 0.32 (0.23) |
| Private availability | 5.43 (0.57) | 10.90 (2.89) | 3.07 (0.94) | 6.74 (1.59) |
| All (public and private) availability | 5.71 (0.86) | 11.31 (3.09) | 3.30 (1.18) | 7.06 (1.82) |
| Free provision by state and CY | 3.43 (0.28) | 4.11 (1.23) | 1.42 (0.71) | 3.09 (0.79) |
| Availability of BEmOC-only facilities | ||||
| Total available BEmOC-only facilities | 2 | 3 | 1 | 6 |
| BEmOC-only facilities per 500 000 population | 0.57 | 0.61 | 0.23 | 0.47 |
BEmOC, basic EmOC; CEmOC, comprehensive EmOC; CY, Chiranjeevi Yojana; EmOC, emergency obstetric care; UN, United Nations.