Process Observed as correct Illustrative qualitative observations
n=112 observations n %
Time woman waits between arrival and admission assessment:
Checks maternal understanding of purpose of device assessment 104 93%
Examines maternal abdomen 112 100%
Measures FHR with study Doppler 112 100%
Measures FHR with other handheld Doppler 4 4%
Measures FHR with Pinard 6 5%
Records FHR in HMIS register 108 96%
Measures maternal blood pressure 92 82%
Assesses for warning signs of pre-eclampsia/eclampsia 71 63%
Assesses other danger signs 75 67%
Requests urine protein test 25 22%
Initiates use of partograph 95 85%
Structural factors for use and storage of Doppler:
Doppler immediately available 110 98% Was locked in the cupboard; was in admission room rather than in triage
If no, observations on why not 2 2%
Storage of Doppler:
Within 1 m of triage admission bed 98 88%
Admission room farther than 1 m from bed 11 10%
Other (describe) 3 3% In admission room; admission room far from triage room; provider had to search for device, which was in the same room but in a congested space
Probe was clean 112 100%
Device battery charged sufficiently 112 100%
Gel present in sufficient quantity 85 76%
Wipes available to clean probe 99 88%
Designated location to charge device in ward 111 99%
Personnel designated to be in charge of device 112 100%
Challenges to Doppler use:
Provider expressed confusion on proper device use 7 6% Comparing maternal pulse with FHR, cleaning the device; poor arrangement of admission area; provider did not turn on device until after placing transducer
Provider made mistake using device 7 6%