A facility was considered to provide an optimum level of ANC service if providing at least three days of ANC per week, performing at least three screening tests including urine protein testing, offering all five key ANC functions and having three or more skilled health workers registered at the facility, in addition to offering Emergency Obstetric Care (EmOC) referral and delivery services.
As discussed above on the issue of health service supervision, reaching the optimum level of these services depends on the availability of adequate HCWs, transport and other basic supplies.
In summary, very few facilities in Zambia provide an optimum level of ANC services, as judged by the criteria we developed using technical process of care attributes, and this is reflected in the less than optimal quality of ANC received by the majority of expectant mothers.
Applying our classification framework for assessing levels of service provision (Table 1), only 45 of 1299 Zambian ANC facilities (3%) fulfilled the criteria for optimum level of ANC provision, while 608 ANC facilities (47%) were classified as providing an adequate level of service, leaving 646 facilities (50%) in the category of inadequate level of service provision.
On the scene, the snow spotters help determine the optimum level of salt that should be spread, trying to balance economy with efficiency.
These observations would be of value for designing a vibration isolation system with an optimum level of epoxidation to achieve the desired storage modulus (or loss modulus) at the given service conditions.
There is, however, an optimum level of similarity.
"One of the many great things about curry is that you can find your own personal optimum level of heat," he says.
represents the optimum level of lag length.
That is, if ( K < hat{mu } ) then K is optimum level of μ, otherwise the optimum value is ( hat{mu } ).
