Methodological Evaluation of Maternal Care Facilities Systems in South Africa: Multilevel Regression Analysis for Clinical Outcomes

Maternal care facilities in South Africa are essential for ensuring optimal health outcomes for mothers and infants. A mixed-method approach combining quantitative and qualitative data was employed. Multilevel regression analysis was used to assess the impact of various system components on clinical outcomes. Analysis revealed that a specific intervention in neonatal units improved survival rates by 15% (95% CI: 7-23%). The multilevel regression model highlighted significant variations in care quality across different facilities, necessitating targeted interventions to enhance overall maternal and infant health. Facilities should prioritise training for staff in high-risk areas and implement standardised protocols to reduce variability in clinical outcomes. Maternal Care Systems, Multilevel Regression Analysis, Clinical Outcomes, Neonatal Survival Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.