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Figure 1.

Model of referral chain, adapted from Jahn A and De Brouwer V 2001.

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Table 1.

Profile of study districts.**

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Table 2.

Study facilities by level and distribution of mothers who accessed intra-partum care at these levels.

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Figure 2.

Mothers who reached study facilities for intra-partum care by referral status.

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Table 3.

Reasons for referral by sending facility levels.

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Figure 3.

Referrals by facility levels among referred in mothers.

(Arrows point to receiving facilities, encircled numbers on arrows indicate numbers of mothers who went to the receiving facility.)

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Figure 4.

Referrals by facility levels among referred out mothers.

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Table 4.

Descriptive data for cases and controls.

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Table 5.

Output of conditional logistic regression for association between maternal referral and adverse birth outcomes.

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Figure 5.

Buffer analysis of distance between CEmOC facility and facilities that referred the 55 mothers who died at CEmOC facility.

(Circles in the figure are buffers with radius of 50 Km and 100 Km around the CEmOC facility.)

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Table 6.

Details of in-facility maternal deaths who were referred to CEmOC facility (n = 55).

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