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Three ecological studies performed in 3 different countries compared

The TBL is an accounting framework that incorporates three dimensions of performance: social, environmental and financial. This differs from traditional reporting frameworks as it includes ecological (or environmental) and social measures can be difficult to assign appropriate means of measurement. The TBL dimensions are also commonly called the three Ps: people, planet and profits. We will refer to these as the 3Ps.Indiana Business Research Center, Indiana University Kelley School of Business

As the delivery process can result in unexpected complications [], health facility delivery is crucial. About three quarters of all maternal [] and most perinatal [] deaths occur during delivery and in the immediate post-partum period. Preventable causes, such as post-partum hemorrhage, sepsis, obstructed labor, and eclampsia, are known to contribute to maternal mortality significantly []. When a woman delivers with assistance from a skilled birth attendant (SBA) in a health facility, she can receive basic

Data for many of these measures are collected at the state and national levels, but are also available at the local or community level. Many are appropriate for a community to use when constructing a TBL. However, as the geographic scope and the nature of the project narrow, the set of appropriate measures can change. For local or community-based projects, the TBL measures of success are best determined locally.

The level of the entity, type of project and the geographic scope will drive many of the decisions about what measures to include. That said, the set of measures will ultimately be determined by stakeholders and subject matter experts and the ability to collect the necessary data. While there is significant literature on the appropriate measures to use for sustainability at the state or national levels, in the end, data availability will drive the TBL calculations. Many of the traditional sustainability mea

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