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Table 3 Immediate newborn care practices in the quality of maternal and newborn health care survey, 2010 and 2012

From: Improvements in newborn care and newborn resuscitation following a quality improvement program at scale: results from a before and after study in Tanzania

 

Regional hospitals

Health centers and dispensaries

All facilities

2010 N = 168 (%)

2012 N = 317 (%)

Percent change

p-value

2010 N = 251 (%)

2012 N = 187 (%)

Percent change

p-value

2010 N = 419 (%)

2012 N = 504 (%)

Percent change

p-value

Immediately places newborn on the mother's abdomen

72 (43)

241 (76)

33%

<0.0001

93 (37)

144 (77)

40%

<0.0001

165 (40)

385 (77)

37%

<0.0001

Immediately dries baby with towel

158 (94)

301 (95)

1%

0.8

210 (84)

181 (97)

13%

<0.0001

368 (88)

482 (95)

7%

0.0001

Discards wet towel and covers with dry towel

158 (94)

304 (96)

2%

0.4

213 (85)

181 (97)

12%

<0.0001

371 (89)

485 (96)

6%

<0.0001

Cuts cord with clean blade

168 (100)

317 (100)

0%

1

251 (100)

187 (100)

0%

1

419 (100)

504 (100)

0%

1

Helps initiate breastfeeding within one hour

67 (40)

263 (83)

43%

<0.0001

138 (55)

163 (87)

32%

<0.0001

205 (49)

401 (80)

31%

<0.0001

Ties or clamps cord when pulsations stop, or by 2-3 minutes after birth (not immediately after birth)

123 (73)

270 (85)

12%

0.001

183 (73)

155 (83)

10%

0.01

306 (73)

425 (84)

11%

<0.0001

Index score for overall quality of immediate newborn care*

49 (29)

235 (74)

45%

<0.0001

113 (45)

135 (72)

27%

<0.0001

162 (39)

370 (73)

34%

<0.0001

  1. *The index score is based on four indicators: 1) immediately drying the newborn, 2) placing the newborn skin-to-skin, 3) cutting the umbilical cord cleanly, and 4) breastfeeding within one hour.