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Table 2 Results by type of demand-side intervention

From: Demand-side interventions for maternal care: evidence of more use, not better outcomes

Community mobilization

 

Maternal mortality ratio

Stillbirth rate

Perinatal mortality rate

Neonatal mortality rate

Antenatal care

Facility-based delivery

Skilled birth attendance

Fottrell

NS

NS

NS

ARR: 0.62 (0.43, 0.89)

NS

NS

NS

Hounton

NS

--

OR: 0.75 (0.70, 0.80)

--

--

30 % increase

--

Lewycka

AOR: 0 · 51 (0 · 26–0 · 99)

--

NS

NS

Any ANC at health facility AOR: 1.50 (1.03 to 2.19)

NS

NS

Manandhar

AOR: 0.22 (0.05–0.90)

NS

--

AOR: 0.70 (0.53–0.94)

Any ANC AOR: 2 · 82 (1.41–5.62)

AOR: 3 · 55 (1 · 56–8 · 05)

Doctor, nurse, or midwife AOR: 3 · 53 (1 · 54–8 · 10)

More

--

NS

NS

AOR: 1.48 (1.06, 2.08)

NS

NS

--

Mushi

--

--

--

--

Early ANC booking increase from 18.7 to 56.9 %, p < 0.001

--

Increase in SBA from 34.1 to 51.4 %, p < 0.05

Persson

--

--

--

NS

AOR: 2.27 (1.07–4.80)

NS

--

Tripathy

NS

NS

AOR: 0.79 (0.69, 0.91)

AOR: 0 · 68 (0 · 59–0 · 78)

NS

NS

NS

Financial incentives

 

Maternal mortality ratio

Stillbirth rate

Perinatal mortality rate

Neonatal mortality rate

Antenatal care

Facility-based delivery

Skilled birth attendance

Bellows

--

--

--

--

Any ANC visit: OR: 16.5 (4.0–68.1)

OR: 1.4 (1.2–1.6)

OR: 1.2 (1.1-1.4)

     

4 + ANC visits: OR: 1.9 (1.6–2.4)

  

De Allegri

--

--

--

--

--

Increase from 49 to 84 % (p < 0.001)

--

Gupta

Increased (1985 to 2444 per 100,000 live births)

--

--

--

--

42.6 % increase in FBD

--

Ir

--

--

--

--

--

Increase in FBD from 16.3 to 44.9 % of the expected number of births (2.4 to 7 % for voucher recipients, 58.1 to 69.8 % for Health Equity Fund recipients)

--

Lim

NS

--

−3.7 (−5.2, −2.2)

−2.3 (−3.7, −0.9)

3 ANC visits: 10.7 % (9.1 to 12.3)

43.5 % (42.5 to 44.6) increase in FBD

36.6 % (35.6 to 37.7) increase in SBA

Nguyen

--

--

--

--

Cross sectional difference

37.5 % in intervention vs. 18.7 % in comparison areas, p < 0.001

63.7 % in intervention vs. 27.1 % in comparison areas, p < 0.001

     

Any ANC check-up: 91.6 % vs. 75.6 %, p < 0.001

  
     

≥ 3 ANC check-ups 0.241

  
     

54.8 % vs. 33.6 %, p < 0.001

  
     

≥1 ANC visit with qualified provider 79.2 % vs. 54.9 %, p < 0.001

  

Randive

NS

--

--

--

--

Increase from 20 to 49 %, p < 0.05

--

Both

 

Maternal mortality ratio

Stillbirth rate

Perinatal mortality rate

Neonatal mortality rate

Antenatal care

Facility-based delivery

Skilled birth attendance

Barber

--

--

--

--

12.2 % increase in number of recommended ANC procedures received

--

--

  1. NS not significant (p-value > 0.05), ARR adjusted risk ratio, OR odds ratio, AOR adjusted odds ratio, MMR maternal mortality ratio, PMR perinatal mortality rate, NMR neonatal mortality rate, IMR infant mortality, ANC antenatal care, FBD facility-based delivery, SBA skilled birth attendance