Table 3 Univariate and Multivariate analysis of Provider’s adherence to safe child birth checklistpractices (based on 240 observations per pause point during baseline and endline in intervention and control facilities)
Practices | Intervention | P value | Comparison | P value | P value | ||
|---|---|---|---|---|---|---|---|
Base line | End line | Baseline Vs Endline in Intervention | Base line | End line | Baseline Vs Endline in Comparison | DID modeling-Logistic regression | |
On Admission | |||||||
Assessment and appropriate referral | 2 % | 88 % | <0.001 | 3 % | 7 % | 0.036 | < 0.001 |
Partograph used | 13 % | 52 % | < 0.001 | 8 % | 0 % | < 0.001 | < 0.001 |
Appropriate Maternal Infection management | 0 % | 76 % | < 0.001 | 2 % | 8 % | 0.008 | < 0.001 |
preeclampsia management | 35 % | 74 % | < 0.001 | 14 % | 15 % | 0.365 | .001 |
HIV tested | 16 % | 56 % | < 0.001 | 32 % | 29 % | 0.314 | < 0.001 |
Companion briefed on danger sign | 2 % | 66 % | < 0.001 | 4 % | 8 % | 0.042 | < 0.001 |
Appropriate hand hygiene | 2 % | 21 % | < 0.001 | 0 % | 3 % | 0.038 | 0.994 |
Just Before Pushing (or Before Cesarean) | |||||||
Appropriate hand hygiene | 2 % | 18 % | < 0.001 | 0 % | 5 % | < 0.001 | 0.972 |
Oxytocin in one min of delivery | 24 % | 88 % | < 0.001 | 32 % | 49 % | < 0.001 | < 0.001 |
Cord cut with sterile blade /scissor | 8 % | 47 % | < 0.001 | 17 % | 32 % | < 0.001 | 0.008 |
Assessment of baby breathing in one minute. | 95 % | 97 % | 0.21 | 94 % | 95 % | 0.179 | 0.702 |
Appropriate NB thermal management | 4 % | 98 % | < 0.001 | 16 % | 75 % | < 0.001 | < 0.001 |
Appropriate NB Resuscitationa | 41 % | 83 % | < 0.001 | 29 % | 30 % | 0.623 | 0.026 |
briefing for birth helper in EM | 10 % | 78 % | < 0.001 | 15 % | 32 % | < 0.001 | 0.008 |
Soon After Birth(within 1 h) | |||||||
Blood loss assessed in mother | 35 % | 91 % | < 0.001 | 49 % | 68 % | < 0.001 | < 0.001 |
Appropriate maternal infection management | 1 % | 74 % | < 0.001 | 3 % | 1 % | 0.313 | < 0.001 |
NB Assessed for antibiotics | 1 % | 43 % | < 0.001 | 4 % | 4 % | 0.027 | < 0.001 |
Birth Weight taken | 99 % | 98 % | 0.284 | 85 % | 78 % | 0.026 | 0.665 |
Initiated breastfeeding in One hour of birth | 34 % | 86 % | < 0.001 | 43 % | 46 % | 0.224 | < 0.001 |
Skin to skin contact with mother | 13 % | 37 % | < 0.001 | 2 % | 22 % | < 0.001 | 0.104 |
Companion briefed on danger sign (M&NB) | 4 % | 52 % | < 0.001 | 3 % | 5 % | 0.176 | < 0.001 |
Before Discharge | |||||||
Appropriate maternal blood loss assessment | 9 % | 70 % | < 0.001 | 3 % | 40 % | < 0.001 | 0.694 |
Appropriate maternal infection management | 0 % | 72 % | < 0.001 | 2 % | 3 % | 0.539 | < 0.001 |
Appropriate NB Infection management | 0 % | 58 % | < 0.001 | 0 % | 2 % | 0.043 | < 0.001 |
NB feeding assessment | 13 % | 81 % | < 0.001 | 11 % | 12 % | 0.834 | .001 |
Follow up advise to mother | 0 % | 54 % | < 0.001 | 4 % | 10 % | 0.009 | .002 |
FP options discussed | 5 % | 43 % | < 0.001 | 14 % | 8 % | 0.067 | .003 |
Discharge counselling on danger sign | 0 % | 47 % | < 0.001 | 0 % | 6 % | < 0.001 | .167 |