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Table 3 Adjusted mean provider performance scores, by service area and study group

From: Using a quality improvement model to enhance providers’ performance in maternal and newborn health care: a post-only intervention and comparison design

Skill areas

Number of items

Intervention group

Comparison group

% point difference between study groups

p-valuea

Mean score

Standard error

Mean score

Standard error

Antenatal care (n = 124 for intervention group; n = 120 for comparison group)

 Rapid initial assessment

6

56.5

0.07

40.8

0.07

+15.7

0.099

 Preventive treatment

3

58.8

0.05

47.7

0.06

+11.1

0.140

 Counseling on danger signs

6

69.7

0.06

59.1

0.05

+10.6

0.174

 Friendly reception for women

2

58.6

0.07

50.0

0.07

+8.6

0.346

 Obstetrical history taking

11

81.8

0.07

77.4

0.07

+4.4

0.651

 Laboratory screening tests

3

82.6

0.10

79.0

0.10

+3.6

0.783

 Physical examination

11

73.8

0.03

70.4

0.03

+3.4

0.380

 Birth preparedness

11

45.2

0 .07

43.5

0.07

+1.7

0.858

Overall (composite) score

53

63.4

0.04

61.0

0.04

+2.4

0.650

Labor and delivery (n = 123 for intervention group; n = 117 for comparison group)

 Rapid initial assessment

12

60.6

0.05

42.8

0.05

+17.8

0.019

 Care during labor

10

81.1

0.03

66.0

0.03

+15.9

0.001

 Assisting women to have safe and clean birth

13

58.9

0.04

43.7

0.04

+15.2

0.003

 Immediate newborn care

4

76.9

0.04

61.9

0.04

+15.0

0.013

 Preparation of supplies and equipment

13

81.7

0.03

67.8

0.03

+13.9

0.001

 Physical and vaginal exam

18

78.1

0.04

65.2

0.04

+12.9

0.013

 AMTSLb

7

82.9

0.03

71.7

0.03

+11.2

0.005

 Obstetrical history taking

8

84.9

0.06

74.6

0.06

+10.3

0.240

 Quality utilization of partograph

14

77.1

0.04

70.7

0.04

+6.4

0.256

 Infection prevention steps

6

92.6

0 .02

87.1

0.02

+5.5

0.104

Overall (composite) score

105

77.5

0.03

65.6

0.03

+ 11.9

0.002

Immediate postnatal care (n = 119 for intervention group; n = 110 for comparison group)

 Care for the newborn within first hour after birth

5

79.3

0.04

57.0

0.04

+22.3

0.001

 Check mother’s health after birth

4

66.2

0 .06

44 .2

0.06

+22.0

0.012

Overall (Composite) score

9

72.8

0.05

50.6

0.03

+ 22.2

0.001

  1. aResults after adjusting for clustering effects
  2. b AMTSL Active management of third stage of labor