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Table 4 Process evaluation: Context

From: Health management committee strengthening and community mobilisation through women’s groups to improve trained health worker attendance at birth in rural Nepal: a cluster randomised controlled trial

 BaselineEndline
 Intervention n (%)Control n (%)Intervention n (%)Control n (%)
Community based organisation activities
 Pregnant women’s group (Centre for Community Development Nepal (CCDN))16257881
 Women’s group (District government Women and Children Office)113460124
 Health Management Committee strengthening (CCDN)0036
FCHV status
 18–3566 (46)110 (54)100 (52)103 (50)
 36–5585 (49)102 (36)88 (46)86 (42)
 55 and above9 (5)21 (10)4 (2)17 (8)
 Illiterate48 (28)59 (29)42 (22)18 (9)
 Functioning FCHV women’s group133 (65)160 (78)191 (94)159 (77)
HMC status
 Received an orientation of their roles and responsibilities8 (38)7 (31)20 (95)16 (72)
 The VDC secretary was chairperson11 (52)10 (46)9 (43)14 (64)
 Conducted regular meetings7 (33)8 (36)13 (62)11 (50)
 HMC had conducted a community interaction programme1 (5.6)0 (0)12 (57)6 (27)
 Initiated at least four activities in the past year10 (48)8 (36)17 (80)16 (72)
 HMC meetings not run because of absent members4 (19)7 (32)
 Absence of all or some members from HMC meeting due to personal workload8 (38)8 (36)13 (62)13 (59)
Health workers involved in delivery services
 Doctor2222
 Staff nurse1212
 ANM17203333
 MCHW16151412
Health workers with SBA training
 Staff nurse1
 ANM1187
 MCHW21
Vacant Posts
 Staff nurse11
 ANM112
 MCHW21
Nurses on short term contracts
 ANM (DHO recruited)431314
 ANM (HMC recruited)71096
Health facilities providing 24 h delivery care671715
Inj Magnesium Sulphate 2 cc/1 g (for eclampsia treatment)861313
Placenta pit0079
Private clinic or medical shop38635568