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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

 

Baseline

Endline

 

Intervention n (%)

Control n (%)

Intervention n (%)

Control n (%)

Community based organisation activities

 Pregnant women’s group (Centre for Community Development Nepal (CCDN))

16

25

78

81

 Women’s group (District government Women and Children Office)

11

34

60

124

 Health Management Committee strengthening (CCDN)

0

0

3

6

FCHV status

 18–35

66 (46)

110 (54)

100 (52)

103 (50)

 36–55

85 (49)

102 (36)

88 (46)

86 (42)

 55 and above

9 (5)

21 (10)

4 (2)

17 (8)

 Illiterate

48 (28)

59 (29)

42 (22)

18 (9)

 Functioning FCHV women’s group

133 (65)

160 (78)

191 (94)

159 (77)

HMC status

 Received an orientation of their roles and responsibilities

8 (38)

7 (31)

20 (95)

16 (72)

 The VDC secretary was chairperson

11 (52)

10 (46)

9 (43)

14 (64)

 Conducted regular meetings

7 (33)

8 (36)

13 (62)

11 (50)

 HMC had conducted a community interaction programme

1 (5.6)

0 (0)

12 (57)

6 (27)

 Initiated at least four activities in the past year

10 (48)

8 (36)

17 (80)

16 (72)

 HMC meetings not run because of absent members

4 (19)

7 (32)

 Absence of all or some members from HMC meeting due to personal workload

8 (38)

8 (36)

13 (62)

13 (59)

Health workers involved in delivery services

 Doctor

2

2

2

2

 Staff nurse

1

2

1

2

 ANM

17

20

33

33

 MCHW

16

15

14

12

Health workers with SBA training

 Staff nurse

1

 ANM

1

1

8

7

 MCHW

2

1

Vacant Posts

 Staff nurse

1

1

 ANM

1

1

2

 MCHW

2

1

Nurses on short term contracts

 ANM (DHO recruited)

4

3

13

14

 ANM (HMC recruited)

7

10

9

6

Health facilities providing 24 h delivery care

6

7

17

15

Inj Magnesium Sulphate 2 cc/1 g (for eclampsia treatment)

8

6

13

13

Placenta pit

0

0

7

9

Private clinic or medical shop

38

63

55

68