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Table 6 Comparison of allocation groups in the trial period, October 2010 – September 2012

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

 

Control

n (%)

Intervention

n (%)

Odds ratio (95% CI)

All

n (%)

Primary outcomes

7468 (100)

6253 (100)

 

13,721 (100)

 Institutional delivery

2875 (38.5)

2532 (40.5)

1.45 (0.76, 2.78)

5407 (39.4)

 Home delivery

4590 (61.5)

3721 (59.5)

Ref

8311 (60.6)

 Any delivery conducted by doctor, nurse or ANM

2872 (38.5)

2498 (40.0)

1.43 (0.74, 2.74)

5370 (39.1)

 Any delivery conducted without a doctor, nurse or ANM

4596 (61.5)

3755 (60.1)

Ref

8351 (60.9)

 Institutional delivery conducted by doctor, nurse or ANM

2826 (37.8)

2480 (39.7)

1.43 (0.75, 2.75)

5306 (38.7)

 Home delivery conducted by doctor, nurse or ANM

46 (0.6)

18 (0.3)

0.49 (0.20, 1.20)

64 (0.5)

 Stillbirth rate (per 1000 births)

98 (13.0)**

88 (14.0)**

1.06 (0.75, 1.50)

186 (13.5)**

 NMR (per 1000 live births)

186 (25.1)¶

159 (25.6)¶

1.05 (0.75, 1.47)

345 (25.3)¶

 Missing data on any primary outcome

3

0

 

3

Secondary outcomes

7468 (100)

6253 (100)

 

13,721 (100)

  > =4 antenatal care visits

5267 (70.5)

4408 (70.5)

1.04 (0.80, 1.35)

9675 (70.5)

 Postnatal care visit

2982 (39.9)

2999 (48.0)

1.77 (0.97, 3.23)

5981 (43.6)

 Missing data on postnatal care visits

4

1

 

5

Delivery site*

2875 (100)

2532 (100)

 

5407 (100)

 Sub-Health Post

238 (8.3)

578 (22.8)

 

816 (15.0)

 Health Post

241 (8.4)

115 (4.5)

 

356 (6.6)

 Primary Health Centre

486 (16.9)

408 (16.1)

 

894 (16.5)

 Government hospital

1590 (55.3)

1279 (50.5)

 

2869 (53.1)

 Private hospital

213 (7.4)

115 (4.5)

 

328 (6.1)

 Institution in other district

66 (2.3)

22 (0.9)

 

88 (1.6)

 Private clinic

41 (1.4)

15 (0.6)

 

56 (1.0)

 Free at point of care

2639 (91.8)

2388 (94.3)

 

5027 (93.0)

 Received maternity incentive

2223 (77.3)

2108 (83.3)

 

4331 (80.1)

 Missing data on costs and incentives

41

16

 

57

Delivery attendant

7468 (100)

6253 (100)

 

13,721 (100)

 Doctor

1165 (15.6)

816 (13.0)

 

1981 (14.4)

 Nurse

1982 (26.6)

1449 (23.2)

 

3431 (25.0)

 Auxiliary Nurse midwife

1886 (25.3)

2090 (33.4)

 

3976 (29.0)

 Health Assistant

12 (0.2)

25 (0.4)

 

37 (0.3)

 Assistant Health Worker

127 (1.7)

196 (3.1)

 

323 (2.4)

 Maternal and Child Health Worker

88 (1.2)

150 (2.4)

 

238 (1.7)

 Village Health Worker

2 (0.0)

10 (0.2)

 

12 (0.1)

 Female Community Health Volunteer

120 (1.6)

159 (2.5)

 

279 (2.0)

 Traditional Birth Attendant

82 (1.1)

23 (0.4)

 

105 (0.8)

 Mother-in-law

1916 (25.7)

1667 (26.7)

 

3583 (26.1)

 Husband

807 (10.8)

1085 (17.4)

 

1892 (13.8)

 Family member

1096 (14.7)

1086 (17.4)

 

2182 (15.9)

 Mother

424 (5.7)

361 (5.8)

 

785 (5.7)

 Neighbour

1999 (26.8)

1671 (26.7)

 

3670 (26.8)

 Natal sister

117 (1.6)

134 (2.1)

 

251 (1.8)

 No attendant at all

265 (3.5)

231 (3.7)

 

496 (3.6)

 Missing data on delivery attendant

3

0

 

3

Attended FCHV women’s group

353 (4.7)

896 (14.3)

 

1249 (9.1)

  1. * Among women with institutional delivery only ** Numbers in brackets are per 1000 births ¶ Numbers in brackets are per 1000 live births
  2. ANM Auxiliary Nurse Midwife; CI confidence interval; NMR Neonatal mortality rate; Odds ratios are univariable