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Table 3 Individual-level validation of register recording for Chlorhexidine cord-application, EN-BIRTH study (n = 6711)

From: Chlorhexidine for facility-based umbilical cord care: EN-BIRTH multi-country validation study

 

Azimpur (BD)

Tertiary

Kushtia (BD)

District

Pokhara (NP)

Regional

Pooled

(Random effects)

N (%)

(CI)

N (%)

(CI)

N (%)

(CI)

N (%)

(CI)

Register-recorded denominator

2222 live births

1839 live births

6711 live births

 

All modes of birth combined

 Observer prevalence %

2582 (89.3)

 

2257 (97.9)

 

7112 (99.4)

 

99.6

(88.8, 99.9)

 Register-recorded prevalence %

2185 (98.3)

 

1796 (97.7)

 

5282 (78.7)

 

93.7

(76.4, 100.0)

 Not recorded

13 (0.6)

 

41 (2.2)

 

1394 (20.8)

 

5.4

(0.0, 23.5)

 Not readable

0 (0)

 

0 (0)

 

4 (0.1)

 

0.0

(0.0, 0.1)

INCLUDES NOT RECORDED AND NOT READABLE AS NO

  > 10 Cell counts

No

 

No

 

Yes

   

 % agreement

88.6

 

96.4

 

78.7

 

89.0

(76.4, 97.1)

 Sensitivity

**

**

**

**

79

(78, 80)

93.8

(76.7, 100.0)

 Specificity

**

**

**

**

25

(12.7, 41.2)

8.8

(0.0, 28.0)

EXCLUDES NOT RECORDED AND NOT READABLE

  > 10 Cell counts

No

 

No

 

No

   

 % agreement

88.6

 

96.4

 

98.9

 

95.5

(87.7, 99.5)

 Sensitivity

**

**

**

**

**

**

**

**

 Specificity

**

**

**

**

**

**

**

**

Vaginal births

 Observer prevalence %

731 (96.3)

 

1290 (96.5)

 

6075 (99.4)

 

97.7

(94.4, 99.6)

 Register-recorded prevalence %

547 (97.9)

1073 (97.6)

4963 (84.3)

94.5

(82.2, 99.9)

 Not recorded

7 (1.3)

25 (2.3)

894 (15.2)

4.9

(0.0, 17.1)

 Not readable

0 (0)

0 (0)

3 (0.1)

0.0

(0.0, 0.1)

INCLUDES NOT RECORDED AND NOT READABLE AS NO

  > 10 Cell counts

No

 

No

 

No

   

 % agreement

94.4

95.4

83.9

91.9

(82.1, 98.0)

 Sensitivity

**

**

**

**

**

**

**

**

 Specificity

**

**

**

**

**

**

**

**

EXCLUDES NOT RECORDED AND NOT READABLE

  > 10 Cell counts

No

 

No

 

No

   

 % agreement

94.4

 

95.4

 

98.9

 

96.6

(92.5, 99.1)

 Sensitivity

**

**

**

**

**

**

**

**

 Specificity

**

**

**

**

**

**

**

**

Caesarean births

 Observer prevalence %

1850 (86.8)

 

967 (99.8)

 

1037 (99.2)

 

97.1

(85.6, 100.0)

 Register-recorded prevalence %

1638 (98.5)

723 (97.7)

318 (39)

85.5

(41.5, 100.0)

 Not recorded

6 (0.4)

16 (2.2)

495 (60.7)

12.9

(0.0, 58.9)

 Not readable

0 (0)

0 (0)

1 (0.1)

0.0

(0.0, 0.1)

INCLUDES NOT RECORDED AND NOT READABLE AS NO

  > 10 Cell Counts

No

 

No

 

No

   

 % agreement

86.6

**

40.2

79.5

(43.2, 99.3)

 Sensitivity

**

**

**

**

**

**

**

**

 Specificity

**

**

**

**

**

**

**

**

EXCLUDES NOT RECORDED AND NOT READABLE

  > 10 Cell counts

No

 

No

 

No

   

 % agreement

86.6

 

**

 

99.1

 

95.7

(85.5, 100.0)

 Sensitivity

**

**

**

**

**

**

**

**

 Specificity

**

**

**

**

**

**

**

**

  1. n = 12,379 observed live births, n = 10,772 live births with register records
  2. ** = result suppressed due to 10 or fewer count per column of two-by-two table
  3. 7.1% Chlorhexidine solution applied to the umbilicus
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