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Table 3 Mean scores for maternal and newborn health service utilization at facility, community midwifery and community units

From: The effect of the community midwifery model on maternal and newborn health service utilization and outcomes in Busia County of Kenya: a quasi-experimental study

 

Total

Period 1

Period 2

Period 3

ANOVA

P-value

Mean (SD)

Mean (SD)

Mean (SD)

Mean (SD)

F-value

Facility level performance

 1st ANC attendance

43.5 (37.5)

55.7 (21.7)

70.8 (36.6)

4.0 (4.2)

12.05

0.0008*

 4th ANC attendance

23.0 (20.3)

29.6 (14.0)

38.1 (17.7)

1.2 (1.5)

13.15

0.0005*

 Skilled births

52.0 (48.2)

63.1 (35.0)

87.4 (49.0)

5.6 (6.6)

8.66

0.0032*

 Postnatal care**

28.9 (22.5)

22.1 (12.9)

35.8 (29.8)

**

 

0.2160

Community midwives' performance

 1st ANC attendance

4.7 (5.6)

1.8 (1.2)

2.3 (1.5)

9.9 (7.3)

6.62

0.0087*

 4th ANC attendance

3.2 (4.5)

1.4 (1.0)

1.0 (0.8)

7.1 (6.3)

5.04

0.0212*

 Skilled births

5.4 (6.3)

1.5 (1.3)

1.7 (1.5)

13.1 (5.2)

26.03

<0.0001*

 Postnatal care

5.4 (8.7)

2.7 (2.4)

3.2 (2.9)

10.2 (14.1)

1.5

0.2543

CHEW level performance

 Referred for ANC

12.0 (10.0)

9.6 (10.0)

15.7 (10.8)

10.7 (10.0)

0.6

0.5598

 Referred for birth

9.6 (7.5)

7.2 (5.8)

13.6 (10.0)

8.0 (5.5)

1.36

0.2869

 Births (community)

17.8 (9.3)

11.9 (6.2)

22.8 (11.4)

18.8 (7.2)

2.47

0.1179

 Newborns visited within 48 hours after birth

16.5 (9.5)

9.8 (5.4)

20 (10.6)

19.9 (8.9)

2.79

0.0933

 Counselled on EBF

35.3 (27.3)

17.6 (13.0)

40.8 (30.8)

47.4 (29.0)

2.24

0.1403

 Newborns referred with danger signs

0.4 (0.5)

0.3 (0.3)

0.3 (0.4)

0.5 (0.7)

0.33

0.725

  1. SD standard deviation, ANOVA Analysis of variance, ANC antenatal care, EBF exclusive breastfeeding
  2. *P-value <0.05 statistically significant; ** data available for 4 facilities for periods 1 and 2 only and t-tests statistics computed