Table 3 Pre and post modified WHO SCC intervention adherence of health care providers to essential birth practices at selected health centers supported by USAID Transform: Primary Health Care Activity, Ethiopia
Before | After | 95% CI for Mean Difference | t | df | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
M | SD | n | M | SD | N | p | ||||
Pause point 1 | 70.8 | 22.8 | 247 | 74.1 | 23.4 | 187 | − 7.8, 1.0 | −1.5 | 432.0 | 0.131 |
Quick checks for danger signs performed before referral/admission of mothers | 75.2 | 42.8 | 247 | 73.3 | 43.0 | 187 | − 6.3, 10 | 0.4 | 432.0 | 0.658 |
Functional referral linkages and feedback mechanisms for both mother and newborn | 39.2 | 47.8 | 247 | 51.2 | 49.6 | 187 | −21.3, −2.7 | −2.5* | 392.7 | 0.012 |
Partograph being used for all laboring mothers at the facility | 81.3 | 38.1 | 247 | 82.5 | 37.1 | 187 | −8.3, 6.0 | −0.3 | 432.0 | 0.753 |
HIV testing and treatment services for the mother and baby both during antenatal care and delivery | 87.4 | 33.2 | 247 | 89.6 | 30.3 | 187 | −8.3, 3.9 | −0.7 | 432.0 | 0.472 |
Pause point 2 | 71.2 | 27.5 | 247 | 89.4 | 8.9 | 187 | −21.9, −14.5 | −9.7* | 310.8 | 0.000 |
Relatives are encouraged to accompany laboring mothers during labor and delivery | 92.5 | 26.0 | 247 | 98.1 | 12.6 | 187 | −9.3, −1.8 | −2.9* | 374.8 | 0.004 |
Essential supplies for the mother kept at bed side before delivery | 63.0 | 44.9 | 247 | 85.9 | 12.6 | 187 | −28.8, −17.0 | −7.6* | 295.4 | 0.000 |
Essential supplies for the baby kept at bed side before delivery | 58.0 | 40.3 | 247 | 84.1 | 12.6 | 187 | −31.5, −20.8 | −9.6* | 306.8 | 0.000 |
Pause point 3 | 61.2 | 36.7 | 247 | 87.4 | 11.4 | 187 | −31.1, −21.3 | −10.6* | 306.3 | 0.000 |
Placing baby in skin to skin contact | 71.1 | 45.3 | 247 | 92.3 | 9.8 | 187 | −27.1, −15.4 | −7.1* | 275.7 | 0.000 |
Breast feeding initiated within one hour of birth if mother and child are well | 71.6 | 45.1 | 247 | 92.7 | 9.3 | 187 | −26.9, −15.3 | −7.2* | 273.1 | 0.000 |
Vitamin K given 1 mg intramuscular on anterior mid-thigh | 43.1 | 49.5 | 247 | 77.8 | 21.0 | 187 | − 41.5, −27.7 | −9.9* | 350.7 | 0.000 |
Tetracycline eye ointment given in both eyes | 57.0 | 49.5 | 247 | 87.2 | 14.9 | 187 | −36.8, −23.6 | −9.1* | 302.5 | 0.000 |
Baby weighted and recorded | 67.5 | 46.8 | 247 | 89.8 | 11.5 | 187 | −28.4, −16.2 | −7.2* | 284.1 | 0.000 |
Bacillus Calmette-Guerin and oral polio vaccines given before discharge | 57.0 | 49.5 | 247 | 84.7 | 15.5 | 187 | − 34.4, −21.2 | −8.3* | 307.3 | 0.000 |
Pause point 4 | 69.9 | 40.2 | 247 | 91.0 | 9.6 | 187 | −26.3, −15.9 | −8.0* | 282.5 | 0.000 |
Counselled on and offered family planning | 71.8 | 44.9 | 247 | 92.3 | 9.4 | 187 | −26.2, −14.7 | −7.0* | 273.9 | 0.000 |
Exclusive breast feeding for 6 months | 75.5 | 42.9 | 247 | 93.2 | 8.4 | 187 | −23.2, −12.2 | − 6.3* | 270.4 | 0.000 |
Immunization | 69.4 | 46.0 | 247 | 91.7 | 10.3 | 187 | −28.3, − 16.4 | −7.4* | 278.1 | 0.000 |
Hygiene | 66.9 | 46.9 | 247 | 90.3 | 11.4 | 187 | −29.5, − 17.3 | −7.5* | 283.5 | 0.000 |
Danger signs in both mother and newborn | 71.0 | 45.2 | 247 | 91.3 | 9.9 | 187 | −26.2, − 14.5 | −6.8* | 276.9 | 0.000 |
Need for postnatal care and follow up arranged | 64.5 | 47.7 | 247 | 87.1 | 13.0 | 187 | −28.9, −16.3 | −7.1* | 293.1 | 0.000 |