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Table 11 Birth outcomes before and during pilot implementation by site status

From: Birth companionship in a government health system: a pilot study in Kigoma, Tanzania

 

Intervention Sites (N = 9)

Comparison Sites (N = 6)

Indicator

Before

Pilota

During

Pilotb

% Change

Significance level of % changec

Before Pilota

During Pilotb

% Change

Significance level of % changec

Deliveries in health facilities

16,410

16,789

2.3%

NA

14,291

13,424

−6.1%

NA

Live births in health facilities

16,189

16,618

2.6%

NA

14,003

13,196

−5.8%

NA

Obstetric complications treated

3199

3369

5.3%

NA

3873

3598

−7.1%

NA

Direct obstetric maternal deaths

51

41

−19.6%

NA

74

64

−13.5%

NA

Intrapartum stillbirths

287

226

−21.3%

NA

294

231

−21.4%

NA

Pre-discharge neonatal deaths

239

243

1.7%

NA

367

323

−12.0%

NA

Direct obstetric case fatality rate (including deaths due to first trimester complications)

1.6

1.2

−23.7%

0.198

1.9

1.8

−6.9%

0.675

Institutional MMR (per 100,000 live births)

315.0

246.7

−21.7%

0.244

528.5

485.0

−8.2%

0.615

Intrapartum stillbirth rate per 1000 births

17.2

13.1

−23.6%

0.003

19.7

16.6

−15.8%

0.046

Pre-discharge neonatal death rate per 1000 live births

14.8

14.6

−1.0%

0.916

26.2

24.5

−6.6%

0.370

  1. Abbreviations: MMR  Maternal Mortality Ratio; NA Not applicable
  2. Source: Pregnancy Outcomes Monitoring Surveys: direct obstetric case fatality rate; facility maternal mortality ratio; intrapartum stillbirth rate; and pre-discharge neonatal mortality rate were calculated for the 2 15-month periods, in the intervention and comparison sites
  3. a July 2016–September 2017
  4. b October 2017–December 2018
  5. cSignificance of the difference between the two periods was tested using two proportion z test