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Table 6 Effect of P4P on institutional delivery and on potential mediators

From: Understanding causal pathways within health systems policy evaluation through mediation analysis: an application to payment for performance (P4P) in Tanzania

 

Effect of P4P (% change)

Observations

Maternal care outcomes

Facility based delivery

7.87***

(2.4, 13.3)

300

Public facility delivery

7.4***

(0.9; 13.9)

300

Taken at least 2 doses of anti-malaria drug

11.2***

(3.9, 18.5)

300

Potential mediators

Health worker received supervision in last 90 days

19.2**

(0.2; 38.1)

266

Governing committee met in the past 90 days

30.1***

(8.1; 52.1)

291

Drugs at delivery-stock-out index (0–1 index)

−31.3***

(−51.8;−10.8)

294

Oxytocin injection stock-out last 90 days

−38.2***

(−62.8;−13.5)

293

Ergometrine injection stock-out last 90 days

−34.9**

(−62.7;−7.0)

290

Antimalarial drugs stock-out last 90 days

−22.8**

(−42.6;−3.0)

294

Service delivery disrupted due to broken equipment in last 90 days

−18.6**

(−36.5;−0.7)

292

Health worker knowledge

18.9***

(8.4; 29.4)

300

Health worker kindness at delivery

3.27

(−2.42; 9.0)

300

Percentage of women who paid for delivery in a HF

−7.6**

(-13.6; -1.6)

300

  1. 95% confidence intervals in parentheses; percent sign (%) indicates percentage points change
  2. *p < 0.10; **p < 0.05; ***p < 0.01