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Table 3 Effects of EQUIP on coverage, quality and knowledge of danger signs

From: Effects of the EQUIP quasi-experimental study testing a collaborative quality improvement approach for maternal and newborn health care in Tanzania and Uganda

  Tanzania Uganda
  N (women of reproductive age, 6 rounds) Survey roundsa 1st and 6th round estimates
% (95% CI)
Estimated difference-in-difference
(95% CI)
N (6 rounds) 1st and 6th round estimates
% (95% CI)
Estimated difference-in-difference
(95% CI)
    Intervention Comparison    Intervention Comparison  
Primary coverage indicators
Facility delivery 1422 1st round
6th round
55 (45 to 65)
87 (77 to 93)
62 (50 to 72)
78 (67 to 86)
7 (−7 to 21) 2929 56 (47 to 64)
68 (58 to 76)
31 (25 to 39)
42 (33 to 51)
−3 (−15 to 9)
Immediate breastfeeding 1398 1st round
6th round
31 (22 to 42)
37 (28 to 47)
32 (21 to 46)
40 (30 to 52)
−7 (−21 to 7) 2793 37 (30 to 45)
41 (35 to 46)
20 (16 to 26)
23 (18 to 29)
−6 (−17 to 5)
Primary quality indicator b
Population indicator “effective coverage” of uterotonics within 1 min after birth 409 last events
1422 live birthsb
1st round
6th round
29 (16 to 41)
81 (72 to 91)
44 (31 to 58)
70 (58 to 81)
26 (25 to 28) 291 last events
2929 live birthsb
38 (27 to 50)
59 (48 to 70)
11 (3 to 20)
23 (10 to 6)
8 (6 to 9)
Primary knowledge indicator
(assessed through interviews with women of reproductive age with a live birth in the year prior to the survey)
Mothers’ knowledge of critical danger signs pregnancyc 1422 1st round
6th round
25 (18 to 33)
45 (36 to 54)
40 (30 to 51)
45 (34 to 56)
4 (−11 to 18) 2993 36 (30 to 42)
49 (43 to 55)
32 (27 to 39)
43 (35 to 40)
−2 (−14 to 11)
Mothers’ knowledge of critical danger signs newbornsc 1422 1st round
6th round
36 (29 to 45)
38 (30 to 48)
35 (26 to 45)
34 (26 to 43)
2 (−12 to 15) 2848 45 (40 to 50)~
34 (28 to 40)
38 (33 to 43)
27 (21 to 34)
−7 (21 to 6)
Secondary coverage indicators (indicators monitoring improvement topics chosen by the teams)
Post-partum care <7 days (restricted to home births) 442 1st round
6th round
19 (11 to 30)
23 (10 to 46)
27 (14 to 47)
23 (7 to 54)
17 (−8 to 40) 1103 4 (1 to 12)
3 (1 to 10)
3 (1 to 7)
2 (1 to 8)
−3 (−8 to 2)
Clean birth kit (restricted to home births) 442 1st round
6th round
15 (7 to 29)
62 (23 – 84)
23 (13 to 37)
23 (11 to 41)
31 (2 to 60) 1103 9 (3 to 22)
25 (18 to 22)
5 (2 to 9)
7 (3 to 15)
10 (−6 to 26)
Wrapping of babies (as part of HBB) 1288 1st round
6th round
43 (33 to 53)
56 (48 to 65)
44 (34 to 56)
33 (25 to 44)
7 (−21 to 36) Not prioritised by QI team    
ANC 4 +   1st round
6th round
Not prioritised by QI team    2990 41 (35 to 48)
47 (40 to 54)
34 (28 to 39)
38 (31 to 46)
0 (−15 to 15)
BCG immunisation of newborns   1st round
6th round
1654 81 (73 to 88)
81 (73 to 88)
77 (71 to 83)
84 (78 to 88)
−8 (−16 to 0)
Secondary quality indicators (indicators monitoring improvement topics chosen by the teams) (assessed through health facility assessments)
Infection prevention items availabled 352 Baseline
Endline
13 (4 to 34)
69 (50 to 83)
48 (27 to 67)
76 (58 to 87)
21 (−4 to 46)     
Supervision to health facilities (past 6 months) 354 Baseline
Endline
78 (57 to 91)
100
92 (73 to 98)
100
14 (0 to 28)
  1. aFirst round November 2011 to February 2012 included 111 and 91 women with a live birth in the year prior to the survey in intervention and comparison districts in Tanzania and 238 and 272 in Uganda, respectively. The sixth round January 14–April 14; ~relates to the second round April 2012 to July 2012 included 106 and 101 women with a live birth in the year prior to the survey in intervention and comparison districts in Tanzania and 281 and 199 in Uganda, respectively.
  2. bAssessed through multiplying household survey coverage estimates of facility delivery in women with a live birth in the last year prior to the survey to reports of health workers on implementation practices in surveyed facilities using the last event module during the same time period. We included 409 last event questionnaire in Tanzania and 291 in Uganda.
  3. cKnowledge of all three critical danger signs in pregnancy (severe vaginal bleeding, oedema of face/hands and blurred vision) and four in newborns (convulsions, difficult breathing, lethargy/unconsciousness and very small baby)
  4. dInfection prevention items included clean running water, disinfectant, soap and gloves