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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