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Table 5 Endline indicator summary

From: Effect of collaborative quality improvement on stillbirths, neonatal mortality and newborn care practices in hospitals of Telangana and Andhra Pradesh, India: evidence from a quasi-experimental mixed-methods study

Indicator Baseline Endline Difference in difference (DiD) effect (95% CI) p value of DiD
Intervention N = 18 Comparison N = 21 Intervention N = 18 Comparison N = 21
Mean (95% CI) Mean (95% CI)
Primary outcomes (impact indicators)
1. % of stillbirth of all hospital deliveries 2.8 (2.1–3.6) 1.4 (0.5–2.3) 0.9 (0.4–1.4) 0.5 (0.2–0.9) − 1.3 (− 2.6–0.1) 0.073
2. % of neonates dying before the age of 7 days among those admitted to the newborn care unit 4.9 (1.1–8.8) 6.0 (1–11) 1.2 (0.1–2.4) 0.5 (− 0.5–1.5) − 1.6 (− 9–6.2) 0.689
3. % of neonates dying before the age of 28 days among those admitted to the newborn care unit 7.6 (1.8–13.5) 8.0 (0.8–15.1) 1.4 (0.1–2.6) 1.7 (− 0.7–4.3) − 3.0 (− 12.9–6.9) 0.546
Secondary outcomes (EBP indicators)
Delivery care practices in labour rooms
1. Percentage of high-risk assessments correctly flagged 37 (27–46) 35 (23–48) 19 (12–27) 20 (8–31) − 2 (− 23–19) 0.841
2. Percentage of admissions where essential information was documented in partograph and attached to case notes 8 (0–16) 10 (0–23) 17 (8–26) 13 (3–22) 6 (− 14–26) 0.545
3. Percentage of admissions where safe childbirth checklist used and attached to case notes 12 (1–26) 9 (0–21) 53 (31–75) 29 (10–49) 21 (− 14–55) 0.232
4. Percentage of vaginal examinations where hygiene standards are met 17 (− 6–39) 29 (0–66) 20 (3–37) 17 (1–33) 15 (− 29–59) 0.495
5. Percentage of deliveries where the six cleans were adhered to 0 (− 0.4–1.3) 5 (0–15) 11 (0.2–22) 8 (0–26) 8 (− 11–26) 0.419
Newborn care practices in Newborn Care Units
6. Percentage of babies seen in the neonatal care admission ward for whom temperature was measured within 15 min 49 (24–73) 52 (23–81) 22 (0–44) 51 (33–70) − 26 (− 76–23) 0.285
7. Percentage of patient contacts where hygiene standards are met 6 (1–12) 7 (2–13) 49 (34–65) 38 (22–53) 12 (− 11–36) 0.292
8. Percentage of cannulations where hygiene standards are met 13 (0–32) 7 (0–21) 32 (9–54) 18 (1–35) 7 (− 29–44) 0.692
9. Percentage of babies discharged from newborn care unit who were exclusively breastfed at first interview after discharge 93 (86–99) 94 (89–99) 70 (59–82) 73 (56–89) − 1 (− 19–16) 0.870
10. Percentage of mothers in SNCU that reported being assisted for kangaroo mother care 22 (5–39) 39 (22–57) 59 (40–78) 56 (38–63) 20 (− 15–56) 0.260