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Table 3 Univariate and Multivariate analysis of Provider’s adherence to safe child birth checklistpractices (based on 240 observations per pause point during baseline and endline in intervention and control facilities)

From: Effectiveness of the WHO SCC on improving adherence to essential practices during childbirth, in resource constrained settings

Practices Intervention P value Comparison P value P value
Base line End line Baseline Vs Endline in Intervention Base line End line Baseline Vs Endline in Comparison DID modeling-Logistic regression
On Admission
 Assessment and appropriate referral 2 % 88 % <0.001 3 % 7 % 0.036 < 0.001
 Partograph used 13 % 52 % < 0.001 8 % 0 % < 0.001 < 0.001
 Appropriate Maternal Infection management 0 % 76 % < 0.001 2 % 8 % 0.008 < 0.001
 preeclampsia management 35 % 74 % < 0.001 14 % 15 % 0.365 .001
 HIV tested 16 % 56 % < 0.001 32 % 29 % 0.314 < 0.001
 Companion briefed on danger sign 2 % 66 % < 0.001 4 % 8 % 0.042 < 0.001
 Appropriate hand hygiene 2 % 21 % < 0.001 0 % 3 % 0.038 0.994
Just Before Pushing (or Before Cesarean)
 Appropriate hand hygiene 2 % 18 % < 0.001 0 % 5 % < 0.001 0.972
 Oxytocin in one min of delivery 24 % 88 % < 0.001 32 % 49 % < 0.001 < 0.001
 Cord cut with sterile blade /scissor 8 % 47 % < 0.001 17 % 32 % < 0.001 0.008
 Assessment of baby breathing in one minute. 95 % 97 % 0.21 94 % 95 % 0.179 0.702
 Appropriate NB thermal management 4 % 98 % < 0.001 16 % 75 % < 0.001 < 0.001
 Appropriate NB Resuscitationa 41 % 83 % < 0.001 29 % 30 % 0.623 0.026
 briefing for birth helper in EM 10 % 78 % < 0.001 15 % 32 % < 0.001 0.008
Soon After Birth(within 1 h)
 Blood loss assessed in mother 35 % 91 % < 0.001 49 % 68 % < 0.001 < 0.001
 Appropriate maternal infection management 1 % 74 % < 0.001 3 % 1 % 0.313 < 0.001
 NB Assessed for antibiotics 1 % 43 % < 0.001 4 % 4 % 0.027 < 0.001
 Birth Weight taken 99 % 98 % 0.284 85 % 78 % 0.026 0.665
 Initiated breastfeeding in One hour of birth 34 % 86 % < 0.001 43 % 46 % 0.224 < 0.001
 Skin to skin contact with mother 13 % 37 % < 0.001 2 % 22 % < 0.001 0.104
 Companion briefed on danger sign (M&NB) 4 % 52 % < 0.001 3 % 5 % 0.176 < 0.001
Before Discharge
 Appropriate maternal blood loss assessment 9 % 70 % < 0.001 3 % 40 % < 0.001 0.694
 Appropriate maternal infection management 0 % 72 % < 0.001 2 % 3 % 0.539 < 0.001
 Appropriate NB Infection management 0 % 58 % < 0.001 0 % 2 % 0.043 < 0.001
 NB feeding assessment 13 % 81 % < 0.001 11 % 12 % 0.834 .001
 Follow up advise to mother 0 % 54 % < 0.001 4 % 10 % 0.009 .002
 FP options discussed 5 % 43 % < 0.001 14 % 8 % 0.067 .003
 Discharge counselling on danger sign 0 % 47 % < 0.001 0 % 6 % < 0.001 .167
  1. aThis practice is on observation of less number (baseline intervention = 46, endline control = 101, baseline control = 38, endline control = 46)