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 |