Table 3.
Immediate newborn care practices in the quality of maternal and newborn health care survey, 2010 and 2012
Regional hospitals | Health centers and dispensaries | All facilities | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
2010 N = 168 (%) | 2012 N = 317 (%) | Percent change | p-value | 2010 N = 251 (%) | 2012 N = 187 (%) | Percent change | p-value | 2010 N = 419 (%) | 2012 N = 504 (%) | Percent change | p-value | |
Immediately places newborn on the mother's abdomen | 72 (43) | 241 (76) | 33% | <0.0001 | 93 (37) | 144 (77) | 40% | <0.0001 | 165 (40) | 385 (77) | 37% | <0.0001 |
Immediately dries baby with towel | 158 (94) | 301 (95) | 1% | 0.8 | 210 (84) | 181 (97) | 13% | <0.0001 | 368 (88) | 482 (95) | 7% | 0.0001 |
Discards wet towel and covers with dry towel | 158 (94) | 304 (96) | 2% | 0.4 | 213 (85) | 181 (97) | 12% | <0.0001 | 371 (89) | 485 (96) | 6% | <0.0001 |
Cuts cord with clean blade | 168 (100) | 317 (100) | 0% | 1 | 251 (100) | 187 (100) | 0% | 1 | 419 (100) | 504 (100) | 0% | 1 |
Helps initiate breastfeeding within one hour | 67 (40) | 263 (83) | 43% | <0.0001 | 138 (55) | 163 (87) | 32% | <0.0001 | 205 (49) | 401 (80) | 31% | <0.0001 |
Ties or clamps cord when pulsations stop, or by 2–3 minutes after birth (not immediately after birth) | 123 (73) | 270 (85) | 12% | 0.001 | 183 (73) | 155 (83) | 10% | 0.01 | 306 (73) | 425 (84) | 11% | <0.0001 |
Index score for overall quality of immediate newborn care* | 49 (29) | 235 (74) | 45% | <0.0001 | 113 (45) | 135 (72) | 27% | <0.0001 | 162 (39) | 370 (73) | 34% | <0.0001 |
*The index score is based on four indicators: 1) immediately drying the newborn, 2) placing the newborn skin-to-skin, 3) cutting the umbilical cord cleanly, and 4) breastfeeding within one hour.