Table 4.
Post-intervention birthing practices and neonatal morbidity
| Control clusters | Intervention clusters | OR (95% CI) | p value | |
|---|---|---|---|---|
| Home births | 9238/19 984 (46%) | 8627/18 325 (47%) | 1·04 (0·82–1·34) | 0·73 |
| Facility births | 10 746/19 984 (54%) | 9698/18 325 (53%) | 0·96 (0·75–1·22) | 0·73 |
| Skilled birth attendant present | 11 150/19 984 (56%) | 9900/18 325 (54%) | 0·92 (0·72–1·18) | 0·53 |
| Presence of LHW at deliveries managed by traditional birth attendants | 55/8834 (1%) | 1184/8425 (14%) | 28·4 (14·3–56·4) | <0·0001 |
| Instrumental deliveries | 3474/19 984 (17%) | 3008/18 325 (16%) | 0·94 (0·81–1·09) | 0·42 |
| Use of clean delivery kits at home births | 1488/7723 (19%) | 4236/7698 (55%) | 6·16 (2·91–13·0) | <0·0001 |
| LHW postnatal visits | 271/18 609 (1%) | 5256/17 288 (30%) | 32·3 (15·7–66·1) | <0·0001 |
| LHW early postnatal visits | 188/18 609 (1%) | 4318/17 288 (25%) | 35·5 (17·9–70·7) | <0·0001 |
| Neonates with reported breathing problem or delayed cry at birth | 2825/19 163 (15%) | 2391/17 705 (14%) | 0·90 (0·72–1·12) | 0·34 |
| Neonates with breathing problem resuscitated by LHW | 2/2825 (<1%) | 98/2391 (4%) | 67·6 (14·2–320·5) | <0·0001 |
| Low-birthweight births | 992/10 159 (10%) | 933/10 125 (9%) | 0·96 (0·76–1·22) | 0·74 |
| Neonates with reported illness | 6626/19 163 (35%) | 5439/17 705 (31%) | 0·84 (0·61–1·14) | 0·26 |
| Care seeking for neonates with reported illness | 6137/6626 (93%) | 5037/5439 (93%) | 1·02 (0·76–1·37) | 0·89 |
| Sick neonates visited by LHW | 102/6626 (2%) | 1566/5439 (29%) | 27·2 (13·5–54·5) | <0·0001 |
| Neonates with possible infection | 5201/19 163 (27%) | 4350/17 705 (25%) | 0·87 (0·66–1·16) | 0·36 |
| Neonates with possible infection seen by LHW | 86/5201 (2%) | 1252/4350 (29%) | 25·1 (13·2–47·7) | <0·0001 |
| Neonates with possible infection managed with amoxicillin given by LHW | 19/5201 (<1%) | 707/4350 (16%) | 54·6 (21·8–137·3) | <0·0001 |
Data are n/N (%). OR=odds ratio. LHW=lady health worker.