Table 5.
Rates of health services utilization and neonatal mortality.
| Non intervention group |
Intervention group |
Effect of the availability of the ORI |
||||||
|---|---|---|---|---|---|---|---|---|
| Before | After | Diff. | Before | After | Diff. | Adjusted absolute risk difference (95% CI) a | Adjusted Odds Ratios (95% CI)b | |
| Number (%) | Number (%) | |||||||
| Antenatal care attendance | ||||||||
| One antenatal visita at least (ANC1) | ||||||||
| Total no. | 3684 | 2250 | 2547 | 1779 | ||||
| ANC1. no. (%) | 2782 (75.5) | 1867 (82.9) | 7.5 | 1967 (77.2) | 1520 (85.4) | 8.2 | −0.05 [-011; 0.01] | 0.94 [0.68; 1.31] |
| Four antenatal visits at least (ANC4) | ||||||||
| Total no. | 908 | 2250 | 1110 | 1270 | ||||
| ANC4. no. (%) | 134 (14.8) | 1145 (50.9) | 36.1 | 225 (20.3) | 712 (56.1) | 35.8 | 0.00 [-0.05; 0.05] | 0.78 [0.58; 1.05] |
| Antenatal visit with qualified staff (ANQ) | ||||||||
| Total no. | 3684 | 2250 | 2548 | 1779 | ||||
| ANQ. no. (%) | 2293 (62.4) | 1828 (81.2) | 19.2 | 1412 (55.4) | 1500 (84.3) | 28.8 | 0.06 [0.01; 0.11] | 1.53 [1.12; 2.10]* |
| Caesarean delivery (CD) | ||||||||
| Total no. | 3684 | 2250 | 2546 | 1779 | ||||
| CD. no. (%) | 18 (0.49) | 184 (8.2) | 7.7 | 50 (1.9) | 114 (6.4) | 4.4 | −0.02 [-0.04; 0.01] | 0.42 [0.22;0.78]* |
| Postnatal care attendance (PNC) | ||||||||
| Total no. | 2924 | 2250 | 2020 | 1746 | ||||
| PNC. no. (%) | 334 (11.4) | 755 (33.6) | 22.1 | 325 (16.1) | 539 (30.9) | 14.8 | −0.01 [-0.07; 0.05] | 1.00 [0.73; 1.36] |
| Family planning (FP). use of modern contraceptives | ||||||||
| Total no. | 11348 | 7799 | 7009 | 6875 | ||||
| FP. no. (%) | 389 (3.4) | 417 (5.4) | 1.9 | 355 (5.1) | 444 (6.5) | 1.4 | −0.04 [-0.06; 0.02] | 0.42 [0.26; 0.68]* |
| Neonatal mortality | ||||||||
| Early death up to 7 days | ||||||||
| Total no. | 1624 | 2250 | 1626 | 1291 | ||||
| Early deaths. no. (%) | 49 (3.0) | 38 (1.7) | −1.3 | 35 (2.2) | 20 (1.6) | −0.6 | 0.01 [0.00; 0.02] | 1.67 [0.74; 3.80] |
| Late death up to 28 days | ||||||||
| Total no. | 1624 | 2250 | 1626 | 1291 | ||||
| Late deaths. no. (%) | 60 (3.7) | 43 (1.9) | −1.8 | 40 (2.5) | 26 (2.0) | −0.45 | 0.02 [0.01; 0.03] | 2.13 [1.00; 4.54]* |
Abbreviations: ORI: Obsteric risk insurance, Diff: difference.
a
The adjusted absolute risk difference represents adjusted differences between group-specific changes over time and was with the use of generalized linear model.
b
The adjusted odds ratios for the interaction between groups (intervention vs. non intervention) and time (before vs after the implementation of the ORI) were estimated with the use of the multivariate generalized estimating-equations extension of logistic regression models.
*
P values of less than 0.05 were considered to indicate statistical significance.