Table 2.
Quality of training received by health workers, by study group and survey round
| Baseline | Endline | DIDa (95% CI) | |||
|---|---|---|---|---|---|
| Nutrition‐focused MNCH | Standard MNCH | Nutrition‐focused MNCH | Standard MNCH | ||
| n = 105 | n = 111 | n = 111 | n = 110 | ||
| Mean ± SD (%) | Mean ± SD (%) | Mean ± SD (%) | Mean ± SD (%) | ||
| Ever received basic training on maternal nutrition | 79.8 | 87.4 | 97.3 | 91.8 | 13.0 (−8.47, 34.5) |
| Attended monthly refresher training | 66.7 | 80.6 | 100.0 | 100.0 | 14.1 (−16.5, 44.6) |
| Time from last refresher training received (months) | 0.47 ± 0.37 | 0.31 ± 0.32 | 0.6 ± 0.6 | 1.2 ± 3.0 | −0.71 (−1.28, −0.14) |
| Topics discussed at the last full training | |||||
| Current situation of maternal health/nutrition and breastfeeding | 41.7 | 40.2 | 49.1 | 51.5 | −4.57 (−34.6, 25.5) |
| Importance of maternal nutrition and breastfeeding | 34.5 | 47.4 | 44.4 | 47.5 | 9.37 (−19.5, 38.3) |
| Counselling approach | 51.2 | 55.7 | 61.1 | 44.6 | 20.6 (−13.5, 54.6) |
| Preparing diet chart and calculating food budget | 32.1 | 25.8 | 70.4 | 12.9 | 51.7 (15.9, 87.5) |
| How to measure and record weight of the pregnant women | 25.0 | 20.6 | 68.5 | 7.9 | 56.0 (29.8, 82.3) |
| Counting and recording of IFA and calcium tablet consumption | 39.3 | 29.9 | 67.6 | 11.9 | 46.4 (27.7, 65.2) |
| How to engage husbands and other family members | 16.7 | 8.3 | 25.0 | 7.9 | 8.65 (−13.0, 30.3) |
| Technique of counselling breastfeeding issue | 33.3 | 35.1 | 40.7 | 35.6 | 6.25 (−21.9, 34.4) |
| How to express breast milk | 16.7 | 19.6 | 31.5 | 23.8 | 10.3 (−15.0, 35.6) |
| Early initiation of breastfeeding | 31.0 | 35.1 | 44.4 | 38.6 | 9.49 (−14.2, 33.2) |
Note. CI = confidence interval; DID = difference‐in‐difference; IFA = iron and folic acid; MNCH = maternal, neonatal, and child health.
a
Difference‐in‐difference impact estimate between baseline and endline adjusted for clustering effect at district and subdistrict levels.