Table 4.
Process evaluation: Context
| Baseline | Endline | |||
|---|---|---|---|---|
| Intervention n (%) | Control n (%) | Intervention n (%) | Control n (%) | |
| Community based organisation activities | ||||
| Pregnant women’s group (Centre for Community Development Nepal (CCDN)) | 16 | 25 | 78 | 81 |
| Women’s group (District government Women and Children Office) | 11 | 34 | 60 | 124 |
| Health Management Committee strengthening (CCDN) | 0 | 0 | 3 | 6 |
| FCHV status | ||||
| 18–35 | 66 (46) | 110 (54) | 100 (52) | 103 (50) |
| 36–55 | 85 (49) | 102 (36) | 88 (46) | 86 (42) |
| 55 and above | 9 (5) | 21 (10) | 4 (2) | 17 (8) |
| Illiterate | 48 (28) | 59 (29) | 42 (22) | 18 (9) |
| Functioning FCHV women’s group | 133 (65) | 160 (78) | 191 (94) | 159 (77) |
| HMC status | ||||
| Received an orientation of their roles and responsibilities | 8 (38) | 7 (31) | 20 (95) | 16 (72) |
| The VDC secretary was chairperson | 11 (52) | 10 (46) | 9 (43) | 14 (64) |
| Conducted regular meetings | 7 (33) | 8 (36) | 13 (62) | 11 (50) |
| HMC had conducted a community interaction programme | 1 (5.6) | 0 (0) | 12 (57) | 6 (27) |
| Initiated at least four activities in the past year | 10 (48) | 8 (36) | 17 (80) | 16 (72) |
| HMC meetings not run because of absent members | – | – | 4 (19) | 7 (32) |
| Absence of all or some members from HMC meeting due to personal workload | 8 (38) | 8 (36) | 13 (62) | 13 (59) |
| Health workers involved in delivery services | ||||
| Doctor | 2 | 2 | 2 | 2 |
| Staff nurse | 1 | 2 | 1 | 2 |
| ANM | 17 | 20 | 33 | 33 |
| MCHW | 16 | 15 | 14 | 12 |
| Health workers with SBA training | ||||
| Staff nurse | – | – | – | 1 |
| ANM | 1 | 1 | 8 | 7 |
| MCHW | – | – | 2 | 1 |
| Vacant Posts | ||||
| Staff nurse | – | 1 | 1 | – |
| ANM | 1 | 1 | 2 | – |
| MCHW | – | 2 | – | 1 |
| Nurses on short term contracts | ||||
| ANM (DHO recruited) | 4 | 3 | 13 | 14 |
| ANM (HMC recruited) | 7 | 10 | 9 | 6 |
| Health facilities providing 24 h delivery care | 6 | 7 | 17 | 15 |
| Inj Magnesium Sulphate 2 cc/1 g (for eclampsia treatment) | 8 | 6 | 13 | 13 |
| Placenta pit | 0 | 0 | 7 | 9 |
| Private clinic or medical shop | 38 | 63 | 55 | 68 |