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. 2020 May 15;10(5):e033356. doi: 10.1136/bmjopen-2019-033356

Table 4.

Impact of the free maternal healthcare policy on infant mortality: Kernel-based propensity score matching with the difference in differences analysis using modified Poisson with robust SE

Sensitivity analysis based on different model specification
Modified Poisson
model: clustering, weighting and stratification were adjusted
Cox-proportional hazard model: clustering, weighting and stratification were adjusted Logistic regression
model: clustering, weighting and stratification were adjusted
Probit regression
model: clustering, weighting and stratification were adjusted
Modified Poisson
model: clustering, weighting and stratification were adjusted
No Kernel matching with PSM With Kernel matching with PSM With Kernel matching PSM With Kernel matching with PSM With Kernel matching with PSM ATET weighting using PSM-IPTW ATE weighting using PSM
aRR (95% CI) aRR (95% CI) aHR (95% CI) aOR (95% CI) β (95% CI) aRR (95% CI) aRR (95% CI)
Time
 Baseline: 2008 ref ref ref ref ref ref ref
 End-line: 2014 0.79*** (0.73 to 0.86) 0.62*** (0.48 to 0.8) 0.62*** (0.49 to 0.78) 0.45*** (0.35 to 0.58) −0.45*** (−0.59 to 0.32) 0.64*** (0.53 to 0.78) 0.77** (0.64 to 0.91)
Intervention
 No FMHCP ref ref ref ref ref ref ref
 FMHCP 0.72*** (0.62 to 0.84) 0.87 (0.74 to 1.03) 0.89 (0.77 to 1.04) 0.86 (0.72 to 1.02) −0.09 (−0.19 to 0.01) 0.84* (0.74 to 0.96) 0.83*** (0.76 to 0.92)
 Time*FMHCP 0.49*** (0.39 to 0.61) 0.46*** (0.36 to 0.59) 0.45*** (0.35 to 0.57) 0.43*** (0.33 to 0.56) −0.49*** (−0.64 to 0.34) 0.48*** (0.37 to 0.6) 0.55** (0.39 to 0.77)
Sex of household head
 Male ref ref ref ref ref ref ref
 Female 0.88* (0.78 to 0.98) 0.75** (0.61 to 0.92) 0.81* (0.68 to 0.98) 0.96 (0.79 to 1.17) −0.02 (−0.13 to 0.09) 0.87 (0.74 to 1.02) 0.88 (0.75 to 1.02)
Mothers’ current age
 <18 years ref ref ref ref ref ref ref
 18–34 years 0.49*** (0.41 to 0.58) 0.49*** (0.37 to 0.66) 0.86 (0.65 to 1.14) 3.1*** (2.2 to 4.38) 0.63*** (0.44 to 0.81) 0.49*** (0.38 to 0.63) 0.59*** (0.46 to 0.75)
 35+ 0.49*** (0.4 to 0.59) 0.47*** (0.33 to 0.66) 0.95 (0.69 to 1.31) 5.74*** (3.92 to 8.4) 0.96*** (0.75 to 1.17) 0.46*** (0.35 to 0.61) 0.52*** (0.39 to 0.68)
Place of residence
 Urban ref ref ref ref ref ref ref
 Rural 1.16** (1.05 to 1.29) 1.2 (0.96 to 1.5) 1.19 (0.97 to 1.46) 1.18 (0.96 to 1.45) 0.09 (−0.03 to 0.2) 1.14 (0.96 to 1.36) 1.13 (0.89 to 1.45)
Wealth quintile
 Poorest ref ref ref ref ref ref ref
 Poorer 1.02 (0.92 to 1.12) 1.01 (0.87 to 1.17) 1 (0.87 to 1.15) 0.97 (0.81 to 1.16) −0.02 (−0.12 to 0.08) 1.04 (0.91 to 1.18) 0.99 (0.86 to 1.15)
 Middle 0.88* (0.79 to 0.98) 0.92 (0.77 to 1.11) 0.95 (0.8 to 1.12) 0.99 (0.8 to 1.23) −0.01 (−0.13 to 0.11) 0.92 (0.79 to 1.07) 0.93 (0.78 to 1.11)
 Richer 0.86* (0.75 to 0.99) 0.91 (0.7 to 1.19) 0.95 (0.74 to 1.21) 0.93 (0.68 to 1.28) −0.03 (−0.2 to 0.14) 0.89 (0.72 to 1.09) 0.8* (0.64 to 1)
 Richest 0.69*** (0.57 to 0.82) 0.78 (0.54 to 1.12) 0.81 (0.58 to 1.13) 0.8 (0.57 to 1.11) −0.14 (−0.32 to 0.05) 0.68** (0.52 to 0.89) 0.73 (0.5 to 1.06)
Household size
 1–4 ref ref ref ref ref ref ref
 5–7 0.43*** (0.39 to 0.47) 0.45*** (0.38 to 0.52) 0.52*** (0.45 to 0.59) 0.54*** (0.45 to 0.65) −0.34*** (−0.44 to 0.24) 0.46*** (0.4 to 0.52) 0.43*** (0.37 to 0.5)
 8+ 0.35*** (0.32 to 0.39) 0.4*** (0.34 to 0.48) 0.46*** (0.39 to 0.54) 0.43*** (0.35 to 0.52) −0.45*** (−0.55 to 0.34) 0.42*** (0.36 to 0.49) 0.38*** (0.33 to 0.45)
Access to improved water
 Improved ref ref ref ref ref ref ref
 Unimproved 1.05 (0.96 to 1.16) 1.03 (0.89 to 1.19) 1.02 (0.89 to 1.17) 1.02 (0.88 to 1.17) 0 (−0.07 to 0.08) 0.99 (0.86 to 1.15) 1.05 (0.9 to 1.22)
Access to an improved toilet facility
 Improved, not shared ref ref ref ref ref ref ref
 Improved, shared 0.87* (0.78 to 0.97) 0.94 (0.79 to 1.1) 0.94 (0.81 to 1.09) 0.82* (0.69 to 0.97) −0.11* (−0.2 to 0.01) 0.97 (0.83 to 1.13) 0.94 (0.78 to 1.13)
 Unimproved 0.88** (0.81 to 0.96) 0.92 (0.8 to 1.05) 0.93 (0.82 to 1.05) 0.88 (0.75 to 1.02) −0.07 (−0.15 to 0.02) 0.93 (0.82 to 1.05) 0.92 (0.79 to 1.06)
Mothers’ education
 None ref ref ref ref ref ref ref
 Primary 0.9* (0.82 to 0.99) 0.82* (0.7 to 0.97) 0.82** (0.71 to 0.95) 0.69*** (0.58 to 0.83) −0.21*** (−0.31 to 0.11) 0.81** (0.71 to 0.93) 0.89 (0.76 to 1.03)
 JHS 0.88* (0.78 to 0.98) 0.83 (0.67 to 1.02) 0.77** (0.64 to 0.94) 0.54*** (0.43 to 0.67) −0.35*** (−0.47 to 0.24) 0.82* (0.69 to 0.97) 0.87 (0.73 to 1.03)
 Secondary or higher 0.7** (0.56 to 0.89) 0.78 (0.53 to 1.17) 0.71 (0.48 to 1.04) 0.38*** (0.24 to 0.58) −0.55*** (−0.78 to 0.31) 0.78 (0.53 to 1.14) 0.69 (0.43 to 1.11)
Birth order
 1st birth ref ref ref ref ref ref ref
 2nd birth 1.03 (0.93 to 1.15) 0.86 (0.72 to 1.03) 0.77** (0.65 to 0.91) 0.6*** (0.5 to 0.73) −0.27*** (−0.38 to 0.17) 0.94 (0.82 to 1.08) 0.84* (0.71 to 1)
 3rd birth 1.2** (1.05 to 1.37) 1.13 (0.91 to 1.4) 0.96 (0.79 to 1.17) 0.65*** (0.52 to 0.81) −0.24*** (−0.36 to 0.12) 1.19 (1 to 1.43) 1.08 (0.88 to 1.34)
 4th birth 1.59*** (1.42 to 1.79) 1.63*** (1.34 to 1.98) 1.25* (1.05 to 1.5) 0.7** (0.56 to 0.86) −0.2**
(−0.32 to 0.08)
1.66*** (1.42 to 1.93) 1.51*** (1.23 to 1.86)
Multiple births
 Single ref ref ref ref ref ref ref
 Multiple 4.37*** (3.86 to 4.95) 3.95*** (3.16 to 4.95) 3.57*** (2.96 to 4.3) 3.59*** (2.75 to 4.67) 0.72*** (0.57 to 0.87) 4.24*** (3.58 to 5.03) 4.43*** (3.71 to 5.29)
Household ownership of bednet
 No bednet ref ref ref ref ref ref ref
 Bednet 1.06 (0.98 to 1.14) 0.98 (0.88 to 1.09) 0.97 (0.88 to 1.08) 0.99 (0.88 to 1.12) −0.01 (−0.08 to 0.06) 0.96 (0.86 to 1.06) 0.94 (0.85 to 1.05)
Country fixed effect Adjusted Adjusted Adjusted Adjusted Adjusted Adjusted Adjusted

P value notations: ***p<0.001, **p<0.01, *p<0.05.

aHR, adjusted hazard ratio; aOR, adjusted odds ratio; aRR, adjusted relative risk; ATE, average treatment effect; ATET, average treatment effect on the treated; FMHCP, free maternal healthcare policy; IPTW, inverse probability of treatment weighting; PS, propensity scores.