Table 5.
Validation Results for Non indicated Childbirth Care Practice Quality indicators in Northern Ethiopia (N = 455)
| Indicators | Women’s reported prevalence (%) | True prevalence (%) | Sensitivity of women’s self-report (95% CI) | Specificity of women’s self-report (95% CI) | Population survey estimate (Pr) | AUC (95% CI) | IF | Criteria Met |
|---|---|---|---|---|---|---|---|---|
| Stretching of perineum during second stage of labor | 14.51 | 13.63 | 33.87(22.33–47.00) | 87.02(83.29–90.18) | 15.83 | 0.60(0.56–0.65) | 1.16 | Both |
| Episiotomy performed without indication | 25.49 | 24.62 | 37.5(28.53–47.15) | 76.68(71.84–81.05) | 26.82 | 0.60(0.55–0.65) | 1.09 | Both |
| Apply fundal pressure to hasten delivery | 6.15 | 4.18 | 57.89(33.50–79.74) | 95.18(92.73–96.99) | 7.04 | 0.76(0.72–0.80) | 1.68 | AUC |
| Artificial rupture of membrane | 6.59 | 5.27 | 41.67(22.11–63.35) | 93.04(90.21–95.25) | 8.79 | 0.67(0.62–0.71) | 1.67 | AUC |
| Restriction of foods and fluids | 14.95 | 7.69 | 37.14(21.47–55.08) | 85.48(81.74–88.70) | 16.26 | 0.64(0.61–0.69) | 2.11 | AUC |
| Digital vaginal examination less than four hours frequency | 22.64 | 17.36 | 51.90(40.36–63.29) | 80.32(75.93–84.22) | 25.27 | 0.67(0.62–0.71) | 1.46 | AUC |
| Routine intravenous fluid infusion for all laboring women | 31.65 | 15.82 | 72.22(60.41–82.14) | 75.46(70.83–79.69) | 32.09 | 0.74(0.69–0.78) | 2.03 | AUC |
| Hold newborn upside down | 3.96 | 4.62 | 33.87(22.33–47.00) | 87.02(83.29–90.18) | 13.95 | 0.55(0.50–0.60) | 3.02 | No |
Notes: True prevalence indicates observers’ prevalence
Criteria Met - Indicator met either both AUC and IF, AUC only or IF only after validation analysis done
IF Inflation factor, AUC Area under receiver operating characteristic curve