Table 1.
Parameter estimates for effect of FCP on rates of overall clinic visits, visits for pneumonia, institutional deliveries and first dose of diphtheria-tetanus-pertussis vaccinations in the Equateur province, DRC, from January 2017 to January 2019
| Overall clinic visits | Pneumonia diagnosis | Institutional deliveries | DTP first dose | |||||||||
| IRR/Est | P value | 95% CI | IRR/Est | P value | 95% CI | IRR/Est | P value | 95% CI | IRR/Est | P value | 95% CI | |
| Effect of FCP | ||||||||||||
| Immediate difference between facilities in intervention areas vs control (level) | ||||||||||||
| EVD and FCP | 2.7 | <0.001 | 2.2 to 3.2 | 2.1 | <0.001 | 1.5 to 2.9 | 1.3 | 0.004 | 1.1 to 1.5 | 1.3 | 0.09 | 0.96 to 1.8 |
| FCP only | 2.7 | <0.001 | 2.2 to 3.1 | 4.1 | <0.001 | 2.9 to 5.9 | 1.2 | 0.01 | 1.0 to 1.4 | 1.2 | 0.06 | 0.99 to 1.5 |
| Gradual difference between facilities in intervention areas vs control (slope) | ||||||||||||
| EVD and FCP | 0.91 | 0.003 | 0.86 to 0.97 | 1.0 | 0.94 | 0.90 to 1.1 | 1.0 | 0.83 | 0.96 to 1.1 | 0.99 | 0.80 | 0.90 to 1.1 |
| FCP only | 0.90 | <0.001 | 0.85 to 0.95 | 0.79 | <0.001 | 0.71 to 0.87 | 0.99 | 0.75 | 0.94 to 1.1 | 0.99 | 0.78 | 0.93 to 1.1 |
| Post-FCP | ||||||||||||
| Immediate difference between facilities in intervention areas vs control (level) | ||||||||||||
| EVD and FCP | 0.79 | 0.02 | 0.65 to 0.96 | 0.58 | 0.001 | 0.42 to 0.81 | 0.87 | 0.10 | 0.73 to 1.0 | 1.2 | 0.38 | 0.84 to 1.6 |
| FCP only | 0.82 | 0.05 | 0.68 to 1.0 | 0.77 | 0.16 | 0.54 to 1.1 | 0.90 | 0.21 | 0.76 to 1.1 | 1.0 | 0.77 | 0.83 to 1.3 |
| Gradual difference between facilities in intervention areas vs control (slope) | ||||||||||||
| EVD and FCP | 1.0 | 0.26 | 0.97 to 1.1 | 1.0 | 0.75 | 0.89 to 1.2 | 1.0 | 1.0 | 0.93 to 1.1 | 0.97 | 0.71 | 0.85 to 1.1 |
| FCP only | 1.1 | 0.12 | 0.98 to 1.2 | 1.3 | <0.001 | 1.1 to 1.5 | 1.0 | 0.53 | 0.95 to 1.1 | 1.0 | 0.84 | 0.92 to 1.1 |
| Effect of FCP: absolute change compared to pre-EVD | ||||||||||||
| EVD and FCP | 65.3 | 46.7 to 91.3 | 5.8 | 3.4 to 10.1 | 0.69 | 0.53 to 0.89 | 0.41 | 0.29 to 0.57 | ||||
| FCP only | 48.4 | 35.5 to 65.9 | 6.6 | 3.8 to 11.3 | 0.50 | 0.37 to 0.68 | 0.24 | 0.19 to 0.30 | ||||
DRC, The Democratic Republic of Congo; DTP, diphtheria-pertussis-tetanus vaccine; Est, estimate of absolute change per 1000 catchment population; EVD, Ebola virus disease; FCP, free care policy; IRR, incidence rate ratio.