Table 5.

Analysis of covariance of follow-up WHOQOL-BREF mean scores

Domain	Statistic	WHOQOL-BREF score at baseline	District (vs urban Freetown)		Cadre (vs registered nurse/midwives)				CEmOC vs BEmOC
			Rural Freetown	Bo	Middle-grade staff	MCHA/SECHN	Untrained staff	Support staff
Physical health (n=145)	Coefficient (95% CI)	0.52 (0.4–0.7)	−3.79 (−8.5 to 0.9)	0.88 (−2.8 to 4.6)	0.82 (−6.3,7.9)	−0.27 (−5.5 to 5.0)	−2.8 (−9.0 to 3.5)	−13.0 (−22.4 to –3.6)	−0.66 (−4.6 to 3.2)
Psychological well-being (n=152)	Coefficient (95% CI)	0.29 (0.1–0.5)	−1.19 (−5.8 to 3.5)	1.06 (−2.8 to 4.9)	0.26 (−7.0 to 7.6)	1.44 (−3.9 to 6.7)	−4.17 (−10.5 to 2.1)	−4.4 (−14.6 to 5.8)	−1.04 (−4.8 to 2.8)
Social relationships (n=147)	Coefficient (95% CI)	0.28 (0.1–0.4)	−4.52 (−10.3 to 1.2)	−0.52 (−5.2 to 4.2)	−0.64 (−9.7 to 8.4)	−2.30 (−8.8 to 4.2)	−5.2 (−13.0 to 2.6)	−14.4 (−26.2 to –2.6)	0.57 (−4.1 to 5.3)
Environment (n=148)	Coefficient (95% CI)	0.64 (0.5–0.8)	−1.47 (−5.7 to 2.8)	−0.15 (−3.6 to 3.3)	−0.10 (−6.8 to 6.6)	0.14 (−4.7 to 5.0)	−0.85 (−6.6 to 4.9)	−6.31 (−15.0 to 2.4)	2.05 (−1.5 to 5.6)
WHOQOL-BREF (n=149)	Coefficient (95% CI)	0.59 (0.4–0.7)	−3.22 (−6.9 to 0.5)	0.50 (−2.5 to 3.5)	0.07 (−5.6 to 5.8)	−0.43 (−4.6 to 3.7)	−3.1 (−8.1 to 1.8)	−9.92 (–17.9 to –1.9)	0.18 (−2.9 to 3.3)

BEmOC, basic emergency obstetric care; CEmOC, comprehensive emergency obstetric care; MCHA, Maternal and Child Health Aide; SECHN, State Enrolled Community Health Nurses; WHOQOL, World Health Organisation Quality of Life.