TABLE 4.
Changes in Utilization of MCH Services, Northern Province
| Variables | March and April 2019 | March and April 2020 | Change | P value | ||
|---|---|---|---|---|---|---|
| Utilization rate* | SD | Utilization rate | SD | |||
| ANC-related indicators | ||||||
| ANC new registrations | 1.01 | 0.13 | 0.89 | 0.08 | −0.123 | 0.021† |
| ANC first standard visit | 0.53 | 0.11 | 0.45 | 0.04 | −0.072 | 0.069 |
| ANC fourth standard visit | 0.38 | 0.12 | 0.34 | 0.07 | −0.038 | 0.387 |
| ANC TT 1 given | 0.34 | 0.05 | 0.32 | 0.03 | −0.017 | 0.317 |
| ANC TT 2 to 5 given | 0.73 | 0.14 | 0.67 | 0.08 | −0.060 | 0.247 |
| ANC new registrations full course of iron and folic acid supplements | 0.96 | 0.15 | 0.85 | 0.09 | −0.103 | 0.073 |
| ANC new registrations tested for anemia | 0.69 | 0.14 | 0.62 | 0.15 | −0.063 | 0.353 |
| Indicators related to deliveries at health facility | ||||||
| Deliveries at health facility | 0.89 | 0.09 | 0.77 | 0.11 | −0.125 | 0.011† |
| Mothers in labor referred to higher level for delivery | 0.16 | 0.06 | 0.16 | 0.06 | 0.005 | 0.836 |
| Live births | 0.89 | 0.08 | 0.77 | 0.11 | −0.123 | 0.011† |
| PNC-related indicators | ||||||
| PNC 1 visit: baby | 0.82 | 0.09 | 0.74 | 0.10 | −0.081 | 0.074 |
| PNC 1 visit: mother | 0.84 | 0.10 | 0.76 | 0.11 | −0.084 | 0.093 |
| PNC 4 visit: baby | 0.46 | 0.06 | 0.53 | 0.14 | −0.076 | 0.14 |
| PNC 4 visit: mother | 0.47 | 0.06 | 0.53 | 0.14 | −0.067 | 0.189 |
| Indicators related to childhood vaccinations | ||||||
| BCG | 0.95 | 0.12 | 0.84 | 0.11 | −0.110 | 0.044† |
| Polio Zero_P0 | 0.90 | 0.11 | 0.79 | 0.11 | −0.108 | 0.041† |
| Polio 1 | 0.92 | 0.11 | 0.81 | 0.11 | −0.116 | 0.031† |
| Polio 2 | 0.90 | 0.12 | 0.82 | 0.10 | −0.084 | 0.109 |
| Polio 3 | 0.90 | 0.11 | 0.83 | 0.10 | −0.069 | 0.146 |
| IPV | 0.89 | 0.11 | 0.83 | 0.10 | −0.067 | 0.159 |
| DTP_HepB_Hib1 | 0.92 | 0.12 | 0.81 | 0.11 | −0.115 | 0.033† |
| DTP_HepB_Hib2 | 0.90 | 0.12 | 0.82 | 0.10 | −0.083 | 0.115 |
| DTP_HepB_Hib3 | 0.89 | 0.11 | 0.83 | 0.10 | −0.066 | 0.170 |
| Pneumococcus 1 | 0.92 | 0.11 | 0.81 | 0.11 | −0.115 | 0.032† |
| Pneumococcus 2 | 0.90 | 0.12 | 0.82 | 0.10 | −0.082 | 0.118 |
| Pneumococcus 3 | 0.89 | 0.10 | 0.83 | 0.10 | −0.068 | 0.144 |
| Rotavirus 1 | 0.92 | 0.11 | 0.81 | 0.11 | −0.115 | 0.033† |
| Rotavirus 2 | 0.90 | 0.12 | 0.82 | 0.10 | −0.083 | 0.114 |
| Measles + rubella 1 | 0.91 | 0.10 | 0.90 | 0.12 | −0.007 | 0.888 |
| Measles + rubella 2 | 0.87 | 0.07 | 0.86 | 0.11 | −0.005 | 0.902 |
* The reported utilization rate is the average utilization of each service across the five districts in the Northern Province.
† Significant at P = 0.05.
MCH = maternal and child health; SD = standard deviation; ANC = antenatal care; TT = tetanus toxoid; PNC = postnatal care; BCG = bacille Calmette-Guérin; IPV = inactivated polio vaccine; DTP = diphtheria; HepB = hepatitis B; Hib = hemophilus influenza.