TABLE 5.
Changes in Utilization of MCH Services, Western 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 | 0.11 | 0.97 | 0.14 | −0.048 | 0.320 |
| ANC first standard visit | 0.40 | 0.13 | 0.41 | 0.07 | 0.014 | 0.733 |
| ANC fourth standard visit | 0.30 | 0.11 | 0.32 | 0.07 | 0.013 | 0.699 |
| ANC TT 1 given | 0.28 | 0.04 | 0.29 | 0.04 | 0.008 | 0.629 |
| ANC TT 2 to 5 given | 0.68 | 0.09 | 0.67 | 0.13 | −0.009 | 0.837 |
| ANC new registrations full course of iron and folic acid supplements | 0.93 | 0.11 | 0.93 | 0.14 | −0.001 | 0.991 |
| ANC new registrations tested for anemia | 0.70 | 0.20 | 0.76 | 0.22 | 0.058 | 0.478 |
| Indicators related to deliveries at health facility | ||||||
| Deliveries at health facility | 0.94 | 0.08 | 0.82 | 0.09 | −0.119 | 0.002† |
| Mothers in labor referred to higher level for delivery | 0.20 | 0.06 | 0.20 | 0.04 | −0.000 | 0.981 |
| Live births | 0.93 | 0.09 | 0.80 | 0.10 | −0.128 | 0.001† |
| PNC-related indicators | ||||||
| PNC 1 visit: baby | 0.86 | 0.12 | 0.80 | 0.09 | −0.058 | 0.152 |
| PNC 1 visit: mother | 0.86 | 0.12 | 0.81 | 0.09 | −0.051 | 0.199 |
| PNC 4 visit: baby | 0.48 | 0.11 | 0.55 | 0.10 | 0.070 | 0.091 |
| PNC 4 visit: mother | 0.49 | 0.12 | 0.56 | 0.09 | 0.065 | 0.116 |
| Indicators related to childhood vaccinations | ||||||
| BCG | 1.01 | 0.10 | 0.89 | 0.12 | −0.118 | 0.009† |
| Polio Zero_P0 | 0.92 | 0.11 | 0.80 | 0.12 | −0.119 | 0.009† |
| Polio 1 | 0.97 | 0.12 | 0.84 | 0.12 | −0.121 | 0.012† |
| Polio 2 | 0.97 | 0.15 | 0.84 | 0.11 | −0.132 | 0.016† |
| Polio 3 | 0.94 | 0.14 | 0.86 | 0.11 | −0.088 | 0.078 |
| IPV | 0.94 | 0.14 | 0.86 | 0.11 | −0.086 | 0.087 |
| DTP_HepB_Hib1 | 0.97 | 0.12 | 0.84 | 0.12 | −0.122 | 0.011† |
| DTP_HepB_Hib2 | 0.97 | 0.15 | 0.84 | 0.11 | −0.131 | 0.016† |
| DTP_HepB_Hib3 | 0.94 | 0.14 | 0.86 | 0.11 | −0.088 | 0.078 |
| Pneumococcus 1 | 0.97 | 0.12 | 0.84 | 0.12 | −0.121 | 0.012† |
| Pneumococcus 2 | 0.97 | 0.15 | 0.84 | 0.11 | −0.132 | 0.016† |
| Pneumococcus 3 | 0.94 | 0.14 | 0.86 | 0.11 | −0.088 | 0.078 |
| Rotavirus 1 | 0.97 | 0.12 | 0.84 | 0.12 | −0.120 | 0.012† |
| Rotavirus 2 | 0.97 | 0.15 | 0.84 | 0.11 | −0.130 | 0.017† |
| Measles and rubella 1 | 0.96 | 0.15 | 0.93 | 0.10 | −0.037 | 0.456 |
| Measles and rubella 2 | 0.93 | 0.08 | 0.87 | 0.11 | −0.058 | 0.120 |
* The reported utilization rate is the average utilization of each service across the seven districts in the Western 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.