Table 11.
Birth outcomes before and during pilot implementation by site status
| Intervention Sites (N = 9) | Comparison Sites (N = 6) | |||||||
|---|---|---|---|---|---|---|---|---|
| Indicator | Before Pilota |
During Pilotb |
% Change | Significance level of % changec | Before Pilota | During Pilotb | % Change | Significance level of % changec |
| Deliveries in health facilities | 16,410 | 16,789 | 2.3% | NA | 14,291 | 13,424 | −6.1% | NA |
| Live births in health facilities | 16,189 | 16,618 | 2.6% | NA | 14,003 | 13,196 | −5.8% | NA |
| Obstetric complications treated | 3199 | 3369 | 5.3% | NA | 3873 | 3598 | −7.1% | NA |
| Direct obstetric maternal deaths | 51 | 41 | −19.6% | NA | 74 | 64 | −13.5% | NA |
| Intrapartum stillbirths | 287 | 226 | −21.3% | NA | 294 | 231 | −21.4% | NA |
| Pre-discharge neonatal deaths | 239 | 243 | 1.7% | NA | 367 | 323 | −12.0% | NA |
| Direct obstetric case fatality rate (including deaths due to first trimester complications) | 1.6 | 1.2 | −23.7% | 0.198 | 1.9 | 1.8 | −6.9% | 0.675 |
| Institutional MMR (per 100,000 live births) | 315.0 | 246.7 | −21.7% | 0.244 | 528.5 | 485.0 | −8.2% | 0.615 |
| Intrapartum stillbirth rate per 1000 births | 17.2 | 13.1 | −23.6% | 0.003 | 19.7 | 16.6 | −15.8% | 0.046 |
| Pre-discharge neonatal death rate per 1000 live births | 14.8 | 14.6 | −1.0% | 0.916 | 26.2 | 24.5 | −6.6% | 0.370 |
Abbreviations: MMR Maternal Mortality Ratio; NA Not applicable
Source: Pregnancy Outcomes Monitoring Surveys: direct obstetric case fatality rate; facility maternal mortality ratio; intrapartum stillbirth rate; and pre-discharge neonatal mortality rate were calculated for the 2 15-month periods, in the intervention and comparison sites
a July 2016–September 2017
b October 2017–December 2018
cSignificance of the difference between the two periods was tested using two proportion z test