Table 5.
Propensity score matching analysis on the effect of a continuum of care in maternal health services on perinatal death Benishangul Gumuz Region, Northwest Ethiopia 2021
| Factors | Perinatal death | ATE | ATET | |||
|---|---|---|---|---|---|---|
| No | Yes | β 95% CIa | P-value | β 95% CIa | P-value | |
| I. Continuity of care in maternal health services via time dimension | ||||||
| First ANC services | ||||||
| No received | 152 (83.1) | 31 (16.9) | ||||
| Received | 1818 (96.6) | 64 (3.4) | − 0.14 (− 0.21, − 0.08) | P < 0.001 | − 0.14 (− 0.21, − 0.07) | P < 0.001 |
| Fourth ANC services | ||||||
| Discontinued | 561 (91.4) | 53 (8.6) | ||||
| Completed care | 1409 (97.1) | 42 (2.9) | − 0.05 (− 0.07, − 0.02) | P < 0.001 | − 0.05 (− 0.08, − 0.02) | P < 0.001 |
| Delivery care services | ||||||
| Unskilled delivery | 736 (93.8) | 49 (6.2) | ||||
| Skilled delivery | 1234 (96.4) | 46 (3.6) | − 0.04 (− 0.06, − 0.01) | P = 0.002 | − 0.04 (− 0.07, − 0.01) | P = 0.006 |
| Continuity of care for both 4th ANC and skilled delivery | ||||||
| Discontinuity of services | 945 (93.8) | 64 (6.2) | ||||
| Completion of the services | 1025 (96.9) | 31 (3.1) | − 0.04 (− 0.06, − 0.02) | P < 0.001 | − 0.04 (− 0.07, − 0.02) | P = 0.001 |
| Completion of continuity of maternal health services (ANC, SD, and PNC) | ||||||
| Discontinuity of COC | 1258 (94.3) | 76 (5.7) | ||||
| Completion of a COC | 712 (97.4) | 19 (2.6) | − 0.03 (− 0.05, − 0.01) | P = 0.002 | − 0.03 (− 0.05, − 0.01) | P = 0.001 |
| II. Continuity of care for key maternal health services | ||||||
| Continuity of key services of ANC package | ||||||
| Discontinuity of key services | 855 (92.5) | 69 (7.5) | ||||
| Completion of key services | 1115 (97.7) | 26 (2.3) | − 0.05 (− 0.07, − 0.02) | P < 0.001 | − 0.05 (− 0.07, − 0.03) | P < 0.001 |
| Continuity of key services of PNC package | ||||||
| Discontinuity of key services | 967 (91.8) | 86 (8.2) | ||||
| Completion of key services | 1003 (99.1) | 9 (0.9) | − 0.07 (− 0.09, − 0.05) | P < 0.001 | − 0.07 (− 0.09, − 0.05) | P < 0.001 |
| Continuity of key services of all key services of the MHS package | ||||||
| Discontinuity of key services | 1211 (93.3) | 87 (6.7) | ||||
| Completion of key services | 759 (99.0) | 8 (1.0) | − 0.05 (− 0.07, − 0.03) | P < 0.001 | − 0.05 (− 0.07, − 0.04) | P < 0.001 |
| III. Continuity of care for maternal health services via space dimension | ||||||
| Discontinuity of care | 1168 (93.7) | 79 (6.3) | ||||
| Completion of a COC | 802 (98.0) | 16 (2.0) | − 0.03 (− 0.05, − 0.01) | P = 0.001 | − 0.03 (− 0.04, − 0.01) | P = 0.003 |
The bold values indicate statistically significant association (p < 0.05)
aAdjusted for a place of residence, educational status, occupational status, household wealth index, and distance of health facility