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Table 3 Observed essential newborn care practices adjusted for health facility

From: Effectiveness of clinical training on improving essential newborn care practices in Bossaso, Somalia: a pre and postintervention study

 Pre-InterventionPost-InterventionDifferenceAdjusted Odds Ratio (GEE)p-value (GEE)
n/N% (95% CI)n/N% (95% CI)% (95% CI)% (95% CI)
Early initiation of breastfeeding74/24630.1(8.8, 61.4)221/26483.7(59.4, 98.6)53.6(46.4, 60.9)10.6 (1.6, 69.8)0.014
Thermal carea21/2468.5 (0.0, 21.3)190/26472.0 (59.4, 86.1)63.4 (57.0, 69.9)28.4 (8.0, 100.9)< 0.001
Clean childbirth practices b6/2462.4 (0.0, 21.3)70/26426.5 (7.9, 46.9)24.1 (18.4, 29.7)11.1 (2.6, 46.6)0.001
Newborns received at least two ENC practices c49/24619.9 (4.9, 39.7)250/26494.7 (87.7, 100)74.8 (69.1, 80.5)64.5 (15.8, 262.6)< 0.001
Newborns received three ENC practices d2/2460.8 (0.0, 1.7)162/26461.4 (37.8, 77.0)60.6 (54.6, 66.5)220.0 (33.7, 1443.0)< 0.001
Newborn that needed resuscitation34/24613.8 (8.3, 22.0)16/2646.1 (4.4, 8.3)−7.8(−13.3, −2.3)0.4 (0.2, 1.0)0.057
Newborns who started breathing after stimulation23/23100%00 
Newborns who started breathing after bag & mask resuscitation11/11100%16/16100% 
  1. a Newborn received all three thermal care practices: immediate drying, skin-to-skin contact, delayed bathing while in the facility
  2. b Hygienic childbirth practices all five adhered: visibly clean delivery bed, handwashing of attendant, gloves wore by attendant, use of sterile delivery kit, and dry cord care
  3. c Newborn received two out of these three practices: skin-to-skin contact, early initiation of breastfeeding, dry cord care
  4. d Newborn received all three practices: skin-to-skin contact, early initiation of breastfeeding, dry cord care
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