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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-Intervention

Post-Intervention

Difference

Adjusted Odds Ratio (GEE)

p-value (GEE)

n/N

% (95% CI)

n/N

% (95% CI)

% (95% CI)

% (95% CI)

Early initiation of breastfeeding

74/246

30.1(8.8, 61.4)

221/264

83.7(59.4, 98.6)

53.6(46.4, 60.9)

10.6 (1.6, 69.8)

0.014

Thermal carea

21/246

8.5 (0.0, 21.3)

190/264

72.0 (59.4, 86.1)

63.4 (57.0, 69.9)

28.4 (8.0, 100.9)

< 0.001

Clean childbirth practices b

6/246

2.4 (0.0, 21.3)

70/264

26.5 (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 c

49/246

19.9 (4.9, 39.7)

250/264

94.7 (87.7, 100)

74.8 (69.1, 80.5)

64.5 (15.8, 262.6)

< 0.001

Newborns received three ENC practices d

2/246

0.8 (0.0, 1.7)

162/264

61.4 (37.8, 77.0)

60.6 (54.6, 66.5)

220.0 (33.7, 1443.0)

< 0.001

Newborn that needed resuscitation

34/246

13.8 (8.3, 22.0)

16/264

6.1 (4.4, 8.3)

−7.8(−13.3, −2.3)

0.4 (0.2, 1.0)

0.057

Newborns who started breathing after stimulation

23/23

100%

0

0

–

–

 

Newborns who started breathing after bag & mask resuscitation

11/11

100%

16/16

100%

–

–

 
  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