Skip to main content

Table 2 Total adherence score and proportion of asphyxia protocol items adhered to before and during intervention implementation

From: Can an mhealth clinical decision-making support system improve adherence to neonatal healthcare protocols in a low-resource setting?

Protocol item aPre-trial period (N = 75) bTrial period (N = 66)
  Intervention
n (%)
Control
n (%)
Intervention
n (%)
Control
n (%)
Diagnosis
 Diagnosis documented 8 (100.0) 66 (98.5) 14 (93.3) 51 (100.0)
Signs and symptoms
 Description of difficulty in breathing 0 (0.0) 14 (20.9) 7 (46.7) 16 (32.0)
 Heart rate neonate recorded 0 (0.0) 5 (7.5) 4 (26.7) 48 (94.1)
 Tachycardia 0 (0.0) 11 (16.4) 4 (26.7) 48 (94.1)
 Respiratory rate 0 (0.0) 45 (67.2) 5 (33.3) 48 (94.1)
 Colour of baby 0 (0.0) 25 (37.3) 5 (33.3) 45 (88.2)
 APGAR scores written 8 (100.0) 63 (94.0) 14 (93.3) 48 (94.1)
 Liquor assessed for meconium staining 2 (25.0) 21 (31.3) 4 (26.7) 8 (15.7)
Treatment
 Airway of neonate cleared through suction 1 (12.5) 42 (62.7) 4 (26.7) 14 (27.5)
 Warmth provided (using incubator or wrapping) 7 (87.5) 43 (64.2) 2 (13.3) 43 (84.3)
 Oxygen given / Bag and mask resuscitation 5 (62.5) 55 (82.1) 9 (60.0) 49 (96.1)
Total adherence score
 1 1 (6.7)
 2 3 (4.5) 3 (20.0) 1 (2.0)
 3 2 (25.0) 6 (9.0) 3 (20.0) 2 (3.9)
 4 5 (62.5) 7 (10.5) 1 (6.7)
 5 1 (12.5) 10 (14.9) 3 (20.0)
 6 14 (20.9)
 7 13 (19.4) 3 (5.9)
 8 13 (19.4) 23 (45.1)
 9 1 (1.5) 3 (20.0) 15 (29.4)
 10 1 (6.7) 7 (13.73)
  1. aThere were 2290 and 4440 deliveries in the intervention and control arm respectively in the pre-trial period
  2. bThere were 2494 and 5425 deliveries in the intervention and control arm respectively in the trial period