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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