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Table 3 Total adherence score and proportion of jaundice 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 = 35)

bTrial period (N = 54)

 

Intervention

n (%)

Control

n (%)

Intervention

n (%)

Control

n (%)

Diagnosis

 Diagnosis documented

6 (100.0)

29 (100.0)

4 (100.0)

50 (100.0)

Signs and symptoms

 Duration of jaundice stated

0 (0.0)

8 (27.6)

3 (75.0)

46 (92.0)

 Temperature checked

3 (50.0)

14 (14.3)

2 (50.0)

11 (22.0)

 Assessed for vomiting

1 (25.0)

5 (17.2)

2 (50.0)

1 (2.0)

 Assessed for episode(s) of convulsion

1 (25.0)

0 (0.0)

2 (50.0)

0 (0.0)

 Assessed for poor feeding

3 (60.0)

3 (10.3)

2 (50.0)

21 (42.0)

 Assessed for excessive crying

1 (25.0)

2 (6.9)

1 (25.0)

28 (56.0)

 Assessed for hypotonia

0 (0.0)

0 (0.0)

0 (0.0)

2 (4.0)

Investigation

 Full blood count done

2 (33.3)

26 (89.7)

2 (50.0)

49 (98.0)

 Blood grouping checked

0 (0.0)

22 (75.9)

1 (25.0)

49 (98.0)

 Serum bilirubin checked

0 (0.0)

21 (72.4)

1 (25.0)

49 (98.0)

 Samples for blood cultures taken

0 (0.0)

 8 (27.6)

1 (25.0)

47 (94.0)

 Samples for G6PD deficiency screen taken

0 (0.0)

18 (62.1)

0 (0.0)

49 (98.0)

Treatment

 Phototherapy given or sunbath advised

4 (66.7)

27 (93.1)

1 (25.0)

50 (100.0)

Total adherence score

 1

1 (16.7)

–

–

–

 2

1 (16.7)

1 (3.5)

1 (25.0)

–

 3

1 (16.7)

2 (6.9)

–

–

 4

2 (33.3)

1 (3.5)

1 (25.0)

1 (2.0)

 5

 

4 (13.8)

1 (25.0)

–

 6

 

7 (24.1)

–

–

 7

1 (16.7)

5 (17.2)

–

–

 8

 

7 (24.1)

–

13 (26.0)

 9

 

2 (6.9)

–

19 (38.0)

 10

 

–

–

14 (28.0)

 11

 

–

1 (25.0)

3 (6.0)

  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