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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