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Table 4 Total adherence score and proportion of cord sepsis 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 = 13) bTrial period (N = 14)
  Intervention
n (%)
Control
n (%)
Intervention
n (%)
Control
n (%)
Diagnosis
 Diagnosis documented 5 (100.0) 8 (100.0) 2 (100.0) 12 (100.0)
Signs and symptoms
 Cord assessed for odor, pus and wetness 3 (60.00) 2 (25.0) 1 (50.0) 9 (75.0)
 Skin around cord assessed for redness 2 (40.0) 3 (37.5) 0 (0.0) 4 (33.3)
 Assessment for fever 3 (60.0) 5 (62.5) 1 (50.0) 3 (25.0)
 Heart rate, pulse rate, respiratory rate 2 (40.0) 7 (87.5) 2 (100.0) 11 (91.7)
 Abdomen palpated 0 (0.00) 2 (25.0) 2 (100.0) 5 (41.7)
 Conjunctiva or haemoglobin checked 0 (0.00) 1 (12.5) 2 (100.0) 1 (8.3)
Treatment
 Cord hygiene education given to mother 2 (40.0) 0 (0.0) 1 (50.0) 5 (41.7)
 Antibiotics given 5 (100.0) 8 (100.0) 2 (100.0) 12 (100.0)
 Monitoring of vitals 4 (80.0) 7 (87.5) 2 (100.0) 11 (91.7)
Total adherence score
 1
 2
 3 1 (12.5)
 4 1 (20.0) 1 (12.5) 1 (8.3)
 5 3 (60.0) 3 (37.5) 1 (8.3)
 6   1 (12.5) 1 (50.0) 8 (66.7)
 7 1 (20.0) 1 (12.5) 1 (8.3)
 8   1 (12.5)
 9   1 (50.0)
 10   1 (8.3)
  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