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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