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Table 3 De-identified change in performance indicators in all functional hospitals of Antigua and Barbuda, St Kitts and Nevis, St Vincent and Grenadines and Dominica, before and after United States Agency for International Development Applying Science to Strengthen and Improve Systems (USAID ASSIST) Project Zika response with partnership by the American Academy of Pediatrics (AAP). Performance data were collected and entered into a web-based improvement indicator database, allowing performance tracking over time at the facility, district, and national levels in run charts that were evaluated by statistical process control for significant improvement

From: Adaptation of Essential Care for Every Baby educational program to improve infant outcomes in the context of Zika

Performance Indicators

Country

Baseline (2018)

End line (Nov. 2019)a

Percent of newborns receiving all essential newborn care interventions before discharge

A

12%

100%

B

90%

79%

C

25%

93%

D

21%

64%

Percent of newborns who were appropriately screened for microcephaly

A

100%

98%

B

33%

48%

C

0%

100%

D

1%

63%

Percent of newborns in postnatal care wards or areas in the health facility with all essential assessment practices

A

33%

100%

B

80%

37%

C

84%

100%

D

73%

100%

Percent of children with exclusive breastfeeding at discharge

A

65%

88%

B

100%

45%

C

54%

86%

D

82%

100%

  1. a Latest hospital data is from November 2019 for 3 countries. For one country only, data are current as of August 2019; hospital data were not entered since August due to staff shortages and the transfer of the Records Department to the new hospital which made it difficult to access the patient records