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Table 8 Results of generalized estimating equation regressions of maternal health outcomes on change categories at hospitals

From: Can a quality improvement project impact maternal and child health outcomes at scale in northern Ghana?

 

Early ANC

Skilled delivery

β (95% CI)

β (95% CI)

Wave 2b vs. 2a

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

0.0000 (0.0000 to 0.0000)

Health education change

0.3535 (–0.0397 to 0.7468)

    

0.5753 (0.0743 to 1.0763)*

    

Health education trend

0.0002 (–0.0001 to 0.0005)

    

0.0005 (0.0001 to 0.0008)*

    

Targeting primary providers change

 

0.0000 (0.0000 to 0.0000)

    

–3.3742 (–26.4808 to 19.7323)

   

Targeting primary providers trend

 

0.0000 (0.0000 to 0.0000)

    

–0.0032 (–0.0225 to 0.0161)

   

Triage change

  

0.4236 (0.0440 to 0.8031)*

    

0.4989 (0.0159 to 0.9819)*

  

Triage trend

  

0.0002 (–0.0001 to 0.0005)

    

0.0004 (0.0001 to 0.0008)*

  

Training change

   

0.5092 (–0.0439 to 1.0624)

    

–0.0142 (–0.6329 to 0.6045)

 

Training trend

   

0.0004 (–0.0001 to 0.0008)

    

0.0000 (–0.0004 to 0.0005)

 

Task shifting/nurse empowerment change

    

0.2949 (–0.1446 to 0.7345)

    

0.2800 (–0.2507 to 0.8107)

Task shifting/nurse empowerment trend

    

0.0001 (–0.0003 to 0.0004)

    

0.0003 (–0.0001 to 0.0007)

Constant

0.1668 (0.0480 to 0.2857)**

0.1649 (0.0467 to 0.2832)**

0.1650 (0.0477 to 0.2822)**

0.1717 (0.0538 to 0.2896)**

0.1667 (0.0509 to 0.2824)**

1.0583 (0.9345 to 1.1821)***

1.0816 (0.9583 to 1.2048)***

1.0669 (0.9441 to 1.1897)***

1.0744 (0.9514 to 1.1975)***

1.1076 (0.9837 to 1.2316)***

n

570

570

570

570

570

574

574

574

574

574

  1. All models control for project officer, government vs. catholic facility, insurance status, profession of QI team leader, and number of QI team members
  2. ANC antenatal care
  3. * P < 0.05; ** P < 0.01; *** P < 0.001