Beyond coverage: improving the quality of antenatal care delivery through integrated mentorship and quality improvement at health centers in rural Rwanda

Table 2 Completeness of antenatal care assessments before and after MESH-QI intervention

	Baseline		Follow-up		P-value
	n	%	n	%
Danger signs
Headache	79	24.0	278	95.2	< 0.001
Blurry vision	77	23.3	278	95.2	< 0.001
Facial swelling	184	56.0	290	99.3	< 0.001
Convulsions	57	17.3	275	94.1	< 0.001
Bleeding	134	41.0	285	98.0	< 0.001
Loss of fluid	76	23.0	267	91.4	< 0.001
Painful contractions	91	28.0	264	90.4	< 0.001
Composite	7	2.1	246	84.2	< 0.001
Medical history
Previous surgeries	92	28.0	85	29.0	0.734
Current medications	11	3.3	41	14.0	< 0.001
Traditional medications/herbs	7	2.1	41	14.0	< 0.001
Tobacco use	8	2.4	38	13.1	< 0.001
Alcohol	10	3.0	39	13.5	< 0.001
Domestic violence	17	5.2	36	12.5	0.001
HIV status checked and documented	66	42.0	80	86.0	< 0.001
Composite	7	2.1	40	14.0	< 0.001
Vital signs
Temperature	85	26.0	213	74.0	< 0.001
Blood pressure	289	88.0	288	99.0	< 0.001
Pulse	111	34.0	273	93.5	< 0.001
Respirations	13	4.0	172	60.0	< 0.001
Composite	3	1.0	160	55.0	< 0.001
Fetal well being
Fundal height^†	167	98.0	199	100.0	0.030
Heart rate (BCF)^†	167	98.0	194	97.5	0.914
Movement (after 20 weeks)^†	80	47.0	197	99.0	< 0.001
Position (after 36 weeks)^‡	82	95.4	89	98.0	0.367
Composite	121	37.0	259	89.0	< 0.001
Counseling
Needed supplies are available	224	68.0	215	75.0	0.050
Counseling occurs in private room	304	92.1	288	99.0	< 0.001
Makes eye contact with woman	291	88.1	287	98.2	< 0.001
Speaks to woman in respectful manner	316	96.0	289	99.0	0.014
Uses words that woman can understand	294	89.0	285	98.0	< 0.001
Concrete response provided	78	24.0	199	68.0	< 0.001
Explains all medical procedures	44	13.3	269	93.4	< 0.001
Composite	7	2.2	149	51.0	< 0.001

ISSN: 1472-6963