The impact of paid community health worker deployment on child survival: the connect randomized cluster trial in rural Tanzania

Table 5 The conditional effect of CHW access to essential medicines on neonatal, early childhood and under-5 mortality by stage in the Connect Project, August 2011–June 2015, Rufiji, Ulanga and Kilombero districts, Tanzania

Mortality Indicator^a	Early stage (August 2011–July 2013)
	CHW without Medicines		CHW with Medicines
	HR^b (95% CI)	P-value^c	HR (95% CI)	P-value
Neonatal mortality (0-28 days)	1·03 (0·72–1·48)	0·860	1·11 (0·88–1·41)	0·385
Post-Neonatal mortality (1-59 months)	0·85 (0·68–1·04)	0·115	0·85 (0·75–0·96)	0·012
Under-5 mortality (0-59 months)	0·90 (0·73–1·11)	0·329	0·93 (0·83–1·04)	0·181
Under-5 mortality (0-59 months)	Late stage (August 2013–June 2015)
Neonatal mortality (0-28 days)	0·89 (0·59–1·33)	0·562	1·01 (0·75–1·34)	0·957
Post-Neonatal mortality (1-59 months)	1·42 (1·07–1·88)	0·015	0·95 (0·79–1·14)	0·589
Under-5 mortality (0-59 months)	1·21 (0·95–1·55)	1·125	0·97 (0·82–1·16)	0·763
Under-5 mortality (0-59 months)	Overall (August 2011–June 2015)
Neonatal mortality (0-28 days)	0·98 (0·73–1·31)	0·898	1·06 (0·85–1·32)	0·592
Post-Neonatal mortality (1-59 months)	1·01 (0·82–1·24)	0·933	0·90 (0·80–1·00)	0·054
Under-5 mortality (0-59 months)	0·99 (0·85–1·18)	0·979	0·95 (0·84–1·07)	0·384

^a)Source: Rufiji and Ifakara HDSS data, 2016
^b)Models were adjusted for calendar year
^c)Standard errors are adjusted for the clustering of villages. Hazard Ratios (HR) for regression models of child mortality employ dependent variables taking value 1 if the child died during the study period and 0 otherwise
^d)Essentials medicines are Co-trimoxazole or Amoxyciliin, Artemeter Lumefantrine (ALu) and Oral Rehydration Salts and Zinc to treat for uncomplicated Pneumonia, Malaria and Diarrhea

ISSN: 1472-6963