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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

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

Mortality Indicatora Early stage (August 2011–July 2013)
CHW without Medicines CHW with Medicines
HRb (95% CI) P-valuec 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
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
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
  1. a)Source: Rufiji and Ifakara HDSS data, 2016
  2. b)Models were adjusted for calendar year
  3. 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
  4. 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
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