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Table 2 Maternal and child health outcomes

From: A retrospective study of the impact of health worker strikes on maternal and child health care utilization in western Kenya

Outcome

Strike group (women pregnant in 2017)

n = 843

Control group (women pregnant in 2018)

n = 728

Adjusted risk ratio

[95% CI]; p-value d

4 or more ANC visits, n (%)

463 (55%)

507 (70%)

0.83 [0.74,0.94]; 0.004

Delivered in a facility (public or private), n (%)

452 (55%)

514 (73%)

0.84 [0.76,0.92]; < 0.001

Delivery location, n (%)

  

n/a

 Home alone

75 (9%)

43 (6%)

 

 Home with TBA

284 (34%)

139 (20%)

 

 In transit

14 (2%)

8 (1%)

 

 Private facility

316 (38%)

77 (11%)

 

 Public facility

136 (17%)

437 (62%)

 

Delivered at preferred location, n (%)

268 (33%)

514 (73%)

0.49 [0.42,0.58]; < 0.001

Any delivery complications, n (%) a, b

113 (19%)

132 (25%)

0.81 [0.59,1.11]; 0.185

Delivered a live child, n (%)

794 (94%)

696 (96%)

1.00 [0.97, 1.02]; 0.711

Mean child birthweight, kgs (SD)

3.40 (0.66)

3.43 (0.76)

−0.04 [−0.13,0.06]; 0.442 c

CHV visited home within 48 hours of birth, n (%)

105 (13%)

97 (14%)

0.98 [0.68,1.43]; 0.92

Child received OPV 0 vaccine, n (%) b

474 (83%)

468 (89%)

0.98 [0.93,1.03]; 0.356

Median days from birth to child receiving OPV 0 vaccine b

13

7

8.02 [3.06,12.98]; 0.002 c

Child alive at time of interview, n (%)

772 (98%)

675 (98%)

1.00 [0.98,1.02]; 0.942

  1. a Delivery complications included “bled a lot,” “baby got stuck,” “infection,” “high blood pressure,” “seizures,” “baby needed resuscitation/help to breath,” or other complication specified by the participant
  2. b Significant missing data (between 29 and 44% missing). For all other variables, missingness was < 5%
  3. c Mean difference with 95%CI was used rather than risk ratios
  4. d Risk ratios were adjusted by employment status (employed vs. unemployed), mean poverty index score, and insurance status (insured vs. uninsured) at the time of delivery