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Table 4 MCH handbook distribution and use according to maternal wealth status in Mirbachakot and Kama districts of Afghanistan from August 2017 to April 2018

From: Home-based records for poor mothers and children in Afghanistan, a cross sectional population based study

 

Pooresta

Least poora

Total in wealth status known

Wealth status not known

Total

MCH handbook distribution

(n = 722)

(n = 1082)

(n = 1804)

(n = 139)

(n = 1943)

 Received and retained

632 (87.5%)

982 (90.8%)

1614 (89.5%)

104 (74.8%)

1718 (88.4%)

 Received but lost

1 (0.1%)

8 (0.7%)

9 (0.5%)

1 (0.7%)

10 (0.5%)

 Did not receive

80 (11.1%)

90 (8.3%)

170 (9.4%)

34 (24.5%)

204 (10.5%)

 Not known

9 (1.3%)

2 (0.2%)

11 (0.6%)

0 (0%)

11 (0.6%)

Number of MCH handbooks received

(n = 722)

(n = 1082)

(n = 1804)

(n = 139)

(n = 1943)

 1

620 (85.9%)

962 (88.9%)

1582 (87.7%)

103 (74.1%)

1685 (86.7%)

 2

8 (1.1%)

21 (1.9%)

29 (1.6%)

1 (0.7%)

30 (1.5%)

 3

1 (0.1%)

1 (0.1%)

2 (0.1%)

0 (0.0%)

2 (0.1%)

 Did not receive

13 (1.8%)

8 (0.7%)

21 (1.2%)

1 (0.7%)

22 (1.1%)

 Not known

80 (11.1%)

90 (8.3%)

170 (9.4%)

34 (24.5%)

204 (10.5%)

Months owned MCH handbook

(n = 632)

(n = 982)

(n = 1614)

(n = 104)

(n = 1718)b

 1 month

24 (3.8%)

29 (3.0%)

53 (3.3%)

2 (1.9%)

55 (3.2%)

 2 months

48 (7.6%)

58 (5.9%)

106 (6.6%)

5 (4.8%)

111 (6.5%)

 3 months

24 (3.8%)

30 (3.1%)

54 (3.4%)

14 (13.5%)

68 (4.0%)

 4 months

45 (7.1%)

57 (5.8%)

102 (6.3%)

16 (15.4%)

118 (6.9%)

 5 months

63 (10.0%)

92 (9.4%)

155 (9.6%)

12 (11.5%)

167 (9.7%)

 6 months

81 (12.8%)

123 (12.5%)

204 (12.6%)

6 (5.8%)

210 (12.2%)

 7 months

85 (13.5%)

193 (19.7%)

278 (17.2%)

13 (12.5%)

291 (16.9%)

 8+ months

189 (29.9%)

348 (35.4%)

537 (33.3%)

27 (26.0%)

564 (32.8%)

 Not known

73 (11.6%)

52 (5.3%)

125 (7.7%)

9 (8.7%)

134 (7.8%)

 Mean (sd)

5.87 (2.2)

6.23 (2.01)

6.10 (2.09)

5.48 (2.13)

6.06 (2.09)

 Median (iqr)

6 (4–8)

7 (5–8)

7 (5–8)

5 (4–8)

7 (5–8)

Completion of records by health provider

(n = 632)

(n = 982)

(n = 1614)

(n = 104)

(n = 1718)a

 Name of child

574 (90.8%)

787 (80.1%)

1361 (84.3%)

100 (96.2%)

1426 (83.0%)

 Date of birth of child

564 (89.2%)

762 (77.6%)

1326 (82.2%)

102 (98.1%)

1463 (85.2%)

 Any ANC visits

501 (79.3%)

607 (61.8%)

1108 (68.7%)

90 (86.5%)

1198 (69.7%)

 Any PNC visits

496 (78.5%)

623 (63.4%)

1119 (69.0%)

79 (76.0%)

1198 (69.7%)

 Birth polio vaccine

605 (95.7%)

946 (96.3%)

1551 (96.0%)

103 (99.0%)

1654 (96.3%)

 First pentavalent vaccine

569 (90.0%)

800 (81.5%)

1369 (84.8%)

92 (88.5%)

1461 (85.0%)

 Birth weight

471 (74.5%)

556 (56.6%)

1027 (63.6%)

97 (93.3%)

1124 (65.4%)

 Growth chart curve

480 (76.0%)

590 (60.1%)

1070 (66.3%)

101 (97.1%)

1171 (68.2%)

Information communicated to mother by health provider

(n = 632)

(n = 982)

(n = 1614)

(n = 104)

(n = 1718)b

 About purpose of the handbook

600 (94.9%)

890 (90.6%)

1490 (92.3%)

93 (89.4%)

1583 (92.1%)

 That the mother should bring the handbook with her to all health visits

309 (48.9%)

472 (48.1%)

781 (48.4%)

75 (72.1%)

856 (49.8)

Use of MCH handbook by mother

(n = 632)

(n = 982)

(n = 1614)

(n = 104)

(n = 1718)b

 Read the health care messages

248 (39.2%)

561 (57.1%)

809 (50.1%)

38 (36.5%)

847 (49.3%)

 Reviewed own or child’s health records

329 (52.1%)

501 (51.0%)

830 (51.4%)

82 (78.9%)

912 (53.1%)

 Showed to family members, friends or neighbours

419 (66.3%)

738 (75.2%)

1157 (71.7%)

102 (98.1%)

1259 (73.3%)

 Took to visits with health care workers

462 (73.1%)

813 (82.8%)

1275 (79.0%)

96 (92.3%)

1371 (79.8%)

 Looked at the illustrations

487 (77.1%)

798 (81.3%)

1285 (79.6%)

98 (94.2%)

1383 (80.5%)

 Used for at least one specific purpose as above

521 (82.4%)

939 (95.6%)

1460 (90.5%)

104 (100.0%)

1564 (91.0%)

  1. MCH Maternal and child health, ANC antenatal care, PNC postnatal care
  2. aWealth category = poorest = quintiles 1,2; least poor = quintiles 3,4,5
  3. b In all 1718 women who received and retained the handbook