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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