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Table 4 Maternal and child health activities undertaken and services received at this visit

From: Evaluation of the effectiveness of a quality improvement intervention to support integration of maternal, child and HIV care in primary health care facilities in South Africa

 

Intervention

Control

OR

P

N

n (%)

N

n (%)

Child health activities and services

Developmental Screening

  Mother reported being asked about the baby’s health

777

340 (43.8%)

661

235 (35.6%)

2.0 (1.4–3.0)

0.001

  Mother reported being asked about how the baby is developing

777

209 (26.9%)

661

200 (30.3%)

1.2 (0.8–1.8)

0.43

  Developmental screening is up to date in RTHBa

534a

354 (66.3%)

458a

279 (60.9%)

1.8 (1.1–3.0)

0.017

Vitamin A

  Vitamin A is up to date for age in RTHBb

371b

335 (90.3%)

320b

290 (90.6%)

0.9 (0.3–2.8)

0.95

Deworming

  Deworming is up to date for age in RTHBc

117c

85 (72.6%)

107

73c (68.2%)

1.5 (0.5–4.8)

0.45

Immunisation

Immunisation is up to date for age in RTHBd

754

744d (98.7%)

640

623d (97.3%)

2.1 (0.9–4.9)

0.09

Maternal health activities and services

HIV Care

  Mother reports being asked about HIV today

777

206 (26.5%)

661

129 (19.5%)

1.8 (1.2–2.9)

0.009

Number of HIV negative/HIV unknown mothers

N = 463

N = 381

  

 HIV negative mothers report being up to date for HIV retesting today (repeated 3 monthly)

463

264 (57.0%)

381

183 (48.0%)

1.1 (0.7–1.7)

0.60

Number of HIV positive mothers

N = 314

N = 280

  

 HIV positive report being on ART

314

312 (99.4%)

280

270 (96.4%)

2.7 (0.3–24.9)

0.87

 HIV positive mothers ART indicated todaye

312

171 (54.8%)

270

144 (53.3%)

1.0 (0.6–1.8)

0.9

 HIV ART given today

171

116 (67.8%)

144

84 (58.3%)

1.1 (0.7–1.7)

0.6

Family Planning

 Mother reports being asked about family planning

777

260 (33.5%)

661

129 (19.5%)

5.3 (3.2–8.8)

< 0.001

 Mother reports being asked if she needed condoms

777

105 (13.5%)

661

60 (9.1%)

3.0 (1.5–6.3)

0.003

 Condoms given today

777

131 (16.9%)

661

60 (9.1%)

3.3 (1.7–6.5)

< 0.001

On oral or injectable family planning method

N = 595

N = 499

  

 Family planning (oral/injection) visit due within 14 days = FP due today

595

188 (31.6%)

595

117 (23.5%)

1.6 (1.0–2.3)

0.03

 FP given today

188

76 (40.4%)

117

49 (41.9)

1.1 (0.6–2.1)

0.8

Cervical Cancer Screening

 Mother reports being asked about having a PAP smear

777

67 (8.6%)

661

60 (9.1%)

1.4 (0.5–3.9)

0.46

HIV positive mothers where cervical screening is indicated (i.e.no PAP smear in last 12 months)

N = 246

N = 249

  

 PAP smear done today on HIV+ mother where indicated

246

3 (1.2%)

249

1 (0.4%)

Unable to calculate

 

STI Screening

 Mother reports being asked whether she has vaginal discharge or sores

777

84 (10.8%)

661

54 (8.2%)

2.0 (0.8–5.0)

0.12

TB Screening

 Mother reports being asked whether she is coughing

777

117 (15.1%)

661

80 (12.1%)

1.6 (0.8–3.0)

0.19

  1. aDevelopmental screening starts at 14 weeks therefore children < 14 weeks of age were excluded resulting in the denominators indicated
  2. bVitamin A supplementation starts at 6 months therefore children < 6 months of age were excluded resulting in the denominators indicated
  3. cDeworming starts at 12 months therefore children < 12 months of age were excluded resulting in the denominators indicated
  4. dImmunisation starts at 6 weeks therefore children < 6 weeks of age were excluded resulting in the denominators indicated
  5. eART is indicated today if next appointment is within the next 7 days
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