Table 3 Adherence to evidence-based practices, per pause point and overall, in facilities under study, over time, % (95% C.I)

Blood pressure measured (obs)

52 (30–74)

63 (45–81)

83 (78–89)

67 (51–83)

61 (27–94)

97 (95–99)

Foetal heart sounds assessed (obs)

70 (59–81)

80 (64–96)

84 (79–90)

82 (75–89)

85 (77–92)

96 (93–99)

PA examination (obs)

86 (78–93)

83 (67–99)

95 (90–100)

91 (86–97)

65 (40–89)

96 (93–99)

PV examination (obs)

93 (88–98)

100 (99–100)

97 (95–100)

99 (98–100)

97 (95–99)

100

Hand Hygiene in PV examination (obs)

16 (3–29)

31 (4–58)

73 (69–78)

49 (40–58)

30 (5–55)

90 (81–100)

Average Pause point 1

63 (53–73)

71 (61–82)

87 (83–90)

78 (73–82)

67 (52–83)

96 (94–98)

Pre-filled oxytocin (obs)

67 (51–83)

70 (55–85)

97 (95–99)

78 (71–86)

81 (72–91)

94 (87–100)

Ready bag and mask (obs)

85 (72–98)

94 (88–100)

70 (51–89)

97 (94–100)

88 (70–100)

92 (84–100)

Clean, dry and warm towels (obs)

47 (25–69)

67 (42–92)

76 (62–90)

74 (55–93)

65 (53–76)

82 (72–92)

Used clean cord cut (obs)

99 (98–100)

100

99 (98–100)

99 (98–100)

99 (97–100)

100

Oxytocin within 5 minutes (obs)

74 (63–85)

85 (77–94)

77 (64–89)

83 (78–87)

84 (77–91)

94 (91–97)

Average Pause point 2

74 (65–84)

83 (76–91)

84 (78–89)

86 (81–92)

83 (77–89)

92 (89–96)

Baby dried immediately (obs)

86 (74–98)

98 (96–100)

84 (73–95)

99 (97–100)

94 (89–99)

90 (80–99)

Baby weight observed (obs)

71 (59–82)

86 (75–97)

79 (68–90)

96 (93–100)

75 (64–86)

64 (44–83)

Breast feeding initiated within one hour (obs)

42 (12–73)

54 (30–77)

79 (69–89)

45 (30–59)

48 (35–61)

78 (69–88)

Assessed uterine tone (obs)

73 (63–84)

30 (14–46)

72 (61–83)

82 (72–93)

38 (16–59)

69 (50–89)

Mothers vitals checked (obs)

13 (2–24)

16 (4–27)

67 (56–77)

25 (7–44)

9 (2–17)

82 (67–97)

Average Pause point 3

57 (51–63)

57 (50–63)

76 (68–85)

69 (64–75)

53 (46–60)

76 (70–82)

Newborn immunised (cs)

10 (4–16)

27 (0–55)

31 (0–65)

56 (34–78)

56 (34–78)

42 (11–74)

Mother’s temperature measured (cs)

46 (23–69)

56 (18–94)

64 (42–87)

61 (39–84)

61 (39–84)

98 (95–100)

Counselled for any danger sign in newborn (int)

17 (11–24)

15 (0–34)

11 (7–15)

21 (9–33)

19 (8–30)

3 (1–6)

Counselled for any danger sign in mother (int)

18 (10–26)

10 (0–21)

21 (12–30)

27 (4–50)

8 (3–14)

35 (0–75)

Counselled for family planning (int)

30 (13–48)

60 (39–80)

71 (50–92)

57 (38–77)

20 (6–33)

74 (57–92)

Average Pause point 4

24 (18–30)

34 (27–40)

40 (32–47)

44 (32–57)

33 (28–37)

51 (45–57)

Overall Average

55 (51–59)

61 (55–68)

72 (69–75)

69 (64–75)

59 (53–65)

79 (75–82)

N = 4814

N = 4822

N = 4978

N = 4813

N = 4843

N = 4836

Stillbirth rate, per thousand live births (95% C.I.)

15 (6–15)

17 (10–23)

2 (0–5)

25 (9–40)

19 (14–23)

11 (8–14)

Caesarean rate, % (95% C.I.)

2.0 (0.2–3.8)

4.8 (0.0–9.7)

7.6 (1.4–13.9)

2.9 (0–5.7)

2.3 (0–4.8)

1.4 (0–3.9)

Mothers’ referral rate, % (95% C.I.)

0.1 (0.0–0.3)

0.7 (0.1–1.2)

0.1 (0.0–0.2)

0.4 (0.1–0.7)

0.5 (0.1–0.9)

0.2 (0.0–0.4)

Newborn referral rate, % (95% C.I.)

1.4 (0.0–2.8)

1.9 (0.8–3.0)

0.5 (0.0–1.2)

2.1 (1.0–3.2)

1.3 (0.6–2.0)

0.5 (0.0–1.5)