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Table 4 Study outcomes

From: The Uganda Newborn Study (UNEST): an effectiveness study on improving newborn health and survival in rural Uganda through a community-based intervention linked to health facilities - study protocol for a cluster randomized controlled trial

Area in the continuum of care Outcome to be evaluated
NB. Analysis to be done separately for home and health facility births
Antenatal care • % of pregnant women attending ANC two, four or more times
• % of pregnant women who know at least two danger signs of pregnancy
• % of pregnant women who prepare for birth*
• IPT in pregnancy
• ITN use in pregnancy
• Tetanus toxoid coverage
• Uptake of VCT % of mothers who tested for HIV during pregnancy
• Uptake of IPT - by number of doses
Intrapartum care • % of pregnant women who have a supervised delivery
• % of pregnant women who deliver at a health unit
• % of babies whose cord was cut with a clean instrument
• % of babies who are immediately dried at birth
• % of babies who are immediately wrapped after birth
• % of babies who are born on a clean surface
• % of home births attended by two assistants
• % of women who went to the HC in an emergency
Postnatal care • % of babies whose cord was cut with a clean instrument
• % of babies who are initiated on breastfeeding within one and twenty-four hours of birth
• % of babies who are exclusively breastfed during the neonatal period
• % of babies whose first bath was delayed for six and twenty-four hours
• % of mothers who put nothing on the cord
• % of mothers who know at least three neonatal danger signs
• % of babies who are immediately dried at birth
• % of babies who are immediately wrapped after birth
• % of babies who are born on a clean surface
• % of home births attended by two assistants
• % women whose children were managed in skin-to-skin contact after delivery
• mothers who received counselling regarding family planning by six weeks postnatally
• % of babies who were taken for care if they were ill
• % of babies referred to health facility by CHW that reach, and timeliness of reaching
Impact level newborn deaths and stillbirths (note not powered to measure significant reduction in NMR) but we will explore each maternal and newborn death using the VASA and case–control study for, for example, intervention efficacy.
Neonatal mortality rates will be calculated by intervention and comparison areas
  1. *Birth preparedness will be operationalized through having made plans for where to deliver, transport, and preparing baby/delivery materials. IPT, intermittent presumptive treatment; ITNs, insecticide-treated nets; NMR, neonatal mortality rate; VASA, verbal and social autopsies; VCT, voluntary counselling and testing.