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Table 2 Effectiveness of each phase of the BetterBirth intervention on overall essential birth practice (EBP) adherence, which was calculated as the percentage of observed EBPs that were successfully completed out of eight EBPs consistently observed across all three phases: (1) use of a partograph, (2) maternal blood pressure at admission, (3) maternal temperature at admission, (4) appropriate hand hygiene prior to a push, (5) provision of oxytocin to the mother within 1 min of delivery, (6) assessment of baby weight, (7) assessment of newborn temperature, and (8) initiation of breastfeeding within 1 h. N = 9044 observations

From: Optimizing the development and evaluation of complex interventions: lessons learned from the BetterBirth Program and associated trial

Phase

Percentage point change in EBP adherence between intervention and control periods

Total EPB adherence during the intervention period

Pilot 1

9.7% (− 11%, 30%)

40% (23%, 56%)

Pilot 2

23% (17%, 28%)

37% (28%, 46%)

CRTa

33% (25%, 41%)

44% (39%, 50%)

  1. aEBP adherence during CRT differs from what has been previously reported due to inclusion of 8, rather than 18, EBPs and because data is reported for entire post-intervention period rather than only for 2-month post-intervention and 12-month post-intervention periods
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Implementation Science Communications

ISSN: 2662-2211