Nepal Clean Home Delivery Kit: Evaluation of the Health Impact - Path

Siraha has had an active program of non-government organization (NGO) training related
to Safe Motherhood, which may have contributed to the lower rates of infection there.
Interviewers. The interviewers had widely different rates of infection detected and were
unevenly distributed with regard to enrollments in the four cohorts. Since interviewers
were assigned primarily (but not exclusively) to one district, it is hard to know how much
the different rates observed were due to the district where she worked and how much to
the individual. The differences were seen in the way mothers responded to questions and
not only in the interviewer observations. Since interviewers working in the same districts
had similar rates (11 and 12 in Siraha, 21 and 22 in Morang, 31 and 32 in Sunsari), real
differences in infection rates in each district seem to be the stronger factor. Interviewer 21
had the highest infection detection rate and also did the greatest number of interviews.
Three interviewers detected higher infection rates among kit non-users, while three found
higher rates among kit users.
Regardless of why these relationships occurred, they clearly had the potential to distort
the association between kit use and cord infection and were, therefore, included in the
multiple logistic regression models.
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Nepal Delivery Kit Evaluation May 2000