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

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Table 12. Kit use and other risk factors for cord infection, by district Risk Factor SIRAHA MORANG SUNSARI Rel.Risk 1 95% C.I. Rel.Risk 1 95% C.I. Rel.Risk 1 95% C.I. Kit vs. new blade, coin/nothing 0.64 (0.27, 1.5) 2.9 (1.5, 5.9) 0.73 (0.29, 1.9) Kit vs. new blade, other surface 0 0.00 2.8 (0.53, 14.9) 0.02 2 (0, 0.48) Kit vs. boiled blade, coin/nothing 0.20 2 (0.06, 0.63) 1.5 (0.81, 2.8) 0.96 (0.45, 2.0) Kit vs. boiled blade, other surface; other blade, any surface Put on cord just after (vs. nothing): 0.41 (0.04, 4.3) 0.70 (0.32, 1.6) 0.81 (0.20, 3.4) Mustard oil 0 0.00 0.81 (0.07, 9.3) 0.18 (0.02, 1.7) Ash 1.9 (0.62, 5.8) 2.0 (1.1, 3.9) 0.88 (0.36, 2.1) Herbals 1.2 (0.19, 7.5) 0.05 0 1.0 (0.09, 10.8) Dettol 1.0 (0.30, 3.4) 0.31 (0.06, 1.6) 0.71 (0.29, 1.7) Antibiotic 0 0.00 2.6 (0.38, 17.2) 0.76 (0.08, 7.2) Other 0 0.00 13.9 2 (1.6, 120.4) 3.7 (0.47, 29.3) Don’t know 1.4 (0.25, 8.0) 0.65 (0.20, 2.1) 0.31 (0.04, 2.4) Clean or no cloth vs. Dirty one 0.71 (0.30, 1.7) 0.60 2 (0.38, 0.95) 0.65 (0.36, 1.2) Hands washed with soap before cutting cord vs. not washed 0.86 (0.20, 3.7) 0.46 2 (0.27, 0.78) 0.73 (0.36, 1.5) Hands washed with water before cutting cord vs. not washed 1 Adjusted for interview week, month, and interviewer. 2 p
ehavior is considered (as in Table 13), it appears that kit users are significantly more likely to practice the desired behavior, especially when related to the use of kit contents like the plastic, the blade and the cord ties. Washing hands was not universal among kit users but was higher among users than among kit non-users (as was use of soap). Neither group wrapped the baby promptly, with 87% in each group waiting until after bathing the baby, but kit users were a little more likely to wrap the baby early. Similarly, neither group had a high proportion beginning breastfeeding in the first hour after birth, but kit users were slightly more likely to start within the first day (39% vs. 31%). Table 13. Actual practice of behaviors related to pictorial instructions Recommended behavior Reported by Kit User Reported by Kit Non-user % % Use plastic for delivery surface 1 89.0 11.1 Use new blade to cut cord 1 99.1 58.5 Wash hands before delivery 1 80.7 63.8 Wash hands before cutting cord 1 80.4 67.8 Tie cord with new thread 1 99.3 62.1 Wrap baby right after delivery 10.7 7.4 Begin breastfeeding immediately (
Page 1 and 2: Nepal Clean Home Delivery Kit Evalu
Page 3 and 4: TABLE OF CONTENTS Executive Summary
Page 5 and 6: • About 70% of all attendants put
Page 7 and 8: I. INTRODUCTION Tetanus and sepsis
Page 9 and 10: encompassing the target number of w
Page 11 and 12: Nepal. After checking the data for
Page 13 and 14: Kit User, Kit User, Kit Non-user, K
Page 15 and 16: Table 5. Supplies used at current d
Page 17 and 18: Definition of Infection The determi
Page 19 and 20: Table 9. Key confounding factors, b
Page 21 and 22: Table 10. Infection rates by confou
Page 23: elevated risk of infection, while m
Page 27 and 28: Table 15. Kit awareness and decisio
Page 29 and 30: Table 16. Kit purchase, by district
Page 31 and 32: V. DISCUSSION Immediate Impact Use
Page 33 and 34: washing (they had the highest propo
Page 35 and 36: long as the traditional coin is boi

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