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Table 4 Observed Essential Newborn Care Practice by Health Facility

From: Essential newborn care practice at four primary health facilities in conflict affected areas of Bossaso, Somalia: a cross-sectional study

  Overall Health Center 1 Health Center 2 Health Center 3 Health Center 4
n/N Proportion (95% CI) n/N Proportion (95% CI) n/N Proportion (95% CI) n/N Proportion (95%CI) n/N Proportion (95% CI)
Thermal Care
 Immediate Drying 241/246 98.0(95.3–99.3) 54/54 100 (97.7–100) 89/91 97.8(92.3–99.7) 53/56 94.6(85.0–98.9) 45/45 100(97.6–100)
 Delayed bathing 241/243 99.2(97.1–99.9) 53/54 98.2(90.1–99.9) 90/91 98.9(94–100) 54/54 100(97.7–100) 44/44 100(97.7–100)
 Skin-to-skin contact 21/244 8.6(5.4–12.9) 1/54 1.9 (0.05–9.9) 2/91 2.2(0.27–7.71) 5/55 9.1 (3.0–19.9) 13/44 29.5(16.8–45.2)
Breastfeeding
 Support mother in the initiation of breastfeeding 45/241 18.7(14.0–24.2) 19/54 35.2(22.7–49.4) 3/90 3.3(0.63–8.6) 4/56 7.1 (2.0, 17.3) 19/41 46.3(27.7–57.8)
 Early Initiation of breastfeeding 74/246 30.1(24.4–36.2) 39/54 72.2(58.4–83.5) 5/91 5.5(1.8–12.4) 8/56 14.3(6.4–26.2) 22/45 48.9(33.7–64.2)
Infection Prevention
 Clean delivery beda 250/253 98.8(96.6–99.8) 54/55 98.2(90.3–99.9) 95/95 100(97.7–100) 57/58 98.3(90.8–99.9) 44/45 97.8(88.2–99.9)
 Clean delivery kitb 42/252 16.7(12.3–21.9) 2/55 3.6 (0.44–12.5) 9/95 9.5(4.42–17.2) 2/57 3.5(0.42–11.9) 29/45 64.4(48.8–78.1)
 Provider wore gloves 251/253 99.2(97.2–99.9) 55/55 100 (99.7–100) 94/95 99.0(94.3–99.9) 57/58 98.3(90.8–100) 45/45 100(97.7–100)
 Provider washed hands 51/253 20.2(15.4–25.6) 18/55 32.7(20.7–46.7) 9/95 9.5(4.42–17.2) 2/58 3.50.42–11.9) 22/45 48.9(33.7–64.2)
 Dry cord care 100/246 40.7(34.5–47.1) 33/54 61.1 (46.9–74.1) 42/91 46.2(35.6–56.9) 15/56 26.8(15.8–40.3) 10/45 22.2(11.2–37.1)
Intrapartum Care & Newborn Resuscitation
 Printed partograph ready 9/253 3.6(1.6–6.6) 1/55 1.8(0.04–9.7) 3/95 3.2(0.66–9.0) 0/58 0% 5/45 11.1 (3.7–24.1)
 Fetoscope/doppler ready 68/253 26.9(21.5–32.8) 40/55 72.7(59.0–83.9) 2/95 2.1(0.26–7.4) 14/58 24.1(13.9–37.2) 12/45 26.7 (14.6–41.9)
 Resuscitation surface ready 23/246 9.4(6.0–13.7) 0/55 0% 3/91 3.3 (0.69–9.3) 15/56 26.8(15.8–40.3) 5/45 11.1 (3.7–24.1)
 Resuscitation bag ready 37/246 15.0(10.8–20.1) 18/54 33.3(21.1–47.5) 8/91 8.8(3.9–16.6) 1/56 1.8(0.05–9.6) 10/45 22.2 (11.2–37.1)
 Term mask ready 43/246 17.5(12.9–22.8) 19/54 35.2(22.7–49.4) 10/91 11(5.4–19.3) 1/56 1.8(0.04–9.6) 13/45 28.9(16.4–44.3)
 Suction device ready 23/246 9.4(6.0–13.7) 3/54 5.6 (1.2–15.3) 11/91 12.1(6.2–20.6) 2/56 3.6(0.43–12.3 7/45 15.6 (6.5–29.5)
  1. Statistically significant variation by health facility p-value < 0.05
  2. aThe observers marked on the cleanliness of the delivery bed and if the delivery bed was cleaned prior to the arrival of the pregnant woman
  3. bThe observers marked yes/no to whether Instruments for birth attendance (delivery kit) are placed in the delivery tray in sterilization wrap in the labor room