Effect of the Electronic Partogram Intervention on Incidence of Early Perinatal Mortalitya Using Facility Data
| EPM Incidence per 100 Birthsb (95% CI) | EPM Incidence per 100 Birthsc (95% CI) | Adjusted IRRd (95% CI) | Difference-in-Difference (95% CI) | P Value | |
|---|---|---|---|---|---|
| ePartogram | 2.21 (1.77–2.77) | 1.82 (1.49–2.20) | 0.81 (0.66–1.01) | 0.73 (0.53–1.00) | P<.05 |
| Paper partogram | 2.82 (1.99–3.99) | 3.05 (2.29–4.05) | 1.12 (0.89–1.41) |
Abbreviations: CI, confidence interval; ePartogram, electronic partogram; EPM, early perinatal mortality; IRR, incident rate ratio.
↵a Early perinatal mortality comprises neonatal (<24 hours) deaths + fresh stillbirths. Births comprise live births + fresh stillbirths. This analysis included all EPM recorded in the health facility, regardless of whether enrolled in study or not. The model accounts for facility-level clustering and adjusts for facility variables of affiliation (public versus private), capacity to address emergencies (CEmONC versus BEmONC), presence of a medical or clinical officer (yes/no), percentage of providers trained in labor management by study staff (≥75% or <75%), median years of provider experience, and whether a health worker strike was occurring in the month in public facilities (yes/no).
↵b Six-month period before study.
↵c During study implementation.
↵d Comparing before and during study rates in each group.