Evidence of coverage change between 2012 and 2015, overall and by socioeconomic status, for targeted maternal and newborn health indicators in Gombe State, Nigeria
Indicator | Year; % coverage (95% CI) | Coverage change | SES quintile† | Coverage by SES in 2012 | Coverage by SES in 2015 | Time–SES interaction | |||
---|---|---|---|---|---|---|---|---|---|
2012 n = 349 | 2015 n = 1100 | p value for OR* | % coverage (95% CI) | p value for OR‡ | % coverage (95% CI) | p value for OR‡ | p value for interaction§ | ||
Antenatal care | 40 (30–51) | 37 (30–43) | 0.5 | Q1 | 18 (8–33) | < 0.001 | 28 (20–39) | < 0.001 | – |
Q2 | 26 (14–43) | 24 (16–34) | |||||||
Q3 | 39 (25–56) | 28 (22–35) | |||||||
Q4 | 45 (32–58) | 44 (34–54) | |||||||
Q5 | 65 (55–74) | 57 (46–68) | |||||||
Facility delivery | 30 (21–41) | 29 (24–35) | 0.8 | Q1 | 9 (4–19) | < 0.001 | 17 (11–25) | < 0.001 | – |
Q2 | 20 (9–37) | 17 (12–25) | |||||||
Q3 | 22 (9–43) | 19 (13–27) | |||||||
Q4 | 36 (26–48) | 31 (24–40) | |||||||
Q5 | 56 (41–70) | 61 (53–69) | |||||||
Postnatal care for mother | 7 (4–10) | 10 (7–13) | 0.1 | Q1 | 0 | 0.02 | 7 (3–14) | 0.02 | – |
Q2 | 7 (2–17) | 7 (3–13) | |||||||
Q3 | 8 (4–16) | 8 (5–13) | |||||||
Q4 | 15 (8–26) | 11 (7–18) | |||||||
Q5 | 4 (1–15) | 15 (10–22) | |||||||
Postnatal care for newborn | 4 (2–9) | 7 (5–10) | 0.18 | Q1 | 0 | < 0.001 | 5 (2–9) | 0.3 | – |
Q2 | 0 | 7 (4–13) | |||||||
Q3 | 3 (1–10) | 7 (4–14) | |||||||
Q4 | 9 (4–22) | 6 (4–11) | |||||||
Q5 | 6 (2–17) | 9 (5–15) | |||||||
Attendant use of gloves | 46 (34–58) | 44 (38–51) | 0.82 | Q1 | 21 (12–33) | < 0.001 | 31 (22–42) | < 0.001 | – |
Q2 | 22 (10–44) | 31 (22–41) | |||||||
Q3 | 42 (25–62) | 33 (25–41) | |||||||
Q4 | 47 (32–63) | 49 (40–58) | |||||||
Q5 | 77 (62–88) | 77 (68–84) | |||||||
Hygienic cord care | 26 (19–36) | 45 (41–49) | < 0.004 | Q1 | 36 (21–55) | 0.4 | 36 (27–45) | 0.1 | 0.1 |
Q2 | 20 (9–38) | 43 (35–51) | |||||||
Q3 | 26 (15–41) | 49 (41–57) | |||||||
Q4 | 19 (9–35) | 45 (37–53) | |||||||
Q5 | 29 (16–46) | 48 (38–59) | |||||||
Breastfeeding initiation | 40 (33–47) | 49 (46–53) | 0.01 | Q1 | 25 (15–39) | 0.02 | 46 (38–55) | 0.7 | 0.3 |
Q2 | 43 (26–62) | 52 (44–60) | |||||||
Q3 | 39 (24–56) | 47 (40–54) | |||||||
Q4 | 46 (34–59) | 51 (43–58) | |||||||
Q5 | 46 (34–59) | 50 (42–58) | |||||||
Delayed bathing | 15 (10–21) | 21 (17–26) | 0.07 | Q1 | 11 (5–23) | 0.2 | 21 (13–31) | 0.2 | – |
Q2 | 7 (1–25) | 20 (14–28) | |||||||
Q3 | 19 (8–39) | 17 (12–24) | |||||||
Q4 | 18 (9–30) | 22 (17–28) | |||||||
Q5 | 16 (10–26) | 28 (20–37) |
Note: CI = confidence interval, NA = not applicable, OR = odds ratio, SES = socioeconomic status.
↵* The p value for OR for difference in coverage over time.
↵† Quintile 1 (Q1) was the poorest, and quintile 5 (Q5) was the least poor.
↵‡ The p value for OR for a 1-unit change in SES within each survey year.
↵§ The p value for interaction between SES and survey year, shown only for indicators with statistical evidence of coverage change from 2012 to 2015 (based on p < 0.05).