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Table 5 Socioeconomic inequalities in the uptake of community-based interventions

From: Socioeconomic inequalities in stillbirth and neonatal mortality rates: evidence on Particularly Vulnerable Tribal Groups in eastern India

 

WGM attendancea

% and inequalities

Accompanied by ASHAb

% and inequalities

Any ASHA visit % and inequalities

≥3ASHA visits

% and inequalities

ASHA Support

% and inequalities

Total population

46

64

58

11

42

Tribe/castec

     

 ST

43

70

61

13

41

  PVTG

--d

67

49

9

26

  Other ST

43

70

62

13

43

 SC

47

65

52

9

40

 OBC & none

52

60

55

11

44

 PVTG vs. OBC/none

  RDe (95% CI)

--

7 (-4; 17)

-6 (-14; 2)

-2 (-6; 2)

-18 (-37; 0)

  RD adjusted for age & parity (95% CI)

--

7 (-3; 18)

-6 (-14; 2)

-2 (-6; 2)

-17 (-36; 1)

  RD adjusted for wealth, education, age & parity (95% CI)

--

3 (-8; 13)

-3 (-10; 5)

-1 (-5; 3)

-7 (-24; 10)

  RRf (95% CI)

--

1.11 (0.95; 1.31)

0.9 (0.77; 1.05)

0.82 (0.53; 1.27)

0.59 (0.29; 1.18)

  RR adjusted for age & parity (95% CI)

--

1.12 (0.96; 1.31)

0.9 (0.77; 1.05)

0.81 (0.53; 1.26)

0.61 (0.3; 1.21)

  RR adjusted for wealth, education, age & parity (95% CI)

--

1.04 (0.88; 1.23)

0.95 (0.83; 1.09)

0.9 (0.59; 1.36)

0.83 (0.5; 1.39)

 ST vs. OBC/none

  RD (95% CI)

-8 (-14; -3)

10 (5; 16)

6 (0; 12)

2 (-2; 5)

-3 (-14; 8)

  RD adjusted for age & parity (95% CI)

-8 (-13; -3)

10 (5; 16)

6 (0; 12)

2 (-2; 5)

-2 (-14; 9)

  RD adjusted for wealth, education, age & parity (95% CI)

-5 (-10; 0)

8 (1; 15)

8 (2; 14)

2 (-1; 6)

4 (-5; 13)

  RR (95% CI)

0.84 (0.74; 0.95)

1.17 (1.07; 1.28)

1.12 (1; 1.25)

1.16 (0.87; 1.54)

0.93 (0.71; 1.22)

  RR adjusted for age & parity (95% CI)

0.85 (0.75; 0.95)

1.17 (1.07; 1.28)

1.12 (1; 1.25)

1.16 (0.87; 1.54)

0.94 (0.73; 1.23)

  RR adjusted for wealth, education, age & parity (95% CI)

0.89 (0.8; 1)

1.13 (1.02; 1.26)

1.15 (1.03; 1.28)

1.22 (0.91; 1.63)

1.1 (0.88; 1.37)

Maternal education

 Has not attended school

40

68

54

11

34

 Primary school

46

67

59

11

41

 Secondary school

51

65

60

11

48

 Higher secondary & above

47

56

58

14

51

 Lowest vs. highest education level

  RD unadjusted (95% CI)

-7 (-13; -1)

12 (6; 19)

-4 (-10; 2)

-3 (-6; 1)

-18 (-26; -9)

  RD adjusted for age & parity (95% CI)

-9 (-16; -3)

12 (5; 19)

-4 (-10; 2)

-3 (-7; 1)

-16 (-25; -8)

  RR unadjusted (95% CI)

0.85 (0.74; 0.99)

1.22 (1.09; 1.37)

0.93 (0.84; 1.03)

0.8 (0.61; 1.05)

0.66 (0.54; 0.81)

  RR adjusted for age & parity (95% CI)

0.81 (0.69; 0.94)

1.21 (1.07; 1.38)

0.93 (0.83; 1.03)

0.77 (0.57; 1.04)

0.68 (0.55; 0.84)

Household wealth

 Poorest

38

69

55

11

30

 Less poor

45

68

58

11

39

 Middle poor

46

66

59

11

45

 Less poor

51

64

58

11

50

 Least poor

50

57

59

13

54

 Poorest vs. least poor

  RD unadjusted (95% CI)

-12 (-17; -7)

13 (4; 22)

-4 (-11; 3)

-1 (-5; 3)

-24 (-38; -10)

  RD adjusted for age & parity (95% CI)

-13 (-18; -8)

13 (4; 22)

-4 (-11; 3)

-1 (-6; 3)

-23 (-37; -9)

  RR unadjusted (95% CI)

0.75 (0.67; 0.85)

1.22 (1.05; 1.43)

0.93 (0.83; 1.05)

0.89 (0.63; 1.26)

0.55 (0.38; 0.8)

  RR adjusted for age & parity (95% CI)

0.74 (0.66; 0.84)

1.23 (1.05; 1.43)

0.94 (0.83; 1.05)

0.88 (0.63; 1.24)

0.56 (0.39; 0.82)

  1. a Analyses for women’s group meeting attendance were performed for all mothers who gave birth in the intervention districts during the intervention period (n = 18726)
  2. b Denominator: women who had an institutional birth
  3. c ST Scheduled Tribes, PVTG Particularly Vulnerable Tribal Groups, Other ST Other Scheduled Tribes, SC Scheduled Caste, OBC/none Other Backwards Class or other than the above
  4. d Since only five PVTG women gave birth in the intervention period in the intervention areas, we were not able to reliably estimate women’s group attendance for PVTGs. Four out of five PVTG-women who gave birth in the intervention areas during the intervention period attended women’s group meetings
  5. e RD Rate Difference
  6. f RR Rate Ratio