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Table 4 Comparison of endline levels of coverage indicators for Curamericas/Guatemala Maternal and Child Health Project with levels for broader population groups in Guatemala

From: Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 3. Expansion of population coverage of key interventions

Indicator

Project endline levels, 2015

Levels for the Department of Huehuetenango

(reported in 2014-15 DHS survey [29])

Is the indicator level in Project Area more favorable than in the Department of Huehuetenango?

Area A

Area B

Antenatal care

Tetanus toxoid immunization during most recent pregnancy

67.7

62.3

66.7

Yes (Area A only and barely)

Iron/folate for at least 90 days during most recent pregnancy

64.3

26.3

19.8

Yes

Delivery care

Children 0- < 24 months of age whose births were attended by a skilled health worker (doctor, nurse, nurse-midwife)

29.3

13.7

39.1

No

Births among children 0- < 24 months of age attended by a comadrona at home

71.3

71.3

60.6

Noa

Births that took place in a health facility (hospital, clinic, or Birthing Center)

28.7

13.0

39.0

Nob

Women with a child 0- < 24 months of age whose previous delivery was by cesarean section

8.7

2.3

14.6

No

Postpartum care

Postpartum visit for the mother and newborn within 48 hours after delivery

39.0

18.3

73.4

No

Percentage of mothers of children 0- < 24 months who received vitamin A supplementation within 2 months postpartum

47.7

26.7

26.2

Yes (Area A only)

Newborn care

No indicators available for comparison

    

Birth spacing and family planning

Current use of modern contraception

34.0

25.0

40.1

No

Child feeding

Exclusive breastfeeding among children 0- < 6 months of age in previous 24 hours

82.0

71.6

71.1

Yes (Area A only)

Vitamin A supplementation for child 6- < 24 months of age in the previous 6 months

74.3

67.1

44.3

Yes

Childhood pneumonia

Appropriate care seeking for child with symptoms of pneumonia

51.6

46.6

47.5

Yes (barely, in Area A only)

Childhood diarrhea

Use of oral rehydration therapy (or a recommended home fluid) during diarrheal episode

40.8

40.2

63.4

No

Increased fluid intake during diarrheal episode

11.0

16.2

23.6

No

Same/increased food intake during diarrheal episode

0.0

2.6

1.7

Yes (barely, in Area B only)

Childhood immunizations

Measles immunization in children 12- < 24 months of age

64.8

55.5

46.5

Yes

Complete vaccination coverage (BCG, PENTA 1–3, polio 1–3, measles) among children 12- < 24 months of age

56.6

68.7

43.7

Yes

WASH (water, sanitation and hygiene)

No indicators available for comparison

    
  1. aThis is listed as no because the desired outcome is NOT a home birth attended by a comadrona
  2. b The goal for cesarean sections according to the World Health Organization is 10–15% of all deliveries. In this case, the levels in the Project Area are less favorable than in the Department of Huehuetenango