Changes in health system coverage in PIVOT initial catchment and the rest of Ifanadiana district (RoD) between 2014 and 2016
| Indicator | Catchment | 2014 | 2016 | Trends | ||||
| % Coverage (SE) | PIVOT versus RoD | % Coverage (SE) | PIVOT versus RoD | Relative change (%) | Absolute change (%) | 2014–2016 PIVOT versus RoD | ||
| Composite MNCH indicator | ||||||||
| Composite coverage index† | PIVOT | 49.27 | – | 64.12 | – | 30.14 | 14.85 | – |
| RoD | 43.16 | 6.1 | 44.86 | 19.26 | 3.93 | 1.69 | – | |
| Children | ||||||||
| All vaccines (12–23 months) | PIVOT | 37.57 (7.29) | – | 50.39 (7.13) | – | 34.12 | 12.82 | – |
| RoD | 32.95 (6.36) | 4.62 | 35.82 (6.22) | 14.57 | 8.69 | 2.86 | 9.96 | |
| Oral rehydration therapy for diarrhoea (<5 years) | PIVOT | 34.42 (6.51) | – | 56.5 (9.5) | – | 64.15 | 22.08 | – |
| RoD | 29.99 (5.59) | 4.43 | 18.39 (4.02) | 38.11*** | −38.67 | −11.6 | 33.68** | |
| Care-seeking for fever (<5 years) | PIVOT | 55.69 (6.03) | – | 78.03 (8.61) | – | 40.11 | 22.34 | – |
| RoD | 40.43 (3.92) | 15.26* | 35.51 (5.7) | 42.52** | −12.17 | −4.92 | 27.26* | |
| Care-seeking for ARI (<5 years) | PIVOT | 41.02 (5.45) | – | 61.66 (9.81) | – | 50.32 | 20.64 | – |
| RoD | 35.44 (4.55) | 5.58 | 36.84 (4.83) | 24.83* | 3.93 | 1.39 | 19.25‡ | |
| Maternal care (last birth last 2 years) | ||||||||
| Antenatal care (1+ visit with skilled provider) | PIVOT | 70.83 (6.35) | – | 82.22 (5.33) | – | 16.07 | 11.39 | – |
| RoD | 71.81 (3.75) | −0.98 | 81.93 (3.78) | 0.28 | 14.1 | 10.12 | 1.26 | |
| Antenatal care (4+ visits with skilled provider) | PIVOT | 37.27 (5.3) | – | 46.66 (6.94) | – | 25.18 | 9.39 | – |
| RoD | 28.57 (4) | 8.7 | 40 (5.15) | 6.65 | 40.02 | 11.43 | −2.05 | |
| Birth delivered at public health centre | PIVOT | 21.28 (4.33) | – | 34.67 (6.75) | – | 62.93 | 13.39 | – |
| RoD | 13.66 (3.94) | 7.62 | 19.05 (3.91) | 15.62* | 39.46 | 5.39 | 8 | |
| Birth delivered by caesarean section | PIVOT | 7.64 (4.09) | – | 13.04 (7.06) | – | 70.84 | 5.41 | – |
| RoD | 2.4 (2.5) | 5.23 | 1.68 (1.73) | 11.36* | −30.02 | −0.72 | 6.13 | |
| Postnatal care (within 48 hours with skilled provider) | PIVOT | 23.45 (5.27) | – | 33.99 (6.61) | – | 44.97 | 10.54 | – |
| RoD | 14.55 (4.65) | 8.89 | 16.98 (3.84) | 17.01* | 16.69 | 2.43 | 8.11 | |
| All household members | ||||||||
| Household care-seeking for illness last 4 weeks | PIVOT | 28.88 (3.7) | – | 33.15 (4.03) | – | 14.82 | 4.28 | – |
| RoD | 26.02 (2.96) | 2.86 | 29.22 (3.84) | 3.93 | 12.31 | 3.2 | 1.08 | |
*P<0.05; **P<0.01; ***P<0.001; ‡ P<0.1
†Modified CCI, does not include family planning.
ARI, acute respiratory infection; CCI, composite coverage index; MNCH, maternal, newborn and child health; RoD, rest of the district.