Table 4

Changes in utilisation rates at all 13 major primary healthcare centres in Ifanadiana, 2013–2016

Indicator	Health centre	Mean 2013 (SD)	Mean 2014 (SD)	Mean 2015 (SD)	Mean 2016 (SD)	Annual change	Annual difference
Outpatient consultations (per person-year)
All patients	Not supported (RoD)	0.275 (0.232)	0.332 (0.375)	0.349 (0.34)	0.236 (0.168)	−0.01	0.189*
All patients	PIVOT supported	0.258 (0.154)	0.532 (0.303)	0.819 (0.434)	0.758 (0.309)	0.179	0.189*
Children under-five	Not supported (RoD)	0.517 (0.426)	0.744 (0.708)	0.82 (0.77)	0.592 (0.454)	0.03	0.211
Children under-five	PIVOT supported	0.376 (0.222)	1.004 (0.473)	1.348 (0.733)	1.067 (0.301)	0.242	0.211
Maternal consultations (per person-year)
Prenatal (first visit)	Not supported (RoD)	0.849 (0.525)	0.782 (0.484)	0.953 (0.506)	0.989 (0.477)	0.059	0.01
Prenatal (first visit)	PIVOT supported	0.78 (0.316)	0.917 (0.354)	0.952 (0.362)	0.998 (0.372)	0.069	0.01
Prenatal (four visits)	Not supported (RoD)	0.264 (0.336)	0.334 (0.424)	0.354 (0.413)	0.418 (0.47)	0.048	0.023
Prenatal (four visits)	PIVOT supported	0.202 (0.125)	0.215 (0.145)	0.334 (0.177)	0.399 (0.236)	0.071	0.023
Deliveries	Not supported (RoD)	0.141 (0.161)	0.222 (0.219)	0.271 (0.229)	0.367 (0.273)	0.073	−0.001
Deliveries	PIVOT supported	0.128 (0.123)	0.218 (0.13)	0.258 (0.119)	0.354 (0.187)	0.072	−0.001
Postnatal	Not supported (RoD)	0.086 (0.132)	0.118 (0.223)	0.325 (0.439)	0.467 (0.547)	0.135	0.095‡
Postnatal	PIVOT supported	0.004 (0.013)	0.096 (0.138)	0.414 (0.386)	0.665 (0.513)	0.23	0.095‡