Table 4

Omphalitis, severe infection and identification of low birthweight newborns by LHWs by treatment group

InterventionControlRisk ratio
(95% CI)
P value
Any omphalitis*, n (%)101 (4.5)155 (6.7)0.68 (0.48 to 0.98)0.04†
 Mild omphalitis, n (%)91 (4.1)133 (5.7)0.72 (0.50 to 1.03)0.07
 Moderate omphalitis, n (%)9 (0.4)25 (1.1)0.38 (0.15 to 0.94)0.04
 Severe omphalitis, n (%)1 (0.0)2 (0.1)0.52 (0.05 to 5.74)0.60
Any sign severe infection*, n (%)426 (19.1)380 (16.3)1.17 (0.80 to 1.72)0.41‡
 Convulsions, n (%)3 (0.1)4 (0.2)0.79 (0.14 to 4.37)0.78
 Fast breathing, n (%)23 (1.0)41 (1.8)0.59 (0.32 to 1.08)0.08
 Indrawing, n (%)18 (0.8)24 (1.0)0.79 (0.40 to 1.53)0.48
 Fever, n (%)83 (3.7)136 (5.8)0.64 (0.47 to 0.87)0.004
 Poor feeding, n (%)363 (16.3)292 (12.5)1.30 (0.80 to 2.13)0.29
 Sign of abnormal activity level, n (%)222 (10.0)182 (7.8)1.28 (0.75 to 2.17)0.37
Newborns born at home and weighed within 3 days by a LHW§, n (%)147 (16.6)31 (3.5)4.81 (1.96 to 11.80)0.001¶
 Day 189 (60.5)10 (32.3)
 Day 246 (31.3)19 (61.3)
 Day 312 (8.2)2 (6.5)
All LBW babies identified among home deliveries in the study population**, n (%)228 (25.9)251 (28.1)0.92 (0.75 to 1.13)0.43††
 LBW babies identified by a LHW, n (%)24 (2.7)7 (0.8)3.48 (1.00 to 12.10)0.05
 LBW babies identified by a study worker, n (%)226 (25.7)250 (28.0)0.92 (0.75 to 1.12)0.40
  • *Live births for whom at least one data collection visit was available in the intervention (n=2225) and control (n=2329) arms where umbilical cord or severe infection could be observed were included.

  • †Intracluster correlation coefficients have been calculated as 0.13.

  • ‡Intracluster correlation coefficients have been calculated as 0.30.

  • §Live births born at home and visited within the first 3 days of life who self-reported whether a LHW weighed their baby soon after delivery in the intervention (n=886) and control (n=898) arms were included.

  • ¶Intracluster correlation coefficients have been calculated as 0.62.

  • **Live births born at home and visited within 3 days of life in the intervention (n=881) and control (n=893) arms were included.

  • ††Intracluster correlation coefficients have been calculated as 0.07.

  • LBW, low birthweight; LHWs, lady health workers.