Model predictions of annual change in health centre utilisation associated with the idHSS intervention and in the rest of Ifanadiana district (control), 2013 to 2018
| Indicator | Per capita utilisation at baseline - intercept | Baseline differences in initial idHSS catchment versus control - OR (95% CI) | Change per year - OR (95% CI) | Additional change per year of idHSS intervention - OR (95% CI) |
| Outpatient consultations (per person-year) | ||||
| All patients | 0.21 (0.16 to 0.26)*** | 1.47 (0.85 to 2.55) | 0.95 (0.94 to 0.95)*** | 1.31 (1.3 to 1.31)*** |
| Children under 5 years of age | 0.37 (0.31 to 0.44)*** | 1.17 (0.71 to 1.92) | 0.95 (0.95 to 0.96)*** | 1.25 (1.23 to 1.26)*** |
| Maternal consultations (per person-year) | ||||
| Prenatal (first visit) | 0.45 (0.39 to 0.51). | 1.08 (0.71 to 1.64) | 0.98 (0.97 to 0.99)** | 1.02 (1 to 1.04)* |
| Prenatal (four visits) | 0.18 (0.12 to 0.25)*** | 1.15 (0.54 to 2.43) | 1.07 (1.06 to 1.09)*** | 1.05 (1.02 to 1.07)*** |
| Deliveries | 0.14 (0.11 to 0.19)*** | 1.01 (0.57 to 1.8) | 1.12 (1.1 to 1.14)*** | 1.06 (1.03 to 1.09)*** |
| Postnatal | 0.09 (0.07 to 0.13)*** | 1.12 (0.6 to 2.09) | 1.38 (1.35 to 1.4)*** | 1.13 (1.1 to 1.16)*** |
*p value <0.05; **p value <0.01; ***p value <0.001;
idHSS, integrated district-level health system strengthening.