Model predictions of annual change in coverage associated with the idHSS intervention and in the rest of Ifanadiana district (control), 2014 to 2018
| Coverage 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) | |
| Indicator | ||||
| Composite MNCH indicator | ||||
| Co-coverage index (5+ interventions) | 0.2 (0.2 to 0.4)*** | 1.6 (0.7 to 3.7) | 1.1 (1.0 to 1.3) | 1.0 (0.8 to 1.3) |
| Children | ||||
| All recommended vaccines (12–23 months) | 0.3 (0.2 to 0.4)*** | 1.1 (0.6 to 2.3) | 1.1 (1.0 to 1.2) | 1.2 (1.0 to 1.5) |
| Care seeking for illness (<5 years) | 0.3 (0.2 to 0.4)*** | 1.9 (1.1 to 3.1)* | 1.0 (0.9 to 1.1) | 1.2 (1.1 to 1.4)* |
| Oral rehydration therapy for diarrhoea (<5 years) | 0.3 (0.2 to 0.4)*** | 1.5 (0.7 to 3.2) | 1.0 (0.8 to 1.2) | 1.2 (0.9 to 1.6) |
| Care seeking for fever (<5 years) | 0.3 (0.2 to 0.4)*** | 2.3 (1.3 to 4.1)** | 1.0 (0.9 to 1.1) | 1.0 (0.8 to 1.3) |
| Care seeking for ARI (<5 years) | 0.2 (0.2 to 0.3)*** | 1.9 (1.0 to 3.6)* | 1.0 (0.8 to 1.1) | 1.3 (1.0 to 1.7)* |
| Maternal care (last birth last 2 years) | ||||
| Antenatal care (1+ visit with skilled provider) | 0.8 (0.7 to 0.9)*** | 1.3 (0.6 to 2.8) | 1.2 (1.1 to 1.4)*** | 1.1 (0.9 to 1.3) |
| Antenatal care (4+ visits with skilled provider) | 0.2 (0.2 to 0.3)*** | 1.7 (0.8 to 3.4) | 1.3 (1.2 to 1.4)*** | 0.9 (0.8 to 1.1) |
| Birth delivered at public health centre | 0.1 (0 to 0.1)*** | 2.0 (0.9 to 4.6) | 1.3 (1.1 to 1.4)*** | 1.0 (0.9 to 1.3) |
| Birth delivered by caesarean section | 0 (0 to 0)*** | 6.2 (0.6 to 61.8) | 1.4 (0.8 to 2.5) | 0.8 (0.4 to 1.6) |
| Postnatal care (within 48 hours with skilled provider) | 0.1 (0 to 0.1)*** | 2.2 (1.0 to 5.1) | 1.2 (1.1 to 1.4)** | 1.0 (0.8 to 1.2) |
| All household members | ||||
| Individual care seeking for illness in last 4 weeks† | 0.1 (0.1 to 0.2)*** | 1.0 (0.6 to 1.8) | 1.2 (1.1 to 1.3)** | 1.4 (1.2 to 1.6)*** |
*p value <0.05; **p value <0.01; ***p value <0.001.
†Information not available for 2014; trends are estimated for the 2016 to 2018 period.
ARI, acute respiratory infection; idHSS, integrated district-level health system strengthening; MNCH, maternal, newborn and child health.