1 Results

1.1 Demographic Characteristics

Table 1: Age of Children under 2 (n=358) Age of children (n=300) 0 to 5 months 6 to 11 months 12 to 23 months Total Freq 107 95 156 358 % 30 27 43 100.0

Table 2: Sex of Children under 2 (n=358) Sex of children (n=358) Female Male Total Freq 137 163 358 % 45.7 54.3 100.0

1.2 Maternal and newborn care:

Table 5: Health Center/Home Delivery Freq Health Center Home Total 213 144 357 % 59,7 40,3 100,0

60% of deliveries take place in the Health centers. It is twice the baseline line (29%). While there has been modest increase in the extension of Health facility coverage between 2007 (52 Health post) and 2011 (60 Health post) in the Konni District in general. In the surveyed 60 villages, the number of HP and Primary Health Care ( CSI) Centers has even remained unchanged. Improved Health care delivery and Community Mobilization in project area may have contributed . Table 6: Assistance during the Delivery (n=358)

Person who assisted Doctor/ Nurse/Midwife HP worker Traditional birth attendant Other Not assisted Total

Freq 161 28 140 25* 2 358

% 45 8 40

100.0

*within this group, 4 responses were categorized as auxiliaire and the cross check on where this staff exist shows that they are in Health Centers. This could be related to Health post workers ( HPw) who temporarily work in Integrated Health Centers ( CSI) during the Frequent absence of the Chief CSI nurse in the majority of Health centers staffed by only one or 2 nurses. The Catch indicator includes Health post worker as qualified Personnel since they were trained by Project in Clean Delivery. Some of this HPW are nurses but may not be known as such by respondents. There almost 40% of delivery still attended by TBA (Matrons) even though they are not considered as skilled personnel. The project has devoted considerable time in the sensitization to teach to TBA in their new role of companion to delivery .

Table 6: Home delivery By TBA

HomedeliveryTBA Frequency Percent Cum Percent Yes 67 47,2% 47,2% No 75 52,8% 100,0% Total 142 100,0% 100,0%

95% Conf Limits Yes 38,8% 55,7% No 44,3% 61,2% Comments: when we cross where do the Birth assisted by matrons took, we find that only half of them were at Home, 50% of these Births assisted by TBA( 75/142) occurred in Health Centers. This is well know practices particularly in CSI and District Hospital where matrons are still used for night shift under Midwife supervision. Officially matrons are expected even in those centers to accompany Parturient to Maternity and help the women in post partum wards. But the reality is that matrons continue to assist delivery when the Midwife actually went to rest during night guards.

Table 7 : Use of Clean delivery Kits (n=358) Was a Clean Delivery Kit used during delivery? Yes No Do Not Know Total Freq %

272 84 2 358

76 23 1 100.0

76% of the deliveries benefited clean delivery kit. Project has provided a single use delivery Kit in health centers. The Kit comprises a 2 Yards Cloth to wrap the baby, a razor blade for Cordon Section, a gloves and a soap. While 60% of the delivery occurred in health centers, approximately 16% of Kit used were either at home or elsewhere. This is a significant increase compared to 21% of Kit delivery use for at 21%.

Table 8: Post Natal check for Mother with first week

Q27 Frequency Percent Cum Percent Heure1 159 79,1% 79,1% jour1 19 9,5% 88,6% NSP1 20 10,0% 98,5% Semaine1 3 1,5% 100,0% Total 201 100,0% 100,0%

95% Conf Limits 72,8 Heure1 % jour1 5,8% NSP1 6,2% Semaine1 0,3%

84,5% 14,4% 14,9% 4,3%

88% (178/201) of mothers who delivered had a post natal check with the first week and 80% of them had the week within the first day after delivery. The total number of the respondants matches with 213 who delivered in Health Center. Only 29 mothers were able to identify the Health personnel who performed the Check. Half of them ( 51%) were done by Health post Worker. 4 checks done by midwifes and 2 by Doctors. It appears clearly that Doctor and Midwife are most recognizable or may be more communicative (?) Than Nurses and Health Post worker, since the number of deliveries assisted by Midwife and Doctors are the same for the post natal checks. Table 9: Post Natal Check for New born Freq 34 29 63 Percent 54,0% 46,0% 100,0%

Yes No Total

36% (63/216) of mothers said that their baby was checked by the health personnel of the facility where they delivered but only half of the Newborn (38) were checked within the week after birth.

Breastfeeding
Table10: Time of Breastfeeding after Birth (n=300) Time Within 1 hour (Initiation ) After 1 hour Did not Know Total Freq 339 13 6 358 % 94% 62.0 2.7 100.0

94% of the newborn were breastfed Immediately ( with 1 hour) and same proportion were given colustrum during the first 3 days after birth and 84% of the new were not given any other feed during the same period. This is twice (42%) higher than baseline rates. Table11: Exclusive Breafeeding/ breastmilk and simple water (n= 107) pending
analysis

Type of feeding EBF

Freq

Total

107

100.0

Vitamin A Supplementation
Table 12 : Children who received Vit A (n=251) Received Vit A (at least once) Yes No Did not know Blank Total Freq 184 62 4 1 251 % 74 25 1 0 100.0

74% of children aged 5-23month received at least once a dose of Vitamin A.

Vaccination:
Table 13: Health Card/vaccination possession
Do you have a card where your childs vaccinations are written down? Valide Yes,seen by the Surveyor Do not Know Not availalbe Never had a Card Total Freq 273 1 68 16 358 % 76,3 ,3 19,0 4,5 100,0

73% of mothers possess Health or vaccination cards. Baseline line value is 61%. The major issue with Health/vaccination card is that they are not filled mostly by Health personnel.

72% (258/358) of mother mentioned to have received vaccination that is not written in the book.

Tab 13: BCG

Freq Valide NON NSP 89 32 1 % 24,9 8,9 ,3

OUI Total

236 358

65,9 100,0

Detailed annexe: Q15-Q16

Q15:Did you ever breastfeed your child? Pourcentage Pourcentage valide cumul 1,1 1,1 98,9 100,0 100,0

Effectifs Valide NON OUI Total

Pourcentage 4 1,1 354 358 98,9 100,0

Q16:How long after birth did you first put your child to the breast? Pourcentage Pourcentage valide cumul 22,3 22,3 72,3 3,6 1,7 100,0 94,7 98,3 100,0

Effectifs Valide HEURE IMMEDIATEMENT JOURS NSP Total

Pourcentage 80 22,3 259 13 6 358 72,3 3,6 1,7 100,0

Q17:During the first three or four days after delivery, before your regular milk began flowing, did you give your child the liquid (colostrum) that came from your breast? Effectifs Valide NON OUI Total Pourcentage 18 5,0 340 358 95,0 100,0 Pourcentage Pourcentage valide cumul 5,0 5,0 95,0 100,0 100,0

Q18: In the first three days after delivery, was your child given anything to drink other than breast milk? Pourcentage Pourcentage valide cumul 84,4 84,4 15,6 100,0 100,0

Effectifs Valide NON OUI Total

Pourcentage 302 84,4 56 358 15,6 100,0

Q16:How long after birth did you first put your child to the breast? Pourcentage Pourcentage valide cumul 22,3 22,3 72,3 3,6 1,7 100,0 94,7 98,3 100,0

Valide HEURE IMMEDIATEMENT JOURS NSP Total

Effectifs Pourcentage 80 22,3 259 13 6 358 72,3 3,6 1,7 100,0

Q44:

tr_age

Effec tifs Valide NON OUI Total NON NSP OUI Total 25 82 107 63 4 184 251

Pourcen tage 23,4 76,6 100,0 25,1 1,6 73,3 100,0

Pourcent age valide 23,4 76,6 100,0 25,1 1,6 73,3 100,0

Pourcent age cumul 23,4 100,0 25,1 26,7 100,0

Valide

Forward VITAMINEA Frequency Percent Cum Percent 40241 40387 40494 40538 40559 40570 40596 40608 40617 40624 40628 40647 40659 40663 40681 40697 40717 40718 40721 40756 40768 40779 40783 47484 146099 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 3 1 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 7,1% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 3,6% 10,7% 3,6% 3,6% 7,1% 10,7% 14,3% 17,9% 21,4% 25,0% 28,6% 32,1% 35,7% 39,3% 42,9% 46,4% 53,6% 57,1% 60,7% 64,3% 67,9% 71,4% 75,0% 78,6% 82,1% 85,7% 96,4% 100,0%

Total

28 100,0%

100,0%

95% Conf Limits 40241 0,1% 18,3% 40387 0,1% 18,3% 40494 0,1% 18,3% 40538 0,1% 18,3% 40559 0,1% 18,3% 40570 0,1% 18,3% 40596 0,1% 18,3% 40608 0,1% 18,3% 40617 0,1% 18,3% 40624 0,1% 18,3% 40628 0,1% 18,3% 40647 0,1% 18,3% 40659 0,1% 18,3% 40663 0,9% 23,5% 40681 0,1% 18,3% 40697 0,1% 18,3% 40717 0,1% 18,3% 40718 0,1% 18,3% 40721 0,1% 18,3% 40756 0,1% 18,3% 40768 0,1% 18,3% 40779 0,1% 18,3% 40783 0,1% 18,3% 47484 2,3% 28,2% 146099 0,1% 18,3% Previous Dataset Results Library

1.1.1.1 FREQ Q44

Next Procedure Forward Q44 Frequency Percent Cum Percent NON NSP OUI Total 62 4 184 24,8% 1,6% 73,6% 24,8% 26,4% 100,0% 100,0%

250 100,0%

95% Conf Limits NON 19,6% 30,6% NSP 0,4% 4,0% OUI 67,7% 79,0% Previous Dataset Results Library

1.1.1.2 TABLES VITAMINEA Q44

Next Procedure Forward Q44 VITAMINEA NON OUI TOTAL 40241 Row % Col % 40387 Row % Col % 40494 Row % Col % 40538 Row % Col % 40559 Row % Col % 40570 Row % Col % 40596 Row % Col % 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 0,0 0,0 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0

40608 1 Row % 100,0 Col % 50,0 40617 Row % Col % 40624 Row %

0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0

Col % 40628 Row % Col % 40647 Row % Col % 40659 Row % Col % 40663 Row % Col % 40681 Row % Col % 40697 Row % Col % 40717 Row % Col % 40718 Row % Col %

0,0

3,8

3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 2 100,0 7,1 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 1 100,0 3,6 3 100,0 10,7 1 100,0

0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 2 0,0 100,0 0,0 7,7 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 0,0 0,0

40721 1 Row % 100,0 Col % 50,0 40756 Row % Col % 40768 Row % Col % 40779 Row % Col % 40783 Row % Col % 47484 Row % Col % 146099 Row %

0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 1 0,0 100,0 0,0 3,8 0 3 0,0 100,0 0,0 11,5 0 1 0,0 100,0

Col %

0,0

3,8

3,6 28 100,0 100,0

TOTAL 2 26 Row % 7,1 92,9 Col % 100,0 100,0

1.1.1.3 Single Table Analysis

Chidf square 28,0000 24 Probability 0,2600

An expected value is < 5. Chi-square not valid.

Tab: Exclusive Breastfeeding

Exclusive Breasfeeding
1 tr_age 1 Effectif % compris dans tr_age % compris dans bf % du total 2 Effectif % compris dans tr_age % compris dans bf % du total 92 86,0% 2 0 ,0%

bf 3 9 8,4% 4 6 5,6% 5 0 ,0% Total 107 100,0%

29,5% 25,7% 220 87,6% 70,5% 61,5%

,0% ,0% 3 1,2% 100,0% ,8%

34,6% 2,5% 17 6,8% 65,4% 4,7%

40,0% 1,7% 9 3,6% 60,0% 2,5%

,0% ,0% 2 ,8% 100,0% ,6%

29,9% 29,9% 251 100,0% 70,1% 70,1%