Integrating services for impact and sustainability: a proof-of-concept project in KwaZulu-Natal, South Africa

Figures & data

Figure 1: Services included in the comprehensive package of care.

Table 1: Sociodemographic characteristics of mother and baby

Characteristic	Baseline	Follow-up
	n = 123 (%)	n = 290 (%)
Mother’s age in years:
Median	25.2	25.0
IQR	21–31	21–31
Child’s age in weeks:
Median	22	15
IQR	11–37	7–30
Child’s gender:
Male	59 (48.0)	151 (52.4)
Female	64 (52.0)	136 (47.2)
Mother living in the same household as the child:
Yes	123 (100)	284 (98.6)
No	0 (0)	4 (1.4)
Total number of children under 5 for each mother:
1 child under 5 years	85* (69.1)	207 (71.9)
2 children under 5 years	20* (16.3)	76 (26.4)
> 2 children under 5 years	10* (8.1)	5 (1.8)
Highest school grade the mother completed:
None	2 (1.6)	0 (0)
Primary school only (Grade 1–7)	7 (5.7)	13 (4.7)
Any high school (Grade 8–12)	113 (92.6)	262 (90.3)
Post-school qualification	0 (0)	8 (2.5)
Missing	1 (0.8)	5 (1.8)
Mother currently employed:
Yes	8 (6.5)	29 (10.0)
No	114 (92.7)	259 (89.3)
Missing	1 (0.8)	2 (0.7)
How did you get to the clinic?
Walked	92 (74.8)	218 (75.4)
Taxi	30 (24.4)	54 (18.7)
Other	1 (0.8)	17 (5.9)

* Missing data

Figure 2: Provision of growth -monitoring services.

Figure 3: Number of maternal health services received on well-child visit.

Table 2: Maternal services discussed and received

Item	Baseline		Follow-up		p-value
	n = 123	%	n = 290	%
Today were you asked about your own health?
Yes	21	17.1	105	36.2	0.001
No	102	82.9	185	63.8
Today were you asked if you were coughing (TB screening)?
Yes	2	1.6	30	10.3	0.002
No	121	98.4	260	89.7
Today were asked if you had a discharge or sores in your vaginal area (STI screening)?
Yes	5	4.1	44	15.2	0.001
No	118	95.9	246	84.8
Today were you asked if you are using family planning?
Yes	14	11.4	134	46.2	0.001
No	109	88.6	156	53.8
Today were you offered family planning?
Yes	6	4.9	21	7.2	0.374
No	117	95.1	269	92.8
Today did you receive family planning?
Yes	10	8.1	27	9.3	0.701
No	113	91.9	263	90.7
Today were you offered condoms?
Yes	0	0	42	14.5	0.001
No	123	100	248	85.5
Today did you receive condoms?
Yes	0	0	44	15.2	0.001
No	123	100	246	84.8
Today did anyone talk to you about a PAP smear?
Yes	40	32.5	51	17.6	0.001
No	83	67.5	239	82.4
Today were you offered a PAP smear?
Yes	7	5.7	17	5.9	0.9
No	116	94.3	273	94.1
Have you ever had a PAP smear?
Yes	29	23.6	50	17.2	0.133
No	94	76.4	240	82.8

*Seven variables contributed to the calculation of the number of maternal services received by each mother: mother asked about her own health today; mother received family planning today; mother received condoms today; mother had a PAP smear today; mother was screened for TB today; mother was screened for STI today; and mother received HIV care today.

Figure 4: Category of health worker providing care for mother–baby pairs.