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Effectiveness of Ng'adakarin Bamocha model in improving access to ante-natal and delivery services among nomadic pastoralist communities of Turkana West and Turkana North Sub-Counties of Kenya

Access to maternal and child health care services among the nomadic pastoralists community in Kenya and African continent in general is unacceptably low. In Turkana, only 18.1% of the women had seen a nurse or a midwife for antenatal care during pregnancy while only 1.3% of pregnant women reported d...

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Published in:The Pan African medical journal 2015-04, Vol.20 (403), p.403-403
Main Authors: Jillo, Jillo Ali, Ofware, Peter Obonyo, Njuguna, Susan, Mwaura-Tenambergen, Wanja
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Njuguna, Susan
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description Access to maternal and child health care services among the nomadic pastoralists community in Kenya and African continent in general is unacceptably low. In Turkana, only 18.1% of the women had seen a nurse or a midwife for antenatal care during pregnancy while only 1.3% of pregnant women reported delivery at health facilities in 2005. Ng'adakarin BAMOCHA model, based on migratory routes of the Turkana pastoralists and container clinics was adopted in 2007 to improve access to maternal and child health services by the nomads. A cross-sectional study design was used to establish the effectiveness of Ng'adakarin BAMOCHA model on accessibility and uptake of ante-natal care and delivery services. A total of 360 households and 400 households were interviewed for pre-intervention and post-intervention respectively. The study compared the pre-intervention and post-intervention findings. Structured questionnaires and focus group discussion were used for data collection. There was no improvement in the fourth ante-natal care visits between pre-intervention and post-intervention groups at 119(51.5%) and 111(41.9%) respectively (p < 0.05). Knowledge of the community on the importance of ANC visits improved from 60%-72% with significance level of p < 0.05. There was a significant increase 6%-17% of deliveries under a skilled health worker (p < 0.05). TBA assisted deliveries increased from 7.5%- 20.2% with a p < 0.05. There was significant reduction in home deliveries from 89.5%-79.5% with a p < 0.05. The Ng'adakarin Bamocha model had a positive effect on the improving maternal health care among the nomadic pastoralist community in Turkana.
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Knowledge of the community on the importance of ANC visits improved from 60%-72% with significance level of p &lt; 0.05. There was a significant increase 6%-17% of deliveries under a skilled health worker (p &lt; 0.05). TBA assisted deliveries increased from 7.5%- 20.2% with a p &lt; 0.05. There was significant reduction in home deliveries from 89.5%-79.5% with a p &lt; 0.05. 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identifier ISSN: 1937-8688
ispartof The Pan African medical journal, 2015-04, Vol.20 (403), p.403-403
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source Publicly Available Content Database; PubMed Central
subjects Adolescent
Adult
Child Health Services - organization & administration
Cross-Sectional Studies
Delivery, Obstetric - statistics & numerical data
Female
Focus Groups
health facility delivery
Health Services Accessibility
Home Childbirth - statistics & numerical data
Humans
Infant
Infant, Newborn
Kenya
Maternal Health Services - organization & administration
Middle Aged
Midwifery - statistics & numerical data
Models, Theoretical
ng´adakarin bamocha
nomads
pastoralist
Pregnancy
Prenatal Care - organization & administration
skilled delivery services
Surveys and Questionnaires
traditional birth attendants and container clinics
Transients and Migrants - statistics & numerical data
turkana
Young Adult
title Effectiveness of Ng'adakarin Bamocha model in improving access to ante-natal and delivery services among nomadic pastoralist communities of Turkana West and Turkana North Sub-Counties of Kenya
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