Effect of A Community Health Worker led Intervention on Skilled Birth Care in Rural Mwingi West Sub-County, Kenya: A Quasi Experimental Study

Despite strong evidence that skilled birth care (SBC) significantly reduces maternal deaths, one in four babies worldwide are delivered without SBC. This has kept maternal mortality rates (MMR) high in sub-Saharan Africa and Kenya in particular. Kenya adopted Community Health Strategy (CHS) with the...

Full description

Saved in:
Bibliographic Details
Published in:African journal of reproductive health 2018-09, Vol.22 (3), p.59-70
Main Authors: Nzioki, Japheth M, Korir, Agnes J, Ombaka, James H, Ouma, James O, Onyango, Rosebella O
Format: Article
Language:English
Subjects:
Agents de santé communautaires
Births
Child health
Childrens health
Community health aides
Community health care
Community health strategy
Community health workers
Health care
Health care reform
Health services
Households
Infants
Intervention
Maternal & child health
Maternal and child health
Maternal health services
Maternal mortality
Medical personnel
Methods
Midwifery
Mortality
ORIGINAL RESEARCH ARTICLE
Patient outcomes
Pregnancy
Prevention
Public health
Quasi-experimental methods
Regression analysis
Rural areas
Rural health services
Santé maternelle et infantile
Services
Skilled birth care
Soins à la naissance
Stratégie de santé communautaire
Studies
Systematic review
Women
Womens health
Workers
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Despite strong evidence that skilled birth care (SBC) significantly reduces maternal deaths, one in four babies worldwide are delivered without SBC. This has kept maternal mortality rates (MMR) high in sub-Saharan Africa and Kenya in particular. Kenya adopted Community Health Strategy (CHS) with the aim of improving community health services. The aim of this study was to evaluate the effect of CHS on SBC in Mwingi west sub-county, Kenya. A quasi experimental study design was conducted with 1 pretest and 2 post-test household surveys done in intervention and control sites. Sample size in each survey was 422 households. Women with a child aged 9-12 months were main respondents. Binary logistic regression analysis was used to estimate the odds of SBC utilization before and after the intervention In intervention site; SBC utilization significantly improved by 12.9% (57.9% vs. 70.5%) and women in end term survey were 1.6 times (Adj. OR=1.556, P
ISSN:1118-4841
2141-3606
DOI:10.29063/ajrh2018/v22i3.7