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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Date
2015-04-23
Journal Title
Journal ISSN
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Publisher
Pan African Medical Journal
Abstract
Introduction: 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. Methods: A crosssectional 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. Results: 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.
Conclusion: The Ng’adakarin Bamocha model had a positive effect on the improving maternal health care among the nomadic pastoralist
community in Turkana.
Description
Keywords
Turkana, Ng´adakarin Bamocha, Nomads, Pastoralist, Skilled delivery services, Health facility delivery, Traditional birth attendants, Container clinics
Citation
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.Jillo, Ali Jillo (et..al)Pan African Medical Journal,2015