Effect of A Community Health Worker led Intervention on Skilled Birth Care in Rural Mwingi West Sub-County, Kenya: A Quasi Experimental Study
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Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
African Journal of Reproductive Health
Abstract
Abstract
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<0.0001; 95%CI: 1.295-1.868) more likely to
deliver under SBC compared to baseline. Compared to control, the proportion of women delivering under SBC in intervention
site increased by 8.6%. To improve maternal and child health outcomes in Kenya, implementation of CHS should be fast tracked
in all counties.
Description
Journal Article
Keywords
Community Health Strategy, Community Health Workers, Skilled Birth Care, Maternal and Child Health
Citation
Nzioki, J. M., Korir, A. J., Ombaka, J. H, & Ouma, J. O., (2018)., Effect of A Community Health Worker led Intervention on Skilled Birth Care in Rural Mwingi West Sub-County, Kenya: A Quasi Experimental Study., African Journal of Reproductive Health., 22 (3),59 .