Effectiveness of Kenya's Community Health Strategy in delivering community-based maternal and newborn health care in Busia County, Kenya: non-randomized pre-test post test study
Date
2012Author
Wangalwa, G
Cudjoe, B
Wamalwa, D
Machira, Y
Ofware, P
Ndirangu, M
Ilako, F
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
BACKGROUND: Maternal mortality ratio and neonatal mortality rate trends in Kenya have remained unacceptably high in a decade. In 2007, the Ministry of Public Health and Sanitation adopted a community health strategy to reverse the poor health outcomes in order to meet Millennium Development Goals 4 and 5. It aims at strengthening community participation and its ability to take action towards health. The study aimed at evaluating the effectiveness of the strategy in improving maternal and neonatal health outcomes in Kenya.
METHODS:Between 2008 and 2010, the African Medical and Research Foundation implemented a community-based maternal and newborn care intervention package in Busia County using the community health strategy approach. An interventional, non-randomized pre-test post test study design was used to evaluate change in essential maternal and neonatal care practices among mothers with children aged 0 - 23 months.
RESULTS:
There was statistically significant (p < 0.05) increase in attendance of at least four antenatal care visits (39% to 62%), deliveries by skilled birth attendants (31% to 57%), receiving intermittent preventive treatment (23% to 57%), testing for HIV during pregnancy (73% to 90%) and exclusive breastfeeding (20% to 52%).
CONCLUSION:The significant increase in essential maternal and neonatal care practices demonstrates that, community health strategy is an appropriate platform to deliver community based interventions. The findings will be used by actors in the child survival community to improve current approaches, policies and practice in maternal and neonatal care
URI
http://www.ncbi.nlm.nih.gov/pubmed/23467438http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/39062
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587017/pdf/PAMJ-SUPP-13-1-12.pdf
Citation
Pan Afr Med J. 2012;13 Suppl 1:12.Publisher
University of Nairobi. Department of Paediatrics
Subject
Child survivalneonatal care
maternal care
community-based care
community health strategy
AMREF
community health worker
Busia
Collections
- Faculty of Health Sciences (FHS) [10378]
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