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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.
- Source :
-
The Pan African medical journal [Pan Afr Med J] 2012; Vol. 13 Suppl 1, pp. 12. Date of Electronic Publication: 2012 Dec 26. - Publication Year :
- 2012
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Abstract
- 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.<br />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.<br />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%).<br />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.
- Subjects :
- Breast Feeding statistics & numerical data
Delivery, Obstetric standards
Female
HIV Infections diagnosis
Humans
Infant
Infant Mortality
Infant, Newborn
Kenya
Maternal Mortality
Pregnancy
Pregnancy Complications, Infectious diagnosis
Pregnancy Complications, Infectious virology
Prenatal Care organization & administration
Child Health Services organization & administration
Community Health Services organization & administration
Maternal Health Services organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1937-8688
- Volume :
- 13 Suppl 1
- Database :
- MEDLINE
- Journal :
- The Pan African medical journal
- Publication Type :
- Academic Journal
- Accession number :
- 23467438