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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Jillo, Jillo Ali Ofware, Peter Obonyo Njuguna, Susan Mwaura-Tenambergen, Wanja |
| Spatial Coverage | Kenya |
| Description | Country affiliation: Kenya Author Affiliation: Jillo JA ( Department of Health Systems Management and Medical Education, Kenya Methodist University, Nairobi, Kenya ); Ofware PO ( Amref Health Africa, Kenya Country office, Nairobi, Kenya.); Njuguna S ( Department of Health Systems Management and Medical Education, Kenya Methodist University, Nairobi, Kenya.); Mwaura-Tenambergen W ( Department of Health Systems Management and Medical Education, Kenya Methodist University, Nairobi, Kenya.) |
| 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 cross-sectional 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. |
| File Format | HTM / HTML |
| e-ISSN | 19378688 |
| DOI | 10.11604/pamj.2015.20.403.4896 |
| Journal | Pan African Medical Journal |
| Volume Number | 20 |
| Language | English |
| Publisher | African Field Epidemiology Network |
| Publisher Date | 2015-01-01 |
| Publisher Place | Uganda |
| Access Restriction | Open |
| Subject Keyword | Discipline Medicine Child Health Services Organization & Administration Health Services Accessibility Maternal Health Services Prenatal Care Adolescent Cross-sectional Studies Delivery, Obstetric Statistics & Numerical Data Home Childbirth Infant Infant, Newborn Kenya Midwifery Models, Theoretical Pregnancy Questionnaires Transients And Migrants Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
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