School of Health Sciences (JA)http://repository.seku.ac.ke/xmlui/handle/123456789/18172024-03-29T14:51:30Z2024-03-29T14:51:30ZA model to promote utilization of skilled health providers among women of reproductive age in Kandara sub-county, Murang’a County - KenyaGachathi, Daniel M.Makworo, DrusillaMutunga-Mwenda, Catherine S.http://repository.seku.ac.ke/xmlui/handle/123456789/75272024-03-12T12:39:55Z2024-01-01T00:00:00ZA model to promote utilization of skilled health providers among women of reproductive age in Kandara sub-county, Murang’a County - Kenya
Gachathi, Daniel M.; Makworo, Drusilla; Mutunga-Mwenda, Catherine S.
Background: Lack of utilization of skilled delivery services by pregnant women contributes to increased number of maternal and neo-natal morbidities and mortalities. In Kenya, skilled deliveries stand at 62% while unskilled deliveries stand at 38%.The maternal mortality ratio in Kenya is at 462 per thousand live births. In the study area, skilled deliveries stand at 65% while home deliveries are at 35%. The main aim of this study was to develop a model of care to improve utilization of skilled birth attendance in the study area.
Methods: A qualitative research design was employed to gather information. Sample size: Women of Reproductive age n= 48, Community Health Volunteers (n=48), Community Extension Workers (n=10) and 7 health administrators. Data Management: Data was thematically arranged and analyzed using NVIVO software version 13.
Results: The study identified key strategies, including client education, family and community involvement, and alignment with government policies, to enhance skilled delivery utilization. These findings contributed to strategies that yielded in development of a model of care for promoting skilled birth attendance and improving maternal-child health in the study area and beyond.
Conclusion: Through a baseline study, the research team identified key client experiences and strategies, leading to the formulation of a model. Evaluation of the model, utilizing criteria from Parady et al. (2021), involved respondent ratings on a Likert scale. A mean score of 4 or higher was deemed acceptable for model adoption, while elements below 3 were eliminated and those at 3 were modified based on expert recommendations. The threshold for agreement, set at a mean score of 4, ensured reliability in consensus decision-making (Bascom et al, 2018 ). The validated model is now ready for testing and subsequent implementation.
Recommendation: Government policies to adopt the model's strategies and advocates for a more extensive study, possibly an RCT or meta-analysis, for a thorough understanding. Regular evaluations and critiques of the developed model, along with exploration of diverse models in future studies, are vital for evidence-based decision-making by policymakers, ensuring ongoing improvement in care quality
2024-01-01T00:00:00ZEffects of moderate acute malnutrition treatment and HIV-exposure on body composition among children under five years in Sub Saharan Africa: A systematicTarkwen, PaulineKonyole, SilvenusBukania, ZipporahOiye, Shadrackhttp://repository.seku.ac.ke/xmlui/handle/123456789/75152024-02-01T13:30:07Z2023-08-01T00:00:00ZEffects of moderate acute malnutrition treatment and HIV-exposure on body composition among children under five years in Sub Saharan Africa: A systematic
Tarkwen, Pauline; Konyole, Silvenus; Bukania, Zipporah; Oiye, Shadrack
BACKGROUND Malnutrition poses a global threat to childhood growth and survival. Coupled with HIV exposure and infection, under-nutrition risk is greatly increased. Infection with HIV results in Acquired Immune Deficiency Syndrome which increases the body’s nutrient requirements and may significantly affect the body composition parameters. This study aimed to review data from published articles to identify the changes in body composition among children under five in sub-Saharan Africa as a result of Moderate Acute Malnutrition (MAM) and HIV exposure
MATERIALS AND METHODS We conducted a systematic review of published articles on body composition, moderate acute malnutrition treatment and HIV exposure among children under five years. Data was searched from PubMed, Ovid-MedLine, Google Scholar, Cochrane Central Register of Controlled Trials and EMBASE. The review was done as per Cochrane reviews and Preferred Reporting Items for Systematic Reviews and MetaAnalyses guidelines (PRISMA). The articles were then screened for suitability of inclusion and analysis.
RESULTS A total of 1,505 records were identified; 520 articles from PubMed, 535 from Medline and 430 from EMBASE. On the first screening step, 755 duplicate records were removed. Screening the articles by abstract and title led to the elimination of 717 records. Further, 88 records were excluded due to a lack of full-text articles, not related to the topic, no prospective studies and the wrong age group (above five years). We finally ended up with 9 articles that were included for review.
CONCLUSIONS There is an interrelationship between MAM treatment, HIV Exposure and body composition. Treatment of MAM using standard ready-to-use supplemental foods and locally produced specialized nutritious formulas improves the body composition parameters of children under five years. HIV-exposed infected children exhibit poorer body composition parameters than HIV-exposed uninfected and HIV-unexposed uninfected children.
DOI: https://dx.doi.org/10.4314/ajhs.v36i4.6
2023-08-01T00:00:00ZClient’s experiences on skilled delivery services among women of reproductive age in rural communities in KenyaGachathi, Daniel M.Makworo, DrusillaMutunga-Mwenda, Catherine S.http://repository.seku.ac.ke/xmlui/handle/123456789/75132024-01-29T13:33:48Z2024-01-26T00:00:00ZClient’s experiences on skilled delivery services among women of reproductive age in rural communities in Kenya
Gachathi, Daniel M.; Makworo, Drusilla; Mutunga-Mwenda, Catherine S.
Background: Globally Skilled delivery services are critical aspects to combat Maternal and neonatal mortality. In Kenya, skilled deliveries account for 62% of all deliveries; unskilled deliveries pose a higher risk of maternal and neonatal mortality and morbidity. The maternal mortality ratio in Kenya is currently 462 per thousand live births, with 40% of these deaths occurring at home. The main objective of the study was to explore the experiences of women of reproductive age on skilled delivery services.
Materials And Methods: The baseline study was conducted between November 2022 and January 2023. It employed a cross-sectional research design involving 347 women of reproductive age. The study aimed to examine their current practices, challenges, and experiences with skilled delivery services. Focus Group Discussions (FGDs) were conducted with 48 recently delivered women (within one year), as well as with 48 Community Health Volunteers (CHVs) and 10 Community Extension Workers (CHEWs). In-depth interviews were also held with local health facility administrators. Quantitative data analysis was performed using SPSS version 25.0. Measures of central tendency were employed for continuous data tabulation. The analyzed data was then presented through charts, tables, and frequencies. The qualitative data underwent thematic arrangement and analysis using NVIVO version 13 and then triangulated with descriptive data.
Results: The results revealed that (90.6%) of women's previous childbirth experiences influenced their utilization of skilled birth attendance services in subsequent pregnancies. Women who had never given birth in health facilities or had chosen home births were less likely to utilize skilled birth attendance services.
Conclusion and Recommendations: This study identified factors influencing skilled birth attendance use in Kandara SubCounty, highlighting the role of previous childbirth experiences, health facility-related factors, and danger signs during pregnancy. To improve utilization, interventions should focus on health facility conditions, health worker attitudes, and community awareness programs.
DOI: https://dx.doi.org/10.4314/ajhs.v36i4.10
2024-01-26T00:00:00ZPredictors of postnatal care services utilisation among women of childbearing age in Kenya: A facility-based studyOndimu, Thomas O.Maghanga, ClemenceMwaniki, GraceAranda, Stanley N.http://repository.seku.ac.ke/xmlui/handle/123456789/74832024-01-18T07:56:39Z2023-12-28T00:00:00ZPredictors of postnatal care services utilisation among women of childbearing age in Kenya: A facility-based study
Ondimu, Thomas O.; Maghanga, Clemence; Mwaniki, Grace; Aranda, Stanley N.
Globally, approximately 295,000 women die annually as a result of pregnancy and childbirth-related complications. Sub-Saharan Africa accounts for 66 % of the estimated maternal deaths. Maternal death occurs during the first 24-48 hours up to 42 days post-delivery. The major causes are haemorrhage, sepsis, and hypertensive complications, which can be prevented by effective utilisation of postnatal care services. To improve maternal, new-born and infant health and reduce mortality ratio, which reciprocates the quality of services received during the early postnatal period. The objective of the study was to determine the factors influencing the utilisation of postnatal care among mothers attending St. Joseph Mission Hospital, Taita/Taveta County. A descriptive cross-sectional study design was adopted, and a convenient sampling technique was used to sample 145 postnatal mothers. The findings showed that the majority of mothers who utilised postnatal care were between the ages of 21 and 32 years; their parity was between 2(25.2%) and 3(24.4%) children. Inferential analysis revealed that education and occupation p=0.00, religion p=0.008, knowledge p=0.001 when to start PNC p=0.000, decision maker p=0.008 and importance p=0.001 were significantly associated factors in the utilisation of postnatal care. The study concluded that most postnatal mothers attended postnatal care visits at 2 weeks post-delivery and only attended one or two visits during the entire postnatal period. The study recommends that more awareness of postnatal care should be emphasised at a facility level, community level, and the entire county level to ensure that mothers are given updated information on PNC services during the ANC
DOI: https://doi.org/10.37284/2707-3920
2023-12-28T00:00:00Z