Details:

Alternative Title:
Reprod Health
Personal Author:
Ouma, Peter O. ; van Eijk, Anna M. ; Hamel, Mary J. ; Sikuku, Evallyne S. ; Odhiambo, Frank O. ; ... More +
Ouma, Peter O. ; van Eijk, Anna M. ; Hamel, Mary J. ; Sikuku, Evallyne S. ; Odhiambo, Frank O. ; Munguti, Kaendi M. ; Ayisi, John G. ; Crawford, Sara B. ; Kager, Piet A. ; Slutsker, Laurence Less -
Description:
Background

Maternal mortality remains high in developing countries and data to monitor indicators of progress in maternal care is needed. We examined the status of maternal care before and after health care worker (HCW) training in WHO recommended Focused Antenatal Care.

Methods

An initial cross-sectional survey was conducted in 2002 in Asembo and Gem in western Kenya among a representative sample of women with a recent birth. HCW training was performed in 2003 in Asembo, and a repeat survey was conducted in 2005 in both areas.

Results

Antenatal clinic (ANC) attendance was similar in both areas (86%) in 2005 and not significantly different from 2002 (90%). There was no difference in place of delivery between the areas or over time. However, in 2005, more women in Asembo were delivered by a skilled assistant compared to Gem (30% vs.23%, P = 0.04), and this proportion increased compared to 2002 (17.6% and 16.1%, respectively). Provision of iron (82.4%), folic acid (72.0%), sulfadoxine-pyrimethamine (61.7%), and anthelminths (12.7%) had increased in Asembo compared to 2002 (2002: 53.3%, 52.8%, 20.3%, and 4.6%, respectively), and was significantly higher than in Gem in 2005 (Gem 2005: 69.7%, 47.8%, 19.8%, and 4.1%, respectively) (P < 0.05 for all). Offering of tests for sexually transmitted diseases and providing information related to maternal health was overall low (<20%) and did not differ by area. In 2005, more women rated the quality of the antenatal service in Asembo as very satisfactory compared to Gem (17% vs. 6.5%, P < 0.05).

Conclusions

We observed improvements in some ANC services in the area where HCWs were trained. However, since our evaluation was carried out 2 years after three-day training, we consider any significant, sustained improvement to be remarkable.


Subjects:
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Research
Source:
Reprod Health. 2010; 7:1.
Document Type:
Journal Article
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f847043f23427bbc22aec0551ce0b82b29dee3ad725f659a35eb8b095e37e50b
Download URL:
https://stacks.cdc.gov/view/cdc/3609/cdc_3609_DS1.pdf
File Type:

Supporting Files

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  	1742-4755-7-1-1.jpg	jpeg
  	1742-4755-7-1.nxml	txt
  	license.txt	txt

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