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Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"

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-s...

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Autores principales: 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
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2867783/
https://www.ncbi.nlm.nih.gov/pubmed/20429906
http://dx.doi.org/10.1186/1742-4755-7-1
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author 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
author_facet 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
author_sort Ouma, Peter O
collection PubMed
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.
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spelling pubmed-28677832010-05-12 Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care" 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 Reprod Health Research 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. BioMed Central 2010-04-29 /pmc/articles/PMC2867783/ /pubmed/20429906 http://dx.doi.org/10.1186/1742-4755-7-1 Text en Copyright ©2010 Ouma et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
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
Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"
title Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"
title_full Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"
title_fullStr Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"
title_full_unstemmed Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"
title_short Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"
title_sort antenatal and delivery care in rural western kenya: the effect of training health care workers to provide "focused antenatal care"
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2867783/
https://www.ncbi.nlm.nih.gov/pubmed/20429906
http://dx.doi.org/10.1186/1742-4755-7-1
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