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Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya

INTRODUCTION: pregnant women need access to skilled attendance at birth and emergency obstetric care (EmOC) to avert maternal deaths. While poor EmOC services may explain the high maternal mortality, inadequate knowledge of providers is also part of the problem. This forms the basis of this paper, i...

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Autores principales: Namayi, Imelda, Makokha, Anselimo, Echoka, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7680226/
https://www.ncbi.nlm.nih.gov/pubmed/33244336
http://dx.doi.org/10.11604/pamj.2020.37.73.24597
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author Namayi, Imelda
Makokha, Anselimo
Echoka, Elizabeth
author_facet Namayi, Imelda
Makokha, Anselimo
Echoka, Elizabeth
author_sort Namayi, Imelda
collection PubMed
description INTRODUCTION: pregnant women need access to skilled attendance at birth and emergency obstetric care (EmOC) to avert maternal deaths. While poor EmOC services may explain the high maternal mortality, inadequate knowledge of providers is also part of the problem. This forms the basis of this paper, in a setting where 50.2% of women deliver in a health facility but maternal mortality remains high at 531/100,000 live births, compared to the national average of 362/100,000 in Kenya. METHODS: a facility based cross-sectional survey was conducted in 2018 with a set of knowledge questions extracted from the averting maternal death and disability toolkit. Providers knowledge for maternal and newborn health (MNH) was assessed by interviewing nurses on duty in the maternity units. Data were entered in Ms Access and exported to R version 3.6.2 for descriptive and logistic regression analysis. Ethical clearance was obtained from Kenya Medical Research Unit. RESULTS: a total of 55 nurses were interviewed. Majority (71%) of the respondents were diploma nurses. The overall knowledge score for MNH among the providers was adequate with a score of (64%). Generally, the midwives and higher diploma nurses consistently scored higher than diploma nurses in all the topic areas of MNH. In the mixed linear regression, determinants of knowledge score were seen in provider-level variables. CONCLUSION: overall, the providers scores were higher on intrapartum and newborn care compared to scores on care for complications. We conclude that in-service training on EmOC to providers is critical to reduction of maternal mortality.
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spelling pubmed-76802262020-11-25 Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya Namayi, Imelda Makokha, Anselimo Echoka, Elizabeth Pan Afr Med J Research INTRODUCTION: pregnant women need access to skilled attendance at birth and emergency obstetric care (EmOC) to avert maternal deaths. While poor EmOC services may explain the high maternal mortality, inadequate knowledge of providers is also part of the problem. This forms the basis of this paper, in a setting where 50.2% of women deliver in a health facility but maternal mortality remains high at 531/100,000 live births, compared to the national average of 362/100,000 in Kenya. METHODS: a facility based cross-sectional survey was conducted in 2018 with a set of knowledge questions extracted from the averting maternal death and disability toolkit. Providers knowledge for maternal and newborn health (MNH) was assessed by interviewing nurses on duty in the maternity units. Data were entered in Ms Access and exported to R version 3.6.2 for descriptive and logistic regression analysis. Ethical clearance was obtained from Kenya Medical Research Unit. RESULTS: a total of 55 nurses were interviewed. Majority (71%) of the respondents were diploma nurses. The overall knowledge score for MNH among the providers was adequate with a score of (64%). Generally, the midwives and higher diploma nurses consistently scored higher than diploma nurses in all the topic areas of MNH. In the mixed linear regression, determinants of knowledge score were seen in provider-level variables. CONCLUSION: overall, the providers scores were higher on intrapartum and newborn care compared to scores on care for complications. We conclude that in-service training on EmOC to providers is critical to reduction of maternal mortality. The African Field Epidemiology Network 2020-09-18 /pmc/articles/PMC7680226/ /pubmed/33244336 http://dx.doi.org/10.11604/pamj.2020.37.73.24597 Text en Copyright: Imelda Namayi et al. https://creativecommons.org/licenses/by/4.0 The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Namayi, Imelda
Makokha, Anselimo
Echoka, Elizabeth
Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya
title Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya
title_full Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya
title_fullStr Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya
title_full_unstemmed Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya
title_short Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya
title_sort health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in vihiga county, kenya
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7680226/
https://www.ncbi.nlm.nih.gov/pubmed/33244336
http://dx.doi.org/10.11604/pamj.2020.37.73.24597
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