Impact of Cultural Competence Intervention on Satisfaction with Maternity Services among Women of Reproductive Age in Rural Kenya
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Date
2021
Authors
Cheboi, Solomon Kemoi
Rucha, Kenneth Kibaara
Kimeu, Anastasiah Nyamilu
Kithuka, Peter
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of Advances in Medicine and Medical Research
Abstract
Introduction: Quality of care is acknowledged as a critical facet of the unfinished maternal and
newborn health agenda. Yet modalities of reorienting maternity services to respectful services are
rare. This study investigated the effect of training health workers in cultural competence towards
satisfaction with maternity service.
Materials and Methods: This was a Cluster Randomized Controlled Trial undertaken in public
hospitals. The intervention was provision of culturally sensitive maternity services by health workers
after cultural competence training. Three hundred and seventy nine women were interviewed per
group using exit and mystery client surveys. The effect was measured using standard mean
difference (Cohen’s d) and t-test (F (1, 756) = 11.493, p < 0.001, ηp2 = .049). The mean of intervention group increased from 3.55
±1.056 to 3.94, ±0.894 while the control changed from 3.57±1.187 to 3.62 ± 1.149. The mean
changes tweaked the group variance from insignificant t (725) =0.290, p = 0.771 to significant t
(713) =-4.336 p <0.001.
Conclusion: Cultural competence training is effective in creating room for desired maternal needs
and improving perceived satisfaction with maternity services. Consequently, there is a need to
integrate cultural knowledge and skills into existing maternal policies and training
Description
Article
Keywords
Cultural competence, satisfaction, maternity services
Citation
Kithuka, P., Kimeu, A. N., Rucha, K. K., & Cheboi, S. K. (2021). Impact of Cultural Competence Intervention on Satisfaction with Maternity Services among Women of Reproductive Age in Rural Kenya. Journal of Advances in Medicine and Medical Research, 33(4), 35-48.