Effect of post-discharge postnatal educational intervention on postnatal practices among lowincome primiparas in Nairobi informal settlements, Kenya: a post-test quasi-experiment

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dc.contributor.authorKamau, Immaculate Wambui
dc.contributor.authorKeraka, Margaret Nyanchoka
dc.contributor.authorGitonga, Eliphas
dc.date.accessioned2024-05-29T13:47:49Z
dc.date.available2024-05-29T13:47:49Z
dc.date.issued2024-05
dc.descriptionArticleen_US
dc.description.abstractIntroduction: informal settlements exhibit disproportionately worse maternal and newborn outcomes. Postnatal care (PNC) is a high-impact intervention for populations contributing to higher mortalities. Postnatal education is crucial to adopting evidence-based postnatal practices (PNPs) thus its post-discharge reinforcement is vital for low-income primiparas. This study aimed to determine the effect of post-discharge follow-up postnatal education intervention (PNE) on the adoption of recommended PNPs among lowincome primiparas. Methods: quasi-experimental study in Nairobi informal settlements with 118 primiparas discharged early after normal delivery on each arm. Facility and demographic data collected using an interviewer-administered questionnaire. Study arm received the intervention for 6 weeks in addition to routine PNC while control received routine PNC only. An intervieweradministered exit questionnaire applied after 6 weeks. Focus group discussions conducted for qualitative data then analyzed thematically. SPSS used to analyze quantitative data then descriptive statistics, t-tests, Chi-square, Mann-Whitney, and multiple linear or logistic regressions derived. PNPs composed of health-seeking for maternal and newborn danger signs, self and baby care practices, and utilization of PNC contacts. Results: the intervention was a positive predictor of adoption of composite PNPs (β=0.26, p=0.00), self-care practices (β=0.39, p=0.00) and mothers' two weeks PNC contact (OR=4.64, p=0.00, 95% CI=1.9-11.2). Neither a significant predictor of health-seeking for maternal (β=-0.11, p=0.31) nor newborns danger signs (β=-0.04, p=0.73) though inversely related. No influence on baby care practices, two weeks newborn contact and six weeks contact for the dyad. Multi-pronged approaches appreciated. Conclusion: follow-up post-discharge PNE intervention enhances adoption of PNPs among low-income primiparas thus a worthwhile supplement to routine PNC.en_US
dc.identifier.citationKamau, I. W., Keraka, M. N., & Gitonga, E. Effect of post-discharge postnatal educational intervention on postnatal practices among low-income primiparas in Nairobi informal settlements, Kenya: a post-test quasi-experiment.en_US
dc.identifier.issn1937-8688
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/27928
dc.language.isoenen_US
dc.publisherMedical Journalen_US
dc.titleEffect of post-discharge postnatal educational intervention on postnatal practices among lowincome primiparas in Nairobi informal settlements, Kenya: a post-test quasi-experimenten_US
dc.typeArticleen_US
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