Effectiveness of a Facility-Based Health Education Intervention on Utilization of Emergency Obstetric and Newborn Care Services among Women of Reproductive Age in Nakuru County, Kenya
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Date
2023
Authors
Maingi, Nancy
Keraka, Margaret
Makworo, Drusilla
Journal Title
Journal ISSN
Volume Title
Publisher
IPRJB
Abstract
Purpose: Emergency obstetric and newborn care
(EmONC) is the most important intervention to improve
maternal survival. The study assessed facility based health
education intervention on utilization of Emergency
Obstetrics and Newborn care services.
Methodology The study was a randomized control trial
and utilized a mixed method. Multistage sampling was
used. Key informants were purposefully selected
Allocation to each study group was done on a 1:1 ratio;
hence each group had 191 participants. The sample size
was determined by Kelsey et al 1996 formula for
calculation of sample size for randomized controlled trials
and in order to take care of attrition 10% increase was
done hence the sample size was 382 women. Pregnant
mothers 26-32 weeks of gestation were enrolled.
Structured questionnaire, focused group discussion and
key informant interview schedules used. A pre-test was
conducted at Kuresoi North Sub County. To ensure
validity, research assistants were trained on the various
research instruments. Descriptive statistics Fisher’s exact
test at bivariate and odds ratio at multivariate analysis
level were computed. Qualitative data was analysed using
thematic content analysis. Ethical approval for the
research was sought from the K.U research ethical
committee, the National council for Science and
Technology and Ministry of health. Informed consent was
obtained from respondent prior to the study.
Results: The intervention group had 95.93% (n =165)
utilization of EmONC services in comparison to the
control arm 75.29% (n = 128). There was no significance
difference in the control group from base line to final
survey OR 1.209, CI 0.742 to 1.969 and P-value 0.446.
From the study findings the chances of EmONC services
utilization after intervention was high. Those that received
the intervention were seven times likely to utilize than
those that did not receive the health education with an OR
7.734, 95% CI 3.363 to 17.787 and a P-value < 0.001 when
we compare the intervention group and the control group.
Unique Contribution to Theory, Practice and Policy:
Administration of Health education is crucial in the
utilization of EmONC services thus improving maternal
mortality and morbidity. This study concurs with the
Theory of Planned Behavior and the theory of Reasoned
Action. Health education intervention may change the
behavior intention of the client hence influencing
utilization of EmONC services. It is recommended
stakeholders to come up with a well-structured health
education program in all regions of Kenya to improve
emergency obstetric and newborn care services utilization.
Description
Article
Keywords
EmONC Services, Utilization, Women of Reproductive Age, Health Education
Citation
Maingi, N., Keraka, M., & Makworo, D. (2023). Effectiveness of a Facility-Based Health Education Intervention on Utilization of Emergency Obstetric and Newborn Care Services among Women of Reproductive Age in Nakuru County, Kenya. Journal of Health, Medicine and Nursing, 9(3), 1-12.