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

Nancy Maingi, Margaret Keraka, Drusilla Makworo
{"title":"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","authors":"Nancy Maingi, Margaret Keraka, Drusilla Makworo","doi":"10.47604/jhmn.2103","DOIUrl":null,"url":null,"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.&#x0D; 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.&#x0D; 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.&#x0D; 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.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"65 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health, Medicine and Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47604/jhmn.2103","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

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.
对肯尼亚纳库鲁县育龄妇女利用紧急产科和新生儿护理服务的设施卫生教育干预的有效性
目的:紧急产科和新生儿护理(EmONC)是提高产妇存活率的最重要干预措施。本研究评估了基于设施的健康教育干预对急诊产科和新生儿护理服务利用的影响。 研究方法采用随机对照试验,采用混合方法。采用多级抽样。有目的地选择关键信息提供者,按1:1的比例分配到每个研究小组;因此,每组有191名参与者。样本量由Kelsey等人1996年计算随机对照试验样本量的公式确定,为了考虑减员,样本量增加了10%,因此样本量为382名妇女。研究人员招募了怀孕26-32周的孕妇。使用结构化问卷调查,重点小组讨论和关键信息访谈时间表。在黑井北副县进行了预试验。为了确保有效性,研究助理接受了各种研究工具的培训。在双变量上计算描述性统计费雪精确检验,在多变量分析水平上计算优势比。定性数据采用专题内容分析法进行分析。这项研究的伦理批准得到了英国国立大学研究伦理委员会、国家科学技术委员会和卫生部的批准。在研究前获得了被调查者的知情同意。 结果:干预组EmONC服务使用率为95.93% (n =165),对照组为75.29% (n = 128)。对照组基线至终调查的OR为1.209,CI为0.742 ~ 1.969,p值为0.446,差异无统计学意义。从研究结果来看,干预后使用EmONC服务的机会很高。接受干预的患者使用健康教育的可能性是未接受健康教育的患者的7倍,OR为7.734,95% CI为3.363 ~ 17.787,p值为<当我们比较干预组和对照组时,0.001。 对理论、实践和政策的独特贡献:卫生教育管理对于利用EmONC服务从而改善产妇死亡率和发病率至关重要。这项研究与计划行为理论和理性行为理论是一致的。健康教育干预可以改变案主的行为意向,从而影响EmONC服务的利用。建议各利益攸关方在肯尼亚所有地区制定结构良好的健康教育方案,以提高产科急诊和新生儿护理服务的利用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信