Advanced search
1 file | 936.75 KB

'Our voices matter' : a before-after assessment of the effect of a community-participatory intervention to promote uptake of maternal and child health services in Kwale, Kenya

Author
Organization
Abstract
Background: Community-participatory approaches are important for effective maternal and child health interventions. A community-participatory intervention (the Dialogue Model) was implemented in Kwale County, Kenya to enhance uptake of select maternal and child health services among women of reproductive age. Methods: Community volunteers were trained to facilitate Dialogue Model sessions in community units associated with intervention health facilities in Matuga, Kwale. Selection of intervention facilities was purposive based on those that had an active community unit in existence. For each facility, uptake of family planning, antenatal care and facility-based delivery as reported in the District Health Information System (DHIS)-2 was compared pre- (October 2012 - September 2013) versus post- (January - December 2016) intervention implementation using a paired sample t-test. Results: Between October 2013 and December 2015, a total of 570 Dialogue Model sessions were held in 12 community units associated with 10 intervention facilities. The median [interquartile range (IQR)] number of sessions per month per facility was 2 (1-3). Overall, these facilities reported 15, 2 and 74% increase in uptake of family planning, antenatal care and facility-based deliveries, respectively. This was statistically significant for family planning pre- (Mean (M)=1014; Standard deviation (SD)=381) versus post- (M=1163; SD=400); t (18)=-0.603, P=0.04) as well as facility-based deliveries pre- (M=185; SD=216) versus post- (M=323; SD=384); t (18)=-0.698, P=0.03). Conclusions: A structured, community-participatory intervention enhanced uptake of family planning services and facility-based deliveries in a rural Kenyan setting. This approach is useful in addressing demand-side factors by providing communities with a stake in influencing their health outcomes.
Keywords
ALMA-ATA, OUTCOMES, REBIRTH, IMPACT, CARE, Dialogue model, Community-participatory approaches, Family planning, Antenatal care, Facility-based delivery, Kwale, Kenya

Downloads

  • maternal and child health services in Kwale Kenya.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 936.75 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Oyaro, Vernon Mochache, Eunice Irungu, Hajara El-Busaidy, Marleen Temmerman, and Peter Gichangi. 2018. “‘Our Voices Matter’ : a Before-after Assessment of the Effect of a Community-participatory Intervention to Promote Uptake of Maternal and Child Health Services in Kwale, Kenya.” Bmc Health Services Research 18.
APA
Oyaro, V. M., Irungu, E., El-Busaidy, H., Temmerman, M., & Gichangi, P. (2018). “Our voices matter” : a before-after assessment of the effect of a community-participatory intervention to promote uptake of maternal and child health services in Kwale, Kenya. BMC HEALTH SERVICES RESEARCH, 18.
Vancouver
1.
Oyaro VM, Irungu E, El-Busaidy H, Temmerman M, Gichangi P. “Our voices matter” : a before-after assessment of the effect of a community-participatory intervention to promote uptake of maternal and child health services in Kwale, Kenya. BMC HEALTH SERVICES RESEARCH. 2018;18.
MLA
Oyaro, Vernon Mochache et al. “‘Our Voices Matter’ : a Before-after Assessment of the Effect of a Community-participatory Intervention to Promote Uptake of Maternal and Child Health Services in Kwale, Kenya.” BMC HEALTH SERVICES RESEARCH 18 (2018): n. pag. Print.
@article{8603457,
  abstract     = {Background: Community-participatory approaches are important for effective maternal and child health interventions. A community-participatory intervention (the Dialogue Model) was implemented in Kwale County, Kenya to enhance uptake of select maternal and child health services among women of reproductive age.
Methods: Community volunteers were trained to facilitate Dialogue Model sessions in community units associated with intervention health facilities in Matuga, Kwale. Selection of intervention facilities was purposive based on those that had an active community unit in existence. For each facility, uptake of family planning, antenatal care and facility-based delivery as reported in the District Health Information System (DHIS)-2 was compared pre- (October 2012 - September 2013) versus post- (January - December 2016) intervention implementation using a paired sample t-test.
Results: Between October 2013 and December 2015, a total of 570 Dialogue Model sessions were held in 12 community units associated with 10 intervention facilities. The median [interquartile range (IQR)] number of sessions per month per facility was 2 (1-3). Overall, these facilities reported 15, 2 and 74\% increase in uptake of family planning, antenatal care and facility-based deliveries, respectively. This was statistically significant for family planning pre- (Mean (M)=1014; Standard deviation (SD)=381) versus post- (M=1163; SD=400); t (18)=-0.603, P=0.04) as well as facility-based deliveries pre- (M=185; SD=216) versus post- (M=323; SD=384); t (18)=-0.698, P=0.03).
Conclusions: A structured, community-participatory intervention enhanced uptake of family planning services and facility-based deliveries in a rural Kenyan setting. This approach is useful in addressing demand-side factors by providing communities with a stake in influencing their health outcomes.},
  articleno    = {938},
  author       = {Oyaro, Vernon Mochache and Irungu, Eunice and El-Busaidy, Hajara and Temmerman, Marleen and Gichangi, Peter},
  issn         = {1472-6963},
  journal      = {BMC HEALTH SERVICES RESEARCH},
  language     = {eng},
  pages        = {12},
  title        = {'Our voices matter' : a before-after assessment of the effect of a community-participatory intervention to promote uptake of maternal and child health services in Kwale, Kenya},
  url          = {http://dx.doi.org/10.1186/s12913-018-3739-9},
  volume       = {18},
  year         = {2018},
}

Altmetric
View in Altmetric
Web of Science
Times cited: