Document Type
Article
Publication Date
3-1-2024
Keywords
Health education, Health promotion, Maternal health, Neonatal health, Rural population
Abstract
Background: Maternal recognition of obstetric danger signs is crucial for reducing maternal mortality and delays in seeking emergency care. However, there is insufficient knowledge about obstetric danger signs among women in rural Kenya, especially in the hard-to-reach pastoralist communities. This study aimed to determine whether home-based life-saving skills intervention improves knowledge about obstetric danger signs among women in Marsabit County, Kenya. Methods: We conducted a quasi-experimental study with pre-posttests among 256 pregnant women, allocated to intervention and control groups. We implemented sensitization of pregnant women on obstetric danger signs and basic life-saving actions as components of home-based life-saving skills intervention. While the control group continued with routine services. Descriptive statistics was used to analyze demographic data. The chi-square test and Difference-in-Difference analysis were used to compare the intervention's proportion differences and net effect. Results: At baseline, no significant differences in the knowledge level existed. Proportions of women who were knowledgeable of >3 danger signs increased significantly during pregnancy [(89.7%) vs. (62.5%), p < .0001], birth [(86.5%) vs. (75.0%), p = .022], postpartum [(92.1%) vs. (74.2%), p < .000] and neonatal period [(96.8%) vs. (66.7%), p < .0001] in the intervention group than the control group at end-line. Conclusion: These results imply that it is possible to improve knowledge of obstetric danger signs among women from hard-to-reach pastoralist communities as part of home-based life-saving skills interventions. Our work contributes to the United Nation's sustainable development goal 3, which focuses on equity and commitment to reaching people needing health services regardless of where they live and their circumstances.
Journal Title
Clinical Epidemiology and Global Health
Volume
26
DOI
10.1016/j.cegh.2024.101539
First Department
Nursing
Recommended Citation
Halake, Dabo Galgalo; Isinta Maranga, Elijah; Mativo Nzioki, Japheth; and Gachohi, John, "Enhancing pastoralist women's knowledge of danger signs through home-based life-saving skills intervention in Northern Kenya: A quasi experimental study" (2024). Faculty Publications. 4981.
https://digitalcommons.andrews.edu/pubs/4981
Acknowledgements
Open access article retrieved April 15, 2024 from https://www.sciencedirect.com/science/article/pii/S2213398424000356