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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Safeguarding maternal and newborn health: Improving the quality of postnatal care in Kenya
International Journal for Quality in Health Care, Volume 22, No. 1, Year 2009
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Description
Objective: To assess changes in the quality of care following the introduction of a new postnatal package. Design: Using a pre-test, post test design to observe client-provider interactions with women 0-6 weeks postpartum. Setting: Four health facilities in a rural district, eastern Kenya. Participants: Health providers and postpartum women. Intervention. Introduction of comprehensive postnatal package of care, with three targeted assessments within 48 h of birth, 1-2 weeks and 6 weeks, to providers working in maternity and maternal and child health clinics. Main outcome measure: Improved quality of postnatal counselling. Results: Increased mean scores for counselling on danger signs in the newborn (0.24-1.39) and infant feeding (1.33-2.19) were noted. The total quality of care index for the newborn increased overall but remained lower than desired (from 3.37 to 6.45 out of 11). Essential maternal care index improved (3.4-8.72 out of 23). More women accepted a family planning method at 6 weeks (35-63%). Conclusions: The introduction of new comprehensive postnatal care package improved performance of providers in counselling in maternal and newborn complications, infant feeding and family planning. Additional studies looking at the postpartum family planning needs for women living with HIV would also be useful. However, providers would benefit from additional clinical skills for managing maternal and newborn complications during the critical period following childbirth. © The Author 2009. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
Authors & Co-Authors
Warren, Charlotte E.
Kenya, Nairobi
Population Council Nairobi
Oweya, Erick
Kenya, Nairobi
Population Council Nairobi
Kamunya, Rosemary
United States, Baltimore
Jhpiego Corporation
Koskei, Nancy
United States, Baltimore
Jhpiego Corporation
Statistics
Citations: 58
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1093/intqhc/mzp050
ISSN:
13534505
e-ISSN:
14643677
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Study Locations
Kenya
Participants Gender
Female