Effect of Community Health Strategy on Utilization of Post-Partum Family Planning Services in Mwingi West Sub-County

  • Japheth Mativo Nziok Jomo Kenyatta University of Agriculture & Technology
  • Agnes Korir Daystar University
  • James H Ombaka Maseno University
  • Rosebella O Onyango Maseno University
Keywords: Community health strategy, Postpartum Family planning

Abstract

World Health Organization defines Postpartum Family Planning (PPFP) as the prevention of unintended pregnancy and closely spaced pregnancies through the first 12 months following childbirth. PPFP focuses on the prevention of unintended and closely spaced pregnancies through the first 12 months following childbirth. Globally, PPFP is a key life-saving intervention for mothers and their children. PPFP averts more than 30% of maternal deaths and 10% of child mortality. The aim of this study was to measure the effect of Community Health Strategy (CHS) in the utilization of PPFP among women in Kitui County-Kenya. The study used quasi experiment with one pretest and two post-test surveys conducted in both intervention and control sites. Data was collected from 422 women in each survey. Participants in intervention site received Maternal and Child Health (MCH) education including counselling on PPFP. In the control site, participants received standard MCH care provided by Kitui County government. Utilization of PPFP increased significantly by 8.9% (Z= 2.5135, P<0.05) in the intervention arm-end-time survey compared to intervention arm-baseline survey. Women in intervention arm-end-term survey were 1.4 times more likely to use a modern PPFP method at 9-12 months PP compared to women at intervention arm-baseline survey [Adj. OR=1.386, P<0.05; (95% CI: 1.164-1.651)]. No significant difference was observed in the utilization of PPFP in the surveys conducted in the control site. CHS significantly increased utilization of modern PPFP methods among women at 9-12 months PP in the intervention site. To increase utilization of modern PPFP methods in Kenya, we recommend scaling up the CHS intervention in areas where it has not yet been implemented and supporting other CHW led interventions promoting the use of modern PPFP methods.

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References

Achyut, P., Mishra, A., Montana, L., Sengupta, R., Calhoun, L. M., & Nanda, P. (2016). Integration of family planning with maternal health services: An opportunity to increase postpartum modern contraceptive use in urban Uttar Pradesh, India. Journal of Family Planning and Reproductive Health Care, 42, 107–115. https://doi.org/http://dx.doi.org/10.1136/jfprhc-2015-101271

Ahmed, Ahmed, S., McKaig, C., Begum, N., Mungia, J., Norton, M., & Baqui, A. H. (2015). The effect of integrating family planning with a maternal and newborn health program on postpartum contraceptive use and optimal birth spacing in rural Bangladesh. Studies in Family Planning, 46(3), 297–312. https://doi.org/10.1111/j.1728-4465.2015.00031

Ayiasi, R. M., Muhumuza, C., Bukenya, J., & Orach, C. G. (2015). The effect of prenatal counselling on postpartum family planning use among early postpartum women in Masindi and Kiryandongo Districts, Uganda. Pan African Medical Journal, 21, 1–7. https://doi.org/10.11604/pamj.2015.21.138.7026

Cooper, C. M., Fields, R., Mazzeo, C. I., Taylor, N., Pfitzer, A., Momolu, M., & Jabbeh-Howe, C. (2015). Successful proof of concept of family planning and immunization integration in Liberia. Global Health, Science and Practice, 3(1), 71–84. https://doi.org/10.9745/GHSP-D-14-00156

County Government of Kitui. (2013). First county integrated development plan: Planning for sustainable socio-economic growth and development. Nairobi: County Government of Kitui. Retrieved from http://www.kitui.go.ke/images/downloads/ CGoKTI_CIDP_Final Report_26_2_2015.pdf

Fisher, A. A, Laing, J. E, Stoeckel, J. E., T. J. W. (1998). Handbook for Family Planning Operations Research (Second Edi). New York: Population Council.

Harris, A., McGregor, J., Perencevich, E., Furuno, J., Zhu, J., Peterson, D., & Finkelstein, J. (2006). The use and interpretation of quasi-experimental studies in medical informatics. J Am Med Inform Association, 13(1), 16–23. https://doi.org/10.1197/jamia.M1749.Background

Irvin, V. L., & Kaplan, R. M. (2014). Screening mammography & breast cancer mortality: Meta-analysis of quasi-experimental studies. PLoS ONE, 9(6). https://doi.org/10.1371/journal.pone.0098105

Kenya National Bureau of Statistics (KNBS). (2010). The 2009 Kenya population and housing census: Population distribution by age, sex and administrative units (Vol. IC). Nairobi: KNBS. Retrieved from http://statistics.knbs.or.ke/nada/index.php/catalog/55

Kenya National Bureau of Statistics (KNBS) & ICF Macro. (2010). Kenya demographic and health survey 2008-09. Calverton, Maryland: KNBS and ICF Macro.

Kenya National Bureau of Statistics (KNBS) & ICF Macro. (2014). Kenya demographic and health survey, key indicators, 2014. Calverton, Maryland: KNBS and ICF Macro. Retrieved from http://dhsprogram.com/pubs/pdf/PR55/PR55.pdf

Memon, Z. A., Khan, G. N., Soofi, S. B., Baig, I. Y., & Bhutta, Z. A. (2015). Impact of a community-based perinatal and newborn preventive care package on perinatal and neonatal mortality in a remote mountainous district in Northern Pakistan. BMC Pregnancy and Childbirth, 15(1), 106. https://doi.org/10.1186/s12884-015-0538-8

Ministry of Health. (2006). Taking the Kenya essential package for health to the COMMUNITY: A strategy for the delivery of level one services. Nairobi: Health Sector Reform Secretariat, Government of Kenya. Retrieved from: http://www.communityledtotalsanitation.org/sites /communityledtotalsanitation.org/files/community_strategy.pdf

Naanyu, V., Baliddawa, J., Peca, E., Karfakis, J., Nyagoha, N., & Koech, B. (2013). An examination of postpartum family planning in western Kenya: “I want to use contraception but I have not been told how to do so”. African Journal of Reproductive Health, 17(3), 44–53. https://doi.org/10.4314/ajrh.v17i3.

Nzioki, J. M., Onyango, R. O., & Ombaka, J. H. (2015). Efficiency and factors influencing efficiency of community health strategy in providing maternal and child health services in Mwingi district, Kenya: An expert opinion perspective. Pan African Medical Journal, 20, 1–7. https://doi.org/10.11604/pamj.2015.20.88.4711

Pasha, O., Goudar, S. S., Patel, A., Garces, A., Esamai, F., Chomba, E., … Derman, R. J. (2015). Postpartum contraceptive use and unmet need for family planning in five low-income countries. Reproductive Health, 12(2), 3. https://doi.org/10.1186/1742-4755-12-S2-S11

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd

UNICEF. (2015a). Levels and trends in child mortality 2015. New York: United Nations Children’s Fund. Retrieved from http://www.childmortality.org/files_v20/download/IGME Report 2015_9_3 LR Web.pdf

USAID & MCHIP. (2010). Family Planning Needs during the First Two Years Postpartum in Kenya (Vol. 13). Washington DC. Retrieved from: http://www.mchip.net/sites/default/files/ Kenya DHS Reanalysis for PPFP_final.pdf

White, H., & Sabarwal, S. (2014). Quasi-experimental design and methods, methodological briefs: Impact evaluation, UNICEF Ofice of Research, Florence. Florence: UNICEF Office of Research. Retrieved from https://www.unicef-irc.org/publications/pdf/brief_8_quasi-experimental design_eng.pdf

WHO. (2013). Programming strategies for postpartum family planning. Geneva: WHO Press. Retrieved from http://apps.who.int/iris/bitstream/10665/93680/1/9789241506496_eng.pdf

WHO. (2015a). Trends in maternal mortality: 1990 to 2015 : Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization. https://doi.org/ISBN9789241503631

WHO. (2015b). World health statistics 2015. Geneva: WHO Press. https://doi.org/ISBN9789241565257
Published
2019-10-26
How to Cite
Nziok, J., Korir, A., Ombaka, J., & Onyango, R. (2019). Effect of Community Health Strategy on Utilization of Post-Partum Family Planning Services in Mwingi West Sub-County. Africa Journal of Technical and Vocational Education and Training, 4(1), 163-174. Retrieved from http://afritvet.org/index.php/Afritvet/article/view/91
Section
CROSS CUTTING INTERDISCIPLINARY THEMES ON SUSTAINABILITY