ASSESSMENT OF HEALTH WORKERS PERINATAL KNOWLEDGE AND PRACTICES RELATED TO SERVICE DELIVERY IN MAKUENI COUNTY KENYA
Introduction:
A health system has six interdependent and interrelated pillars: health workforce service delivery information financing medical products vaccines and technologies leadership and governance. This study addressed health workforce pillar in order to strengthen maternal and new born services delivery in Makueni County. Globally new born neonatal mortality remains unacceptably high. Neonatal mortality accounts for 60 of infant mortality rate in Kenya. In Makueni County 1 in 22 children does not live to his or her first birth day. This unacceptable high mortality is despite existence of cost-effective evidence-based interventions which could reduce up to 70 of current deaths. Review of client complaints in Makueni has revealed gross medical mismanagement raising concerns whether health workers attending to them are knowledgeable. This study assessed perinatal knowledge and practices among health workers in Makueni County. It specifically established prenatal care knowledge and practices pre-eclampsia knowledge postnatal care knowledge home visits and hand hygiene knowledge among health workers in Makueni County.
Objectives:
assessed perinatal knowledge and practices among health workers in Makueni County. It specifically established prenatal care knowledge and practices pre-eclampsia knowledge postnatal care knowledge home visits and hand hygiene knowledge among health workers in Makueni County.
Methodology:
The study was cross sectional in design where 163 health workers selected randomly were interviewed using a structured questionnaire and a checklist used to observe antenatal care consultation practices. Data analysis was done using SPSS v25 and chi-square statistic test used to examine associations within variables
Findings:
Results:
On prenatal care 89 54.6 of health workers were rated as having good knowledge. However practice did not conform to guidelines since 10 30.3 and 23 69.7 of mothers didnt have full history taken and general physical examination done respectively. On pre-eclampsia 78 49.4 had poor knowledge while on use of recommended drugs for pre-eclampsia 70 42.9 had moderate knowledge and 39 23.9 poor knowledge. On postnatal care 132 80 had good knowledge on young infant feeding while 35 21.5 had poor knowledge on new born care. On management of neonatal infections 58 37.4 had good knowledge while on home visits 80 48.5 knew the importance of home visits but 88 80.4 did not know the optimal time for the visits. On hand hygiene 127 77 of health workers knew the four critical times for washing hands with soap under running water.
Conclusion:
The study concluded that workers had good knowledge on prenatal care young infant feeding and hand hygiene. There were critical gaps in knowledge on pre-eclampsia use of recommended drugs for pre-eclampsia new born care management of neonatal infections and home visits. Prenatal care practice did not conform to guidelines
Publication Information
Author(s):
Focus County(s):
Makueni County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
maternal and child health
Document History:
Publication Date: 07.Dec.2023
Conference Title:
Venue: