Enhancing pastoralist women's knowledge of danger signs through home-based life-saving skills intervention in Northern Kenya: A quasi experimental study

Dabo Galgalo Halake; Elijah Isinta Maranga; Japheth Mativo Nzioki; John Gachohi

Clinical Epidemiology and Global Health (Mar 2024)

Enhancing pastoralist women's knowledge of danger signs through home-based life-saving skills intervention in Northern Kenya: A quasi experimental study

Dabo Galgalo Halake,
Elijah Isinta Maranga,
Japheth Mativo Nzioki,
John Gachohi

Affiliations

Dabo Galgalo Halake: Department of Environmental Health and Disease Control, School of Public Health, Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000-00200, Nairobi, Kenya; Department of Nursing, School of Health Sciences, University of Kabianga, P.O Box 2030 - 20200, Kericho, Kenya; Corresponding author. Jomo Kenyatta University of Agriculture and Technology, School of Public Health, Department of Environmental Health and Disease Control. Kenya.
Elijah Isinta Maranga: Department of Environmental Health and Disease Control, School of Public Health, Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000-00200, Nairobi, Kenya
Japheth Mativo Nzioki: Andrews University, Berrien Springs, MI, 49104-0740, USA
John Gachohi: Department of Environmental Health and Disease Control, School of Public Health, Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000-00200, Nairobi, Kenya; Washington State University Global Health Program, Washington State University, P. O. Box 72938-00200, Nairobi, Kenya; Paul G, Allen School of Global Health, Washington State University, Pullman, WA99164, USA

Journal volume & issue: Vol. 26
p. 101539

Abstract

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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.

Published in Clinical Epidemiology and Global Health

ISSN: 2452-0918 (Print); 2213-3984 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Public aspects of medicine
Website: https://www.journals.elsevier.com/clinical-epidemiology-and-global-health

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