Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

Japheth Mativo Nzioki, , Rosebella Ogutu Onyango, James Ouma, James H. Ombaka

In Kenya, maternal and child mortality rates are still high despite government efforts aimed at improving MCH. This study’s objective was to determine the effect of a CHW led primary health care intervention, Community Health Strategy (CHS) on focused antenatal care (FANC) in Mwingi, Kenya. Researchers employed a pretest -posttest experimental study design with 1 pretest and 2 post-test surveys in intervention and control sites. Data was collected from 422 households in each survey and the main respondents were women with a child aged 9-12 months. CHS significantly increased FANC coverage by 9.5% (Z=2.7528, P<005) within six months after implementation, and by 20.1% (Z= 5.7881, P<0.05) within 18 months of implementation. Women in the intervention site were 1.7 times more likely to seek ANC services for at least 4 times compared to women in control site (95% CI: 1.464-2.014, P<0.0001). Overall, CHS was effective in increasing FANC coverage in the intervention site. The authors affirm that to improve MCH outcomes, the Kenyan government should fast-track national implementation of CHS.


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