Home > Archives > CSEIT161223
Factors Influencing Adherence to National Guidelines on Emergency Obstetric Care and Associated Outcomes among Pregnant Mothers and Newborns in Samburu Centralsub-County
Authors(3) :-Lodeke Silas, Ouma Henry, Karanja Simon
Every day about 830 women die due to complications of pregnancy and child birth. Of the 830 daily maternal deaths, 550 occurred in sub-Saharan Africa and 180 in Southern Asia, compared to 5 in developed countries. The risk of a woman in a developing country dying from maternal-related causes during her lifetime is about 33 times higher compared to a woman living in a developed country. This has been attributed to many factors including cultural knowledge systems. However it is not quite clear how this has influenced adherence to National Guidelines on Emergency obstetric care and associated outcomes among pregnant mothers and Newborns. The current concern in Samburu Central Sub-county among parents and other stakeholders in health sector is that, adherence to national guidelines on emergency obstetric care and associated outcomes among pregnant mothers and newborns was more likely to be negatively affected. This study was sort to determine the effect of factors influencing adherence to national guidelines on emergency obstetric care and associated outcomes among pregnant mothers and newborns in Samburu Central Sub-county. This was a descriptive survey research in nature with specific use of cross-sectional retrospect use study design involving a review of maternity records for the last six months in each of the Health facilities in Samburu Central Sub-County. In addition, key-information interviews were conducted among the officers in-charge of each Health facility to determine their facility level factors associated with adherence to National guidelines on Emergency obstetric care. A checklist was also used to inspect the infrastructure in Health facilities on provision of emergency obstetric care to Mothers and newborns within the Health facilities. The results of the study showed that, most health facilities were poorly equipped with acute shortage of personnel trained on EMOC.The deliveries of newborns and adherence to National guidelines on Emergency Obstetric Care had no statistically significant relationships. The study also concluded that the Ministry of health should train more personnel on EMOC and also equip all the health facilities with proper maternity equipment. The findings of this study were of great benefits to the pregnant mothers, health curriculum developers and policymakers in addressing current poor adherence to national guidelines on emergency obstetric care and associated health outcomes among pregnant and newborns and also realization of strategies for boosting emergency obstetric care in health facilities countrywide.
Lodeke Silas, Ouma Henry, Karanja Simon
Emergency Obstetric care, Health outcome, pregnant mothers, Newborns.
- Bailey P., Paxton A., Lobis S., Fry D (2006) Averting Maternal Death& Disability Program and Engender Health: 'Measuring progress towards the MDG for maternal health: Including a measure of the health system's capacity to treat obstetric complications', International Journal of Gynaecology and Obstetrics 93, 292—299
- De Brouwere V, Tonglet R, van Lerberghe W (1988) 'Strategies for reducing maternal mortality in developing countries: what can we learn from the history of the industrialized West?'Trop Med Int Health; 3:771-82.
- Dogba, M., & Fournier, P. (2009). Human resources and the quality of emergency obstetric care in developing countries: a systematic review of the literature. Hum Resource Health, 7(7), 10.1186.
- Filippi, V., Ronsmans, C., Campbell, (2006j. Maternal health in poor countries: the broader context and a call for action. The Lancet, 368(9546), 1535-1541
- Freedman Lynn (2003) 'Strategic advocacy and maternal mortality: moving targets and the millennium development goals', Gender and Development Vol.ll,No.l.
- Hogan, M. C., et al., (2010). Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. The Lancet, 375(9726), 1609-1623.
- Hounton, S. (2013). Towards elimination of maternal deaths: maternal deaths surveillance and response. Reproductive Health, 10(1).
- Kassebaum,et al. (2014). Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease StudyThe Lancet, 384(9947), 980-1004.
- Lori, J. (2012). A critical analysis of maternal morbidity and mortality in Liberia, West Africa. Midwifery, 28(1), 67-72.
- Mehta, P. (2015). Understanding High Utilization of Emergency Obstetric Care in Pregnant Women of Low Socioeconomic Status . Obstetrics & Gynecology, 125, 58S.
- Oyieke, J., Obore, S., & Kigondu, C. (2006). Millennium development goal 5: a review of maternal mortality at the Kenyatta National Hospital, Nairobi. East African medical journal, 83(1), 4-9.
Published in : Volume 2 | Issue 6
| November-December 2016
Date of Publication : 2016-12-30
License: This work is licensed under a Creative Commons Attribution 4.0 International License.
Page(s) : 216-222
Manuscript Number : CSEIT161223
Publisher : Technoscience Academy
PRINT ISSN : 2395-6011
ONLINE ISSN : 2395-602X
Cite This Article :
Lodeke Silas, Ouma Henry, Karanja Simon, "Factors Influencing Adherence to National Guidelines on Emergency Obstetric Care and Associated Outcomes among Pregnant Mothers and Newborns in Samburu Centralsub-County", International Journal of Scientific Research in Science and Technology(IJSRST), Print ISSN : 2395-6011, Online ISSN : 2395-602X, Volume 2, Issue 6
, pp.216-222, November-December-2016
URL : http://ijsrst.com/CSEIT161223