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    Effectiveness of Ng’adakarin Bamocha Model in Improving Access to Ante-natal and Delivery Services Among Nomadic Pastoralist Communities of Turkana West and Turkana North Sub-Counties of Kenya

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    Publication Date
    4/23/2015
    Authors
    Jillo, Jillo Ali
    Ofware, Peter Obonyo
    Njuguna, Susan
    Mwaura-Tenambergen, Wanja
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    (4 total)
    Type
    Article, Journal
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    Citation

    Jillo JA, Ofware PO, Njuguna S, Mwaura-Tenambergen W. Effectiveness of Ng'adakarin Bamocha model in improving access to ante-natal and delivery services among nomadic pastoralist communities of Turkana West and Turkana North Sub-Counties of Kenya. Pan Afr Med J. 2015 Apr 23;20:403. doi: 10.11604/pamj.2015.20.403.4896. PMID: 26301007; PMCID: PMC4524908.

    Abstract/Overview

    Introduction: Access to maternal and child health care services among the nomadic pastoralists community in Kenya and African continent in general is unacceptably low. In Turkana, only 18.1% of the women had seen a nurse or a midwife for antenatal care during pregnancy while only 1.3% of pregnant women reported delivery at health facilities in 2005. Ng'adakarin BAMOCHA model, based on migratory routes of the Turkana pastoralists and container clinics was adopted in 2007 to improve access to maternal and child health services by the nomads. Methods: A cross-sectional study design was used to establish the effectiveness of Ng'adakarin BAMOCHA model on accessibility and uptake of ante-natal care and delivery services. A total of 360 households and 400 households were interviewed for pre-intervention and post-intervention respectively. The study compared the pre-intervention and post-intervention findings. Structured questionnaires and focus group discussion were used for data collection. Results: There was no improvement in the fourth ante-natal care visits between pre-intervention and post-intervention groups at 119(51.5%) and 111(41.9%) respectively (p < 0.05). Knowledge of the community on the importance of ANC visits improved from 60%-72% with significance level of p < 0.05. There was a significant increase 6%-17% of deliveries under a skilled health worker (p < 0.05). TBA assisted deliveries increased from 7.5%- 20.2% with a p < 0.05. There was significant reduction in home deliveries from 89.5%-79.5% with a p < 0.05. Conclusion: The Ng'adakarin Bamocha model had a positive effect on the improving maternal health care among the nomadic pastoralist community in Turkana.

    Subject/Keywords
    Ng´adakarin Bamocha; Turkana; Health facility delivery; Nomads; Pastoralist; Skilled delivery services; Traditional birth attendants; Container clinics.
    Further Details

    © Jillo Ali Jillo et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Publisher
    Pan African Medical Journal
    ISSN
    1937-8688
    Permalink
    http://repository.amref.org/handle/123456789/152
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    • General - GEN [355]

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