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Int J Gynaecol Obstet. 2013 Feb;120(2):152-5. doi: 10.1016/j.ijgo.2012.09.013. Epub 2012 Nov 26.

A strategy to increase the number of deliveries with skilled birth attendants in Kenya.

Author information

1
Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM87131, USA. atomedi@salud.unm.edu

Abstract

OBJECTIVE:

To increase the number of deliveries with skilled birth attendants (SBAs) in Kenyan health facilities, with assistance from traditional birth attendants (TBAs).

METHODS:

In the Yatta district of Kenya, TBAs were recruited to attend meetings in which they were encouraged to educate pregnant women about the importance of delivering in health facilities; they were offered a small stipend for each pregnant woman they brought to a facility for SBA delivery. The primary outcome was the percentage of prenatal care patients who delivered at intervention health facilities compared with control facilities.

RESULTS:

During the year preceding the intervention, 102/524 (19.5%) and 413/2068 (20.0%) prenatal care patients had SBA deliveries at intervention and control facilities, respectively. During the 1-year study period, 217/440 (49.3%) prenatal care patients delivered at intervention health facilities and 415/1995 (20.8%) delivered at control facilities (P<0.001). Deliveries at intervention facilities increased 113% in the study year compared with the preceding year.

CONCLUSION:

The rate of SBA births in health facilities increased when TBAs were recruited and compensated for bringing women to local health facilities to deliver.

PMID:
23195287
DOI:
10.1016/j.ijgo.2012.09.013
[Indexed for MEDLINE]

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