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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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    Date
    2015-04
    Author
    Jillo, Jillo Ali
    Ofware, Peter Obonyo
    Njuguna, Susan
    Mwaura-Tenambergen, Wanja
    Type
    Article
    Language
    en
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    Abstract
    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 crosssectional 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.
    URI
    doi:10.11604/pamj.2015.20.403.4896 http://www.panafricanmedjournal.com/content/article/20/403/full/
    http://repository.kemu.ac.ke/handle/123456789/1180
    Publisher
    Pan African Medical Journal.
    Subject
    Turkana, Ng´adakarin Bamocha, nomads, pastoralist, skilled delivery services, health facility delivery, traditional birth attendants and container clinics
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    • School of Medicine and Health Sciences [137]

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