| dc.description.abstract | Continuous Professional Development (CPD) is based on the traditions of lifelong
learning in the medical profession, for development of qualities and competencies in
the working lives of health care providers. CPD in Nursing enhances competencies,
which cannot be achieved without scientific knowledge, clinical skills and humanistic
values. Reproductive health is important in every stage of life, it is about access to the
safest, effective, affordable method of family planning or safe pregnancy, safe delivery
for healthy mother and baby. Therefore, there is need for continuous professional
development in reproductive health for all Health care providers. This study sought to
evaluate the influence of CPD on reproductive health care service delivery by nurses at
Mbagathi County Hospital. The objectives of this study were to establish how CPD on
focused antenatal care (FANC) influenced services delivered to women attending
antenatal care clinic, determine how CPD on Emergency maternal obstetric and new-
born care influenced services delivered to women and new-born in emergency
condition and establish how CPD on long lasting reversible contraception (LARC)
influenced services delivered to women seeking contraception and identify challenges
that Health Care Providers experience during service delivery. This was a cross
sectional study. Study population were nurses working in units offering reproductive
health services. Sampling method was census. Sixty one nurses who met the study
criteria, filled semi structured questionnaires, 58 questionnaires were analysed. Data
were analysed using MS Excel where cleaning, coding and tabulation of percentages,
were conducted. Stata and Epi Info version 7 where tabulation of percentages and
inferential analysis were conducted. The findings were presented by descriptive and
inferential statistics. Results obtained indicated that 44 (76%) Nurses were trained on
Focused antenatal care, 39 (67%) on EmONC and 31 (53%) on LARC. There was no
influence of CPD to provision of Focused Antenatal care services at 95%CL: CI; 0.47-
5.52, P Value= 0.449 and EmONC: CI; 0.47-4.49, P- Value = 0.514. There was
influence of CPD in provision of LARC services: CI; 1.82-30.65, P value =0.003.
Inadequate staffing and inadequate commodities and supplies were the major
challenges in provision of reproductive health services. Therefore, it is recommended
that the hospital management explores other methods of training alongside workshops
that have been found to be effective in transfer of skills for FANC, EmONC and LARC.
Examples are online interactive sessions and on job training that are being used to
deliver contents virtually in other platforms. It should be able to provide scheduled
updates on long-acting reversible contraception to health care providers. Effective
documented monitoring and evaluation of best practice and outcomes will greatly
improve service provision. It should also recruit and train more health care providers to
strengthen service delivery and ensure provision of adequate commodities and supplies
for reproductive health services delivery. | en_US |
