East African Medical Journal Vol. 93 No. 11 November 2016, 2016
Background: Minority of births in Sub-Saharan Africa are conducted by skilled birth attendants. H... more Background: Minority of births in Sub-Saharan Africa are conducted by skilled birth attendants. Having the highest world maternal mortality ratios and most deaths being associated with lack of trained supervision at delivery, changing delivery practices is a major priority in this region. Objective:To determine the factors that contribute to persistent utilization of unskilled birth attendance by women in Kakamega County. Design: A descriptive cross-sectional study. Setting: Kakamega County, Kenya Subjects: Postnatal mothers with children aged less than six months who delivered without skilled attendance. Results: Antenatal attendance rate of 92.7% while proportion of skilled birth attendance was at 48.6%. The following factors were found to influence utilization of UBAs in the Study area: age (X2=8.
1. Background Information High maternal and newborn mortality and morbidity remains a pressing pr... more 1. Background Information High maternal and newborn mortality and morbidity remains a pressing problem in developing countries (Furutaet al., 2014). Maternity care interventions are related to pregnancy, childbirth, and the postpartum period aimed at improving maternal and newborn health outcomes. They include monitoring the health and wellbeing of the mother and baby, health education, and assistance during childbirth. Its components entail Respectful Maternity Care (RMC); Emergency Obstetric and Newborn Care (EmONC); Essential Newborn Care (ENC); Focused Antenatal Care (FANC); and Malaria in Pregnancy (MIP) (Wiegers, 2009). The quality aspects to be put into consideration in order to have an impactful outcome on quality include evidence-based practices for routine care and management of complications; training of healthcare providers; monitoring and evaluation; actionable information systems; effective communication; emotional
poor provider-patient relationships were factors leading to D&A. It was concluded that there is a... more poor provider-patient relationships were factors leading to D&A. It was concluded that there is a need for increased incorporation of Respectful Maternity Care (RMC) in routine care, deploy more staff, avail equipment and supplies, and enhance support supervision. The study information intends to assist stakeholders in prioritising policy actions for improving the quality of maternal and newborn health outcomes and indicators.
Enlarged prostate, also known as Benign Prostatic Hyperplasia (BPH) is the enlargement of the pro... more Enlarged prostate, also known as Benign Prostatic Hyperplasia (BPH) is the enlargement of the prostate gland in men resulting in frequent urination, weak urine stream, and inability to completely empty the bladder. Prostate cancer is the second most commonly occurring cancer in men and the fourth most commonly occurring cancer overall. There were 1.3 million new cases of prostate cancer globally in 2018. Although there is a scarcity of information on the disease in African men, past studies have revealed that the disease can be managed if detected in its early stages. The purpose of the study was to assess the factors contributing to delayed surgeries in enlarged prostate patients at Kisumu County Referral hospital. Specific objectives were to determine the level of knowledge and awareness on enlarged prostate; assess institutional factors hindering surgeries in enlarged prostate and determine socio-economic factors of the patients’ hindering surgeries in enlarged prostate at Kisumu...
High maternal and new born mortality remains a pressing problem in developing settings. Poor trea... more High maternal and new born mortality remains a pressing problem in developing settings. Poor treatment during childbirth contributes directly and indirectly to this problem at a rate of 82%. Many women experience disrespectful and abusive treatment during childbirth in facilities worldwide which violates their rights to respectful care and a threat to their right to life, health, bodily integrity and freedom from discrimination. Majority of women report to have experienced some form of disrespect and abuse during childbirth. This systematic literature review aimed at reviewing studies on Respectful Maternity Care interventions aimed at promoting Quality of Maternal and New born Care. Objectives were to assess literature on how mothers are treated during childbirth (experience of care/respectful maternity care), to find out the factors contributing to disrespect and abuse during childbirth, to identify strategies for addressing issues affecting respectful maternity care. The literatu...
East African Medical Journal Vol. 93 No. 11 November 2016, 2016
Background: Minority of births in Sub-Saharan Africa are conducted by skilled birth attendants. H... more Background: Minority of births in Sub-Saharan Africa are conducted by skilled birth attendants. Having the highest world maternal mortality ratios and most deaths being associated with lack of trained supervision at delivery, changing delivery practices is a major priority in this region. Objective:To determine the factors that contribute to persistent utilization of unskilled birth attendance by women in Kakamega County. Design: A descriptive cross-sectional study. Setting: Kakamega County, Kenya Subjects: Postnatal mothers with children aged less than six months who delivered without skilled attendance. Results: Antenatal attendance rate of 92.7% while proportion of skilled birth attendance was at 48.6%. The following factors were found to influence utilization of UBAs in the Study area: age (X2=8.
1. Background Information High maternal and newborn mortality and morbidity remains a pressing pr... more 1. Background Information High maternal and newborn mortality and morbidity remains a pressing problem in developing countries (Furutaet al., 2014). Maternity care interventions are related to pregnancy, childbirth, and the postpartum period aimed at improving maternal and newborn health outcomes. They include monitoring the health and wellbeing of the mother and baby, health education, and assistance during childbirth. Its components entail Respectful Maternity Care (RMC); Emergency Obstetric and Newborn Care (EmONC); Essential Newborn Care (ENC); Focused Antenatal Care (FANC); and Malaria in Pregnancy (MIP) (Wiegers, 2009). The quality aspects to be put into consideration in order to have an impactful outcome on quality include evidence-based practices for routine care and management of complications; training of healthcare providers; monitoring and evaluation; actionable information systems; effective communication; emotional
poor provider-patient relationships were factors leading to D&A. It was concluded that there is a... more poor provider-patient relationships were factors leading to D&A. It was concluded that there is a need for increased incorporation of Respectful Maternity Care (RMC) in routine care, deploy more staff, avail equipment and supplies, and enhance support supervision. The study information intends to assist stakeholders in prioritising policy actions for improving the quality of maternal and newborn health outcomes and indicators.
Enlarged prostate, also known as Benign Prostatic Hyperplasia (BPH) is the enlargement of the pro... more Enlarged prostate, also known as Benign Prostatic Hyperplasia (BPH) is the enlargement of the prostate gland in men resulting in frequent urination, weak urine stream, and inability to completely empty the bladder. Prostate cancer is the second most commonly occurring cancer in men and the fourth most commonly occurring cancer overall. There were 1.3 million new cases of prostate cancer globally in 2018. Although there is a scarcity of information on the disease in African men, past studies have revealed that the disease can be managed if detected in its early stages. The purpose of the study was to assess the factors contributing to delayed surgeries in enlarged prostate patients at Kisumu County Referral hospital. Specific objectives were to determine the level of knowledge and awareness on enlarged prostate; assess institutional factors hindering surgeries in enlarged prostate and determine socio-economic factors of the patients’ hindering surgeries in enlarged prostate at Kisumu...
High maternal and new born mortality remains a pressing problem in developing settings. Poor trea... more High maternal and new born mortality remains a pressing problem in developing settings. Poor treatment during childbirth contributes directly and indirectly to this problem at a rate of 82%. Many women experience disrespectful and abusive treatment during childbirth in facilities worldwide which violates their rights to respectful care and a threat to their right to life, health, bodily integrity and freedom from discrimination. Majority of women report to have experienced some form of disrespect and abuse during childbirth. This systematic literature review aimed at reviewing studies on Respectful Maternity Care interventions aimed at promoting Quality of Maternal and New born Care. Objectives were to assess literature on how mothers are treated during childbirth (experience of care/respectful maternity care), to find out the factors contributing to disrespect and abuse during childbirth, to identify strategies for addressing issues affecting respectful maternity care. The literatu...
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