Nurses Compliance With Focused Antenatal Care In Siaya County Kenya
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Background: Antenatal care (ANC) is widely used to improve the health of pregnant women and encourage skilled attendant at birth. Based on multicenter randomized controlled trial in 2002, WHO recommended implementation of focused antenatal care (FANC) which is a goal oriented antenatal care approach, consisting of four ANC visits and a well-defined set of activities proven to be beneficial for maternal and neonatal health. Despite Kenya having adopted Focused Antenatal Care (FANC) for over a decade ago, little is known about the extent to which the nurses comply with the performance of the procedures stipulated in its guideline. Especially the maternal morbidity and mortality as well as poor perinatal outcomes have remained a major problem. The objective of this study was to assess the compliance of nurses with procedures set in the focused antenatal care (FANC) guidelines in Siaya county of Kenya. Methods: This was a cross sectional observational study whereby quantitative health facility based data was collected by observing the nurses’ performed actions during antenatal care service delivery. The study was carried out in government of Kenya antenatal clinics in Siaya County of the former Nyanza province of Kenya. A stratified random sample of 110 nurses working within the county health facilities was drawn using proportion allocation method. Three tools were used in data collection. Findings: Nurses in Siaya County did not fully comply with focused antenatal care guideline; health education is given the least consideration. Compliance was however associated with availability of adequate supplies, amount of time the nurse spent with the client, the time the clinic services began and the period of time the nurse had worked in the particular clinic. Conclusion and Recommendations: Compliance of nurses can be improved by ensuring availability of supplies and allowing nurses to have adequate time with clients. There is need to re-examine the core procedures of Focused Antenatal Care guideline, thus the limited time be used for the procedures found to be most beneficial during the specific visit which have a great implication in improve nursing care and women health.
Authors and Affiliations
Rosemary Aoko Chweya, Dr/ Isis E. Gohar, Dr/ Niven R. Basyouni, Dina J. Chelagat
Keywords
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- EP ID EP435880
- DOI 10.9790/1959-0702080118.
- Views 96
- Downloads 0
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