CHALLENGES AND OPPORTUNITIES FOR OPTIMIZING MIDWIFERY PRACTICE IN RURAL KENYA: A STUDY OF SIAYA COUNTY, KENYA

Edwinah Atieno Syagga

Abstract


Introduction: Midwifery practice has been instrumental in reducing maternal mortality in Kenya, especially in the rural setting. There are still many challenges that persist, which affect the efficiency and continuation of midwifery care in such areas. Expanding the practice of midwifery and its contribution to maternal health care is essential for women in rural communities where limited access to healthcare remains a significant challenge. The objective of the study was to establish the challenges and opportunities for Optimizing Midwifery Practice in Rural Kenya.

Methods: This was a study of Siaya County through a cross-sectional survey that involved 48 midwives and 373 mothers using structured questionnaires, in-depth interviews, and Focus Group Discussions with the CHPs. The study involved both qualitative and quantitative data collection

Findings: The findings suggested that midwifery care in Siaya County is midwife-led, where Community Health Promoters (CHPs) encourage health facility delivery.

Conclusion and Recommendation: Appropriate disbursement of funds is fundamental requirements for maintaining the achievements in maternal and neonatal health indicators.

It is recommended that strengthening midwifery practice in the rural areas of Kenya require investment in human resources, improved working conditions for midwives, and cultural sensitization to male involvement in maternal health care. 


Keywords


Midwifery practice, Community health promoters, Skilled birth attendance

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References


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