Current Project

The effect of cultural institutions and culturally-sensitive facility-based delivery on maternal and new-born health service utilisation and outcomes among pastoral dropout populations in Garissa, Kenya: a formative study ( Afya kwa Ukoo)

Program: Maternal and Child Wellbeing

The “Afya Kwa Ukoo” project is a collaborative formative study between the African Population Health and Research Center (APHRC), Sisters Maternity Home (SIMAHO) and Preventative Health Care and Epidemiology Consultancy (PHCEC). The study aims to test strategies to promote institutional deliveries and uptake of other maternal and child health services in Garissa Township, Kenya. The study is testing a package of two innovative community-and facility-based interventions to: a) increase demand for maternal and new-born health services working with the traditional clan system; and b) improve the birthing experience in institutions by providing culturally and socially sensitive and acceptable delivery services at health facilities. We aim to increase demand through influencing clan, religious and community leadership to break social barriers and support Maternal, New-born and Child Health services’ utilization. Additionally, we involve men to champion use of maternity services and encourage women to take up services – through mass-media health education, and network of Community Health Volunteers. On the other we will improve quality of care through provision of culturally sensitive care through training of service providers on cultural competence as well as improving the facilities. We are using a quasi-experimental design with one community with two health facilities as the intervention site and another community with one health facility as the control site. To be able to measure outcomes, we are using a rigorously monitoring and evaluation framework with before and after surveys, service data, qualitative interviews and process evaluation.

Project period: August 2017-April 2019

Project funder/s: County Innovation Challenge Fund (CICF) with funds from the UK Department for International Development

Project team: Abdhalah Ziraba, David Wambui, Coralie N’Gbichi, Isaack Kisiangani

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