Interpretation of Safe Motherhood Policies by Midwives Practitioners in Kenya

omoni DG. "Interpretation of Safe Motherhood Policies by Midwives Practitioners in Kenya.". In: Global Maternal Health Conference. New Delhi, India; 2010.

Date Presented:

30 August


SabinaWakasiaka 2, Grace Omoni 1.
1. School of Nursing Science, College of Health Sciences, University of Nairobi, Kenya
2. KenyaAIDSVaccine Initiative, Dept. Medical Microbiology, University of Nairobi, Kenya
Correspondence: E-mail:
Presentation: Oral, Power Point, Maternal Health Conference-India, 2010
Background: In Africa Health Care Providers form the primary source of information and service
provision. Majority of the health work force are nurses/midwives with diverse training and
experiences. This study focused on knowledge and Safe motherhood policy implementation.
Method: In a period of 12 months, participants were recruited from all the regions in Kenya. To
be eligible for study, participants were required to have a midwife's practicing license and
member of National Midwives Association. A standardized tool was used to collect data
regarding social demographics, professional training and practice. Information about uptake of
Antenatal care, reasons for home deliveries and causes of infant mortality were also
documented. Data was then entered and analyzed using Social Science Package for statistical
analysis (SPSS).
Results: A total of 117 nurses participated in the study with a male: female ratio of 1:5. The
mean age was 41 years with a minimum age of 24 and maximum 53 years. Abroad professional
background was observed with a majority being KRCHN (97%}, BScN (2%) and MScN (1%). All
the participants reported having seen the safe motherhood policy document but majority 74%
said they had not read the document. Ninety-two percent had attended to mothers who had
had a home delivery with 80% of the nurses having attended to one mother who had had FGM.
Despite this impressive workload, almost two thirds (63%) had not read the policy on abortion
and post abortal care (63%).
Conclusion: The midwife continues to serve communities with diligence and dedication,
however practitioners neglect policy interpretation. To breach this gap, midwives need
motivation to keep a breast with emerging issues in safe motherhood.

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