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