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Effect of engaging cultural institutions and culturally-sensitive facility-based delivery on maternal and newborn health service utilization in Garissa, Baseline Survey

Kenya, 2018 - 2019
Health and Well-Being (HaW)
African Population and Health Research Center
Last modified July 01, 2024 Page views 108314 Metadata DDI/XML JSON

Identification

IDNO
APHRC_AKU_2018_v01
Title
Effect of engaging cultural institutions and culturally-sensitive facility-based delivery on maternal and newborn health service utilization in Garissa, Baseline Survey
Subtitle
Baseline Survey
Country
Name Country code
Kenya KEN
Abstract
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 among sedentary (pastoral dropouts) residents in Garissa in Kenya. The study will test 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. The ultimate goal of both interventions is to reduce maternal and new-born deaths by minimizing pregnancy-related complications and ensuring proper and timely management of obstetric emergencies which are common in pregnant women who do not attend antenatal care clinics and those who deliver without skilled birth attendance.

Version

Version Date
2019-03-15
Version Notes
This the first version of this dataset which containg both the baseline and endline corssection survey data sets

Coverage

Geographic Coverage
The study was caried-out in Garrissa county which is located in the North Eastern region of Kenya; in three locations namely Madinah, Iftin and Township
Unit of Analysis
Households
Individual
Women aged 15-49 years
Universe
The survey covered all de jure household members (usual residents) and all women age 15-49 years resident and who have ever been pregnant in last 5 years in the sample
household.

Producers and sponsors

Authoring entity/Primary investigators
Agency Name Affiliation
African Population and Health Research Center APHRC
Producers
Name Affiliation Role
Abdhalah Ziraba, PhD Principle Investigator
Prof Mohamed Y Elmi, PhD Principle Investigator
Pauline Bakibinga, PhD APHRC Coordinate the activities for the study. He will manage the day to day project management. He will participate in data analysis and scientific writing.
Catherine Kyobutungi, PhD APHRC Coordinate the activities for the study. He will manage the day to day project management. He will participate in data analysis and scientific writing.
Isaac Kisiangani APHRC Coordinate the activities for the study. He will manage the day to day project management. He will participate in data analysis and scientific writing.
Amina Abdullahi Nyaga APHRC Oversee the recruitment of research participants and facilitate training for data collectors. Coordinate implementation of the work plan and logistical assistance to field team
Rumana Ahmed Sisters Maternity Home (SIMAHO) To provide overall guidance on the research in all the participating study sites. She will be responsible for ensuring that the standard operating procedures in all the sites are followed, she will provide on-site training to study teams and make regular visits to check on quality procedures. She will support the site teams in data analysis
Funding Agency/Sponsor
Name Abbreviation Role
County Innovation Challenge Fund CICF Funded the survey

Sampling

Sampling Procedure
The CUs in the intervention group were purposively selected based on discussions with the sub-county community strategy coordinator for Garissa sub-county. The control location had been tentatively chosen to be Madinah following discussions with Garissa county health management team (CHMT). It is geographically distant from the intervention locations, but had similar characteristics. From each of the three sites, two CUs were selected. The systematic random sampling was used to select 50% of the sample from four purposively selected CUs in the two intervention sites and another 50% from the control site (2 CUs). Given that every CU has about 500 households and about same number of women who have been pregnant in last 5 years, for the intervention site, we randomly select a starting household and subsequently visit the 12th house. For the control site, we visited very 6th household until required number is reached. If there are no eligible women or there is a refusal, the next household was visited.
Response Rate
At baseline the response rate was 81%, and at the end line 88.4%

Data Collection

Dates of Data Collection (YYYY/MM/DD)
Start date End date Cycle
2018-05-23 2018-06-13 Baseline
2019-02-21 2019-03-16 End line
Mode of data collection
Face-to-face [f2f]
Supervision
The face-to-face interviewing was conducted by teams of interviewers. Each interviewing team comprised of 3-5 interviewers and a research assistant. The research assitant supervised all field activities in all sites and provided support to the larger reasearch team.
Type of Research Instrument
The questionnaire for the "Afya kwa Ukoo" project were structured which collected various information on househod characteristics, socio-demoghraphics characteristics, reproductive health history, family planning history, child health history and child immunization history.

Data Processing

Cleaning Operations
Data entry was done using PDA's with ODK forms uploaded on the serve.
Data editing took place at a number of stages throughout the processing, including:
a) Office eiditng and coding
b) During data entry by the field staff
c) Data quality checks
d) data cleaning using STATA data files

Data access

Contact
Name Affiliation Email
Abdhalah Ziraba APHRC aziraba@aphrc.org
Citation requirement
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download

Metadata production

Document ID
APHRC_AKU_2018_v01
Producers
Name Abbreviation Role
African Population and Health Research Center APHRC Documentation of the DDI
Date of Production
2020-09-10
Document version
Version 01 (September 2020)