Edwinah Atieno Syagga, Benson Estambale


Introduction: One of the objectives of the United Nations Millennium Development Goals (MDGs) was to reduce MMR by an average of 5.5% every year over the period between1990–2015. As a result, the first international meeting focusing on scaling up of the midwifery workforce at community level, drafted a Call to Action for all countries with high Maternal Mortality Rate to embark on intensified action to scale up midwifery care at the community level (Health 2005). Community health volunteers have been increasingly recognized as integral members of primary health care teams, especially in poor and underserved communities.

The objective of this study was to evaluate the effectiveness of the community health volunteers in the promotion of skilled birth attendance in the Community Midwifery model of care in Siaya County.

Methods: This was a cross-sectional study that used both quantitative and qualitative data in six sub-counties of Siaya County. The study involved facilities as well as sampled community women who had given birth within the previous year and who were served by the four sampled health facilities. It also involved skilled birth attendants working at the health care facilities of the primary levels of the health care system as well as the CHVs attached to the selected health care facilities.

Findings: The community midwifery model used in Siaya was not the one stipulated in the guidelines issued by the Division of Reproductive Health. However, the model used the CHVs for its effectiveness.

Conclusion and Recommendations: The CHVs are effective in community midwifery practice


Community midwifery, Community health volunteers, Skilled birth attendance, Sustainability

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Costello, A., D. Osrin, et al. (2004). "Reducing maternal and neonatal mortality in the poorest communities." BMJ: British Medical Journal 329(7475): 1166.

Kornelsen, J. G., S. (2007). "Rural maternity care services under stress: the experiences of providers." Can J Rural Med 12( 2).

Kornelson, J. (2009). "Peer Reviewed Article: Rural Midwifery: Overcoming Barriers to Practice." Canadian Journal of Midwifery Research and Practice 8(3): 6.

MOH (2006). Taking the Kenya Essential Package for Health to the Community: A Strategy for

the Delivery of LEVEL ONE SERVICES. H. S. R. Secretariat. KENYA, GOVERMENT.

MOH ( 2005). Taking Maternal Services to Pregnant Women: The Community Midwifery Model; The Safe Motherhood Demonstration Project, Kenya. Nairobi, Kenya, University of Nairobi and Population Council.

MOH ( 2012). Community Midwifery implementation Guidelines in Kenya: Taking midwifery services to the community. D. P. Council. Kenya.

Mwangi, A. and C. Warren (2009). Taking Critical Services to the Home: Scaling-up Home-based Maternal and Postnatal Care, including Family Planning, through Community Midwifery in Kenya, United States agency for international development (USAID).

S, K. J. a. G. (2007). "Rural maternity care services under stress: the experiences of providers." Can J Rural Med 12( 2).

Srivastava, A., Avan, B. I., Rajbangshi, P., & Bhattacharyya, S. (2015). "Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries." BMC Pregnancy and Childbirth 15(1): 1-12.

Swerissen, H. ( 2007). Understanding the Sustainability of Health Programs and Organisational Change; . A. P. f. t. V. Q. Council.

Teferra, A. S., F. M. Alemu, et al. (2012). "Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community-based cross sectional study." BMC pregnancy and childbirth 12(1): 74.


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