Clinical Trial: Assessing Childbirth-related Complications at the Community Level in Kenya

Study Status: Completed
Recruit Status: Completed
Study Type: Observational

Official Title: Assessing Childbirth-related Complications at the Community Level in Kenya: A Case Control Study Among Postpartum Women

Brief Summary:

Kenya is one of the countries in sub-Saharan Africa that still experience high maternal mortality. For instance, in 2008/09 maternal mortality ratio was estimated to be 488/100,000 live births. Direct obstetric complications such as puerperal sepsis, postpartum hemorrhage, pre-eclampsia and eclampsia, obstructed labor and indirect causes including HIV, malaria and anemia in pregnancy are responsible for the majority of these cases. Just under 44% of births in Kenya are delivered under the supervision of a skilled birth attendant.

The overall objective of this study is to determine the effect of provider type in the occurrence and management of serious childbirth related complications among postpartum women at the community level in Bungoma and Lugari Districts of Western Province, Kenya.

The proposed study will employ a case control study design in which women with obstetric complication(s)will be cases and women without obstetric complications will be controls. Controls will be sampled concurrently with the cases. Each time a new case is diagnosed, a control is selected from the population at risk in the neighborhood at that point in time.

The study population will consist of women aged 15-49 years with a delivery in the past 12 months. A woman who reports having experienced a birth-related complication will be recruited as a case while woman who reports having experienced no complication during child-birth will be recruited as a control.


Detailed Summary:

Evidence from published literature is scanty on the effect of various categories of health providers in averting serious child birth related complications at the community level. For instance, no one knows what happens to pregnancy outcomes for both the mother and the baby in a context where a significant proportion of women are delivered by neighbors, relatives or on their own. Literature is also scanty regarding the outcomes of child birth related complications in situations where Traditional Birth Attendants conduct a significant proportion of deliveries.

A thorough understanding of factors that fuel disrespect and abuse as well as their effect on utilization of delivery services will help providers and programme managers to explore ways of addressing this issue. This study hypothesizes that since majority of deliveries take place at the household level, most complications and even deaths are likely to occur at this level.

The overall objective of this study is to determine the effect of provider type in the occurrence and management of serious childbirth related complications among postpartum women at the community level in Bungoma and Lugari Districts of Western Province, Kenya. Specific objectives of the study are:

To determine the quality of obstetric care given by community midwives and TBAs to clients seeking antenatal care, during delivery and post-partum care at the community level by assessing providers' preparedness and the range of services offered.

To assess the nature of obstetric complications among those women who were delivered by skilled health providers, versus those who were delivered by TBAs, neighbors, friends or on their own To determine the role of socio-economic, demographic and health service rela
Sponsor: Wilson Liambila

Current Primary Outcome: The odds ratio was the primary outcome measure of association between the the occurrence of complications and exposure to health providers in the past 12 months. [ Time Frame: One Year ]

The study sought to determine the association of provider type with the occurrence and management of serious childbirth related complications among postpartum women at the community level in Kenya in the past 12 months.The odds of exposure among cases were compared to the odds of exposure among controls to estimate the magnitude of association between exposure to health providers and other caregivers and the occurrence of complications.


Original Primary Outcome: The odds ratio will be the primary outcome measure of association between the the occurrence complications and exposure to health providers in the past 12 months. [ Time Frame: One Year ]

The study seeks to determine the effect of provider type in the occurrence and management of serious childbirth related complications among postpartum women at the community level in Kenya in the past 12 months.The odds of exposure among cases will be compared to the odds of exposure among controls to find out whether there is association between exposure to health providers and occurrence of complications or disease.


Current Secondary Outcome: Proportion of women receiving skilled attendance at birth in the community in the past 12 months. [ Time Frame: One Year ]

This secondary outcome measure was assessed by collecting information on the nature of obstetric complications among those women who were delivered by skilled health providers, versus those who were delivered by Traditional Birth attendants, neighbours, friends or delivered on their own.


Original Secondary Outcome: Proportion of women receiving skilled attendance at birth in the community in the past 12 months. [ Time Frame: One Year ]

This secondary outcome measure will be assessed by collecting information on the nature of obstetric complications among those women who were delivered by skilled health providers, versus those who were delivered by Traditional Birth attendants, neighbours, friends or delivered on their own.


Information By: Kenyatta National Hospital

Dates:
Date Received: August 9, 2012
Date Started: August 2012
Date Completion:
Last Updated: April 25, 2014
Last Verified: April 2014