Communication: Key to Improving Maternal Health in Sub Saharan Africa

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Gladys Muasya, Lydia Kusina

Abstract

Abstract
In sub Saharan Africa, approximately one woman dies every hour from pregnancy and childbirth related causes. These maternal deaths represent about 15% of all deaths of women aged between 15-49 years with some regions being more vulnerable than others (WHO, 2010). In Kenya, several measures have been put in place to tackle maternal health issues, however, the ratio of deaths still remain high. With all those interventions, it is important to note that access to maternal and childbirth care in healthcare facilities may not necessarily guarantee a solution to this problem. There is need to influence behavior change. This can be achieved through health communication which may be used to promote health and disease prevention strategies, create long term solutions and understanding among players in the health sector and the public. This systematic review paper explores the role of communication in maternal and child care among women of reproductive age from 15-49 years of age using journals published between 2001 and 2018 . Findings show that communication is largely intertwined with maternal and child care and policy makers should incorporate it as a core component to modify behavior and social change. The choice of media used is key, though many people may choose a medium without knowing its effectiveness. It is also important for health practitioners to embrace interpersonal communication with women seeking health care services from them in order to enhance behavior change on matters of maternal health. In addition, the crafting of health messages varies with the audience level of education and their pervious knowledge on maternal and child care.
Keywords: Antenatal Care, Health Service Utilization, Maternal Health, Beyond Zero Campaign, Skilled Birth Attendants and Health Communication

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How to Cite
Kusina, G. M. L. (2022). Communication: Key to Improving Maternal Health in Sub Saharan Africa. African Multidisciplinary Journal of Research, 5(1). https://doi.org/10.71064/spu.amjr.5.1.76

References

  1. Adam, M., Dillmann,M.,Chen, M.,Mbugua, S.,Ndung‟u, J.,Mumbi, P., Waweru, E., &Meissner,P. (2014). Improving Maternal and Newborn Health: Effectiveness of a Community Health Worker Program in Rural Kenya.PLoS ONE 9(8): e104027. doi:10.1371/journal.pone.0104027.
  2. Bourbonnais, N. (2013) Implementing Free Maternal Health Care in Kenya:Challenges, Strategies and Recommendations.
  3. Cotter, K., Hawken, M., &Temmerman, M. (2006).Low Use of Skilled Attendants Delivery in Rural Kenya.Journal of Health and Population Nutrition: (24), 20-26.
  4. Cutilli, C. C. (2010). Seeking health information: what sources do your patients use?.Orthopaedic nursing,29(3), 214-219
  5. Esamai, F., Nangami, M., Tabu, J., Mwangi, A., Ayuku, D., & Were, E. (2017). A system approach to improving maternal and child health care delivery in Kenya: innovations at the community and primary care facilities (a protocol). Reproductive Health Journal 14,105 DOI 10.1186/s12978-017-0358-6
  6. Fishbein M, Yzer MC. Using theory to design effective health behavior interventions.
  7. Communication Theory. 2003;13:164–183.
  8. Fotso, J., Ezeh, A., &Essendi, H. (2009).Maternal health in resource-poor urban settings: how does women's autonomy influence the utilization of obstetric care services? Reproductive health journal,6:9doi: 10.1186/1742-4755-6-9
  9. Gichane,M.W.,Heap,M.,Fontes,M., & London,L.(2017).They must understand we are people:Pregnancy & maternity service use among signing deaf women in Capetown.Disability & health journal , https://doi.org/10.1016/j.dhjo.2017.03.016
  10. Gilroy, K., & Winch, P .(2006). Management of sick children by community health workers.
  11. Intervention models and programme examples. Geneva, WHO/UNICEF.
  12. Haselock, S.(2010).„Make it Theirs: The Imperative of Local Ownership in Communications and Media Initiatives‟, Special Report, no. 253, United States Institute of Peace, Washington DC
  13. Ikamari L. (2004). Maternal Health Care utilization in Teso District. African Journal on health Sciences 11, 21-32.
  14. Johnson, J. D.,&Meischke, H. (1991). Women's preferences for cancer information from specific communication channels.American Behavioral Scientist,34(6), 742-755
  15. Kenya Infant Mortality rate(2020).Retrieved from https://www.macrotrends.net/countries/KEN/kenya/infant-mortality-rate
  16. Kenya National Bureau of Statistics(2019).Retrieved from https://dhsprogram.com/pubs/pdf/fr308/fr308.pdf
  17. Kenya National Bureau of Statistics and ICF Macro (2010).Retrieved from https://dhsprogram.com/pubs/pdf/fr308/fr308.pdf
  18. Koini.M. (2017).Evaluation of Millennium Development Goals in Reduction of Maternal and Child Mortality in Narok County, Kenya. Journal of Education and Practice, 8(9), 31-42
  19. Khan .S., Wojdyla, D., Say, L., Gulmezoglu, A., & Van Look, P. (2006).WHO analysis of cause of maternal death: a systematic review. Lancet. 367: 1066-1074. 10.1016/S0140- 6736(06)68397-9
  20. Lawson.B.,Harrison.A., &Bergstrom.S.(2003). Maternity care in Developing Countries.RCOG press.
  21. Magoma, M., Requejo, J. H., Campbell, O. M. R., Cousens, S., &Filippi, V. (2010). High ANC coverage and low skilled attendance in a rural Tanzanian district: A case for implementing a birth plan intervention. BMC Pregnancy and Childbirth, 10, [13].https://doi.org/10.1186/1471-2393-10-13
  22. Mangeni, J., Mwangi, A., Mbugua, S., &Mukthar, V. (2012). Male involvement in maternal health care as a determinant of utilization of skilled birth attendants in Kenya.East African Medical Journal (89) no. 11
  23. Ministry of Health, (2015).Status of implementation of free maternity services (FMS)program in the devolved health system in Kenya. Nairobi; Retrieved from http://publications.universalhealth2030.org/uploads/free_maternal_health_services_report
  24. _feb_2015_final1_doc_.pdf.
  25. Njuguna, J., Kamau, N., &Muruka, C. (2017).Impact of free delivery policy on utilization of maternal health services in county referral hospitals in Kenya.BMC Health Services Research 17:429 DOI 10.1186/s12913-017-2376-z
  26. Parker, J. C., & Thorson, E. (Eds.).(2009). Health communication in the new media landscape.
  27. Springer Publishing Company.
  28. Parrott, R.(2004). Emphasizing communication in health communication. Journal of Communication,54(4), 751-787
  29. Prabha, P.R., Ogwang, S., Karuga, R., Rajan, R., Kes, A., Odhiambo, F., Laserson, K.,& Schaffer, K. (2015). Continuing with a heavy heart -consequences of maternal death in rural Kenya.Reproductive Health, 12(Suppl 1), S2 http://www.reproductive-health journal.com/content/12/S1/S2.
  30. Schiavo, R (2007). Health Communication: From Theory to Practice(1sted.), John Wiley & sons Inc, Sanfransisco
  31. Shaw, G. B. (2011). The wit and wisdom of George Bernard Shaw.Mineola, NY; Dover Publications.
  32. Shah, D.V., Cho, J., Nah, S., Gotlieb, M.R., Hwang ,H., Lee, N., & Scholl,R.M.(2007). Campaign ads, online messaging, and participation: Extending the communication mediation model. Journal of Communication.;57 (4):676–703
  33. Storey, D.,Boulay,M.,Karki,Y.,Heckert,K., &Karmacharya, D.M.(1999). Impact of the integrated radio communications project in Nepal, 1994-1997. Journal of Health Communications 4(4): 271-294.
  34. Warren, C., Mwangi, A., Oweya, E., Kamunya, R., &Koskei. (2010). Safeguarding maternal and newborn health: improving the quality of postnatal care in Kenya. International Journal for Quality in Health Care (22), 1: pp. 24–30 10.1093/intqhc/mzp050
  35. WHO(2019).Maternal Mortality.Retrieved from https://www.who.int/news-room/fact- sheets/detail/maternal-mortality
  36. WHO (2010).Trends in maternal mortality 1990-2015 .Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division .World Heaalth Organization.
  37. WHO(1999).Reduction of Maternal Mortality: A Joint WHO/ UNFPA/UNICEF/World Bank Statement. Geneva: World Health Organization.
  38. WHO(1992).Health Statistics and information systems.Retrieved from https://www.who.int/healthinfo/statistics/indmaternalmortality/en/
  39. Ziraba. A., Madise N., Mills, S., Kyobutungi, C., &Ezeh, A. (2009). Maternal mortality in the informal settlements of Nairobi city: What do we know? Reproductive Health Journal, 6:6 doi: 10.1186/1742-4755-6-6