Home / Current Issue / Paper 1712245
Evaluation of The Capacity Required to Support the Implementation Process of Integrating the Non-Clinician Staff in The Obstetric Emergency Response in Bungoma County Referral Hospital, BCRH
Subject area: Biological & Medical Sciences · Area of research: Pediatrics and Child Health
Abstract
The capacity of non-clinicians in obstetric emergencies holds significant value through prompt intervention, leveraging community insights for culturally adept responses. This study focused on evaluating the capacity required to support implementation of non-clinician integration in obstetric emergency response at Bungoma County Referral Hospital. Using a cross-sectional survey, 93 non-clinicians were sampled through questionnaires and interviews. Descriptive and inferential statistics aided analysis with stringent adherence to ethics and COVID-19 protocols. Results showed sensitization training strongly influenced integration (84.4% agreement, mean=4.45), while 44.1% agreed non-clinicians have emergency response roles (mean=4.10). Regression analysis indicated capacity (R?=0.158, ?=0.241, p=0.001) significantly influenced quality of obstetric emergency response, explaining 15.8% of variation. Capacity building positively affected non-clinicians by equipping essential emergency response skills. Non-clinicians should be capacity-built to supplement clinical service delivery, alleviating clinical burden, prioritizing patient preferences, and improving maternal and infant outcomes while reducing mortalities.
Keywords
Capacity Required, Implementation Process, Non-Clinician Staff, Obstetric Emergency Response, Bungoma County Referral Hospital
References
[1] African Population and Health Research Centre and The World Bank (2006). Averting preventable maternal mortality: delays and barriers to the utilization of emergency obstetric care in Nairobi's informal settlements. Nairobi, Kenya.
[2] Ameh CA, Kerr R, Madaj B, et al. (2016). Knowledge and skills of healthcare providers in Sub-Saharan Africa and Asia before and after competency-based training in emergency obstetric and early newborn care.
[3] Ameh CA, White S, Dickinson F, Mdegela M, Madaj B, van den Broek N. Retention of knowledge and skills after Emergency Obstetric Care training: a multicountry longitudinal study.
[4] Brookings (2014). Report on non-clinical healthcare workers.
[5] Dekker-Boersema J, Hector J, Jefferys LF, Binamo C, Camilo D, Muganga G, et al. (2019). Triage conducted by lay-staff and emergency training reduces paediatric mortality in the emergency department of a rural hospital in Northern Mozambique. African Journal of Emergency Medicine, 9(4), 172-176.
[6] DHIS (2015). District Health Information System, Kenya.
[7] Geleto A, et al. (2018). Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review of literature. Systematic Reviews, 7.
[8] Harmer A, Lee K, Petty N (2015). Global health education in the United Kingdom: a review of university undergraduate and postgraduate programmes and courses. Public Health.
[9] KDHS (2014). Kenya Demographic and Health Survey.
[10] Kruk ME, Gage AD, Arsenault C, et al. (2018). High-quality health systems in the sustainable development goals era: time for a revolution. Lancet Global Health, 6:e1196-25.
[11] NAIC, OWEs Survey (2021). National Association of Insurance Commissioners, Obstetric Workforce Engagement Survey.
[12] NFHS 4 Fact Sheet (2017). National Family Health Survey, India.
[13] Tenner HR, Sawe S, Amato J, Kalanzi M, Kafwamfwa H, Geduld H, et al. (2019). Results from a World Health Organization pilot of the Basic Emergency Care Course in Sub Saharan Africa.
[14] UNFPA (2012). United Nations Population Fund. Maternal mortality statistics.
[15] WHO (2006). Working together for health: the world health report. Geneva: World Health Organization.
[16] WHO (2012). Trends in maternal mortality: WHO, UNICEF, UNFPA and The World Bank estimates.
[17] WHO (2014). Trends in maternal mortality: 1990 to 2013. Geneva: World Health Organization.
[18] WHO (2015). Trends in maternal mortality: 1990 to 2015. Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division.
[19] WHO (2016). Maternal mortality fact sheet. Geneva: World Health Organization.
[20] WHO (2018). Quality in primary health care (No. WHO/HIS/SDS/2018.54). World Health Organization.
[21] WHO (2018). WHO recommendations: non-clinical interventions to reduce unnecessary caesarean sections. World Health Organization.
[22] WHO (2019). Maternal mortality statistics. Geneva: World Health Organization.
[23] WHO (2021). Emergency Triage Assessment and Treatment (ETAT). Available from: http://www.who.int/maternal_child_adolescent/documents/9241546875/en/
[24] World Health Organization, UNFPA, UNICEF, Mailman School of Public Health (2009). Monitoring emergency obstetric care: A handbook. Geneva: WHO.
[25] WHO, UNICEF, UNFPA and the World Bank (2010). Trends in maternal mortality 1990-2008: estimates developed by WHO, UNICEF, UNFPA and The World Bank. Geneva: World Health Organization.
How to cite this paper
@article{1712245,
author = {Anne Nanjekho Wakora},
title = {Evaluation of The Capacity Required to Support the Implementation Process of Integrating the Non-Clinician Staff in The Obstetric Emergency Response in Bungoma County Referral Hospital, BCRH},
journal = {Iconic Research And Engineering Journals},
year = {2025},
volume = {9},
number = {5},
pages = {2029-2034},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1712245.pdf},
abstract = {The capacity of non-clinicians in obstetric emergencies holds significant value through prompt intervention, leveraging community insights for culturally adept responses. This study focused on evaluating the capacity required to support implementation of non-clinician integration in obstetric emergency response at Bungoma County Referral Hospital. Using a cross-sectional survey, 93 non-clinicians were sampled through questionnaires and interviews. Descriptive and inferential statistics aided analysis with stringent adherence to ethics and COVID-19 protocols. Results showed sensitization training strongly influenced integration (84.4% agreement, mean=4.45), while 44.1% agreed non-clinicians have emergency response roles (mean=4.10). Regression analysis indicated capacity (R?=0.158, ?=0.241, p=0.001) significantly influenced quality of obstetric emergency response, explaining 15.8% of variation. Capacity building positively affected non-clinicians by equipping essential emergency response skills. Non-clinicians should be capacity-built to supplement clinical service delivery, alleviating clinical burden, prioritizing patient preferences, and improving maternal and infant outcomes while reducing mortalities.},
keywords = {Capacity Required, Implementation Process, Non-Clinician Staff, Obstetric Emergency Response, Bungoma County Referral Hospital},
month = {November},
}