Effect of A Community Health Worker led Intervention on Skilled Birth Care in Rural Mwingi West Sub-County, Kenya: A Quasi Experimental Study

Despite strong evidence that skilled birth care (SBC) significantly reduces maternal deaths, one in four babies worldwide are delivered without SBC. This has kept maternal mortality rates (MMR) high in sub-Saharan Africa and Kenya in particular. Kenya adopted Community Health Strategy (CHS) with the aim of improving community health services. The aim of this study was to evaluate the effect of CHS on SBC in Mwingi west sub-county, Kenya. A quasi experimental study design was conducted with 1 pretest and 2 post-test household surveys done in intervention and control sites. Sample size in each survey was 422 households. Women with a child aged 9-12 months were main respondents. Binary logistic regression analysis was used to estimate the odds of SBC utilization before and after the intervention In intervention site; SBC utilization significantly improved by 12.9% (57.9% vs. 70.5%) and women in end term survey were 1.6 times (Adj. OR=1.556, P