Opportunities for post-abortion care for schools at the community level case study: Basie Line Survey

Thumbnail Image
Journal Title
Journal ISSN
Volume Title
Kampala International University College of Education, Open and Distance Learning
From October to November I 998, a PRIME team conducted a baseline needs assessment for a post abortion care (PAC) pilot initiative that PRIME was undertaking in collaboration with the National Nurses Association of Kenya (NNAK) and the Nursing Council of Kenya (NCK). The title of the pilot project is "Expanding Opportunities for Post abortion Care at the Community Level through Private Nurse-Midwives in Kenya 1 ." The PRIME-assisted PAC initiative, including the activity described in this report, is financed from PRIME core funds earmarked for technical leadership and field support funds from REDSO/ESA. In late 1998, private nurse-midwives registered with the NCK requested PRIME assistance to include PAC in the range of preventive and curative maternal and child health services they offer. These private nurse-midwives have their own clinics, offer services in areas traditionally underserved by physicians (e.g. urban slums and rural areas), and frequently care for women experiencing obstetric emergencies. In partnership with the NNAK and with support and sanctioning from the NCK and the Primary Health Care Division of the Kenya Ministry of Health, a PRIME-assisted pilot project was launched in 3 provinces: Nairobi, Rift Valley and Central Provinces. The provinces were selected following a country-wide survey of private nurse-midwives who had a current permit from the NCK to operate a private practice. The purpose of the needs assessment was to generate baseline data that would contribute to the design of strategies to train, monitor and supervise private nurse-midwives as they establish and integrate PAC services at their respective facilities. Needs assessment findings will also be used to evaluate the extent to which the pilot project achieved its objectives and expected results. The needs assessment team used 4 instruments for data collection (see appendices 1-4): a facility checklist; focus group discussion (FGD) guide for community opinion leaders; focus group discussion guide for youth; and client exit interview guidelines. Data were collected from 49 facilities in 3 provinces and the I 5 I nurse-midwives working in those facilities. The 49 were selected from among the IOI facilities listed during the inventory as a convenience sample, using criteria which included ownership of the facility, interest in offering comprehensive PAC services and 2 nurse-midwives on staff who could be trained to provide PAC services. Data were also collected from community opinion leaders and youth who participated in a total of 33 FGDs and from 23 MCH/FP clients interviewed at-exit from 29 facilities (there were no clients appropriate for interviews at the remaining 20 facilities at the time of the baseline assessment).
A Research Report Submitted to the Faculty of Business Administration in Partial Fulfillment of the Award of a Bachelor of Education Degree of Kampala International University.
Opportunities, Post-abortion care, Schools, Community level, Basie Line Survey