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Adapting the 2015 Mother–Baby Friendly Birth Facility Guidelines for Semi-nomadic Pastoralist Communities in Laikipia and Samburu Counties of Kenya

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Abstract

Purpose To adapt the 2015 International Federation of Gynecologists and Obstetricians (FIGO), International Confederation of Midwives (ICM), White Ribbon Alliance (WRA), International Pediatric Association (IPA), and WHO auspiced Guidelines on Mother–Baby Friendly Facilities to a particular sub-population; seminomadic pastoralist communities of Laikipia and Samburu Counties, Kenya. We anticipate an increased utilization of childbirth services by improving their acceptability. Description We drafted a Pastoralist Friendly Birthing Facility Checklist based on the FIGO/ICM/WRA/IPA/WHO guidelines and previous research in this context. We employed mixed methods to finalise the adaptation: a workshop with 27 local stakeholders; interviews with ten health planners and skilled birth attendants (SBAs); and ten focus group discussions (FGDs) with health committee members, community health workers, mothers and traditional birth attendants (TBAs). A facility audit of dispensaries across five group ranches was also undertaken. Assessment The final Checklist was divided into: characteristics of care and the environment; care during labour and birth; post-partum care; and community staff relationships. It was endorsed by the Ministries of Health in the relevant counties, and by women, SBAs and TBAs. No facility currently satisfies all the criteria specified in the Checklist. Conclusion The FIGO/ICM/WRA/IPA/WHO Guidelines were successfully adapted and can be used to ensure health facilities meet the needs of pastoralist women.

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Acknowledgements

Funding for this study was provided by the Australian Government Department of Foreign Affairs and Trade, through the Australia Africa Community Engagement Scheme, implemented by Anglican Overseas Aid, The Nossal Institute for Global Health and the Mothers Union of the Anglican Church of Kenya.

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Authors and Affiliations

  1. Nossal Institute for Global Health, University of Melbourne, Level 5, 333 Exhibition Street, Melbourne, 3000, Australia

    Alison Morgan & Michelle Kermode

  2. Mothers’ Union of the Anglican Church of Kenya, Diocese of Mt Kenya West, Nyeri, Kenya

    Florence Nderitu

Authors
  1. Alison Morgan
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  2. Florence Nderitu
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  3. Michelle Kermode
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Correspondence to Alison Morgan.

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Morgan, A., Nderitu, F. & Kermode, M. Adapting the 2015 Mother–Baby Friendly Birth Facility Guidelines for Semi-nomadic Pastoralist Communities in Laikipia and Samburu Counties of Kenya. Matern Child Health J 23, 872–879 (2019). https://doi.org/10.1007/s10995-018-02712-1

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  • DOI: https://doi.org/10.1007/s10995-018-02712-1

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