Knowledge, Attitudes, and Practices of Intrapartum Care among Obstetric Care Providers in Rural Kenya.

摘要

This descriptive, cross-sectional survey study examined the knowledge, attitudes, and practices of intrapartum care among obstetrics care providers in rural Kenya using the Three Delay Model framework. After IRB authorization, data were collected from a convenience sample of obstetric care providers (N = 326) in 16 Nandi County facilities, using a self-report survey. The research questions were answered using descriptive statistics, independent T-tests, one-way ANOVA, and Spearman's rho correlations. The total mean knowledge score was below accepted international standards (M = 61.46%, SD = 9.8); only 14 providers scored 80% or higher (demonstrating competency in intrapartum care). The measured knowledge and self-reported practices among the providers in rural Kenya were below accepted international guidelines. The providers' confidence in treating obstetric emergencies was not significantly associated with their knowledge or practices related to such emergencies. These findings support a need for the adoption of evidence-based policies and procedures and increased training in emergency obstetric care to improve the knowledge, attitudes, and practices of obstetric care providers in Nandi County.