Evaluation of the Maternal and Child Status of the Community Health

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EVALUATION OF THE MATERNAL AND CHILD STATUS OF THE COMMUNITY HEALTH

EASTERN PROVINCE

KANGUNDO DISTRICT

MATUNGULU DIVISION

KALANDINI LOCATION

MBChB LEVEL IV TERM III 2008

ACKNOWLEDGEMENTS

We wish to express sincere appreciation to the residents of Kalandini Location for their participation in the study. In addition, special thanks to our facilitator Dr.Njoroge for his guidance, assistance and support throughout this undertaking. Many thanks to the drivers for tirelessly transporting us to Kangundo. Appreciation also to the staff at the Department of Community Health for their assistance.

DEDICATION

We would like to dedicate this report to the residents of Kalandini location and to ourselves.

“The health of the people is really the foundation upon which all their hapiness and all their powers as a state depend”.

Benjamin Disraeli(1804-1881)
British Prime Minister and Writer.

LIST OF CONTRIBUTORS;

Antenatal care and delivery

Samuel MathengeH31/2527/04
Charles MuniuH31/2449/04
Bernard SowekH31/2462/02
Salome NdukuH31/2433/02
Cecilliah GakiiH31/2454/04
Family Planning
John W. MutheeH31/2456/04
Nectarios AdidwaH31/8423/03
Antonella WanjikuH31/2528/04
Natasha MohamedH31/7582/04
Elver MbabaziH31/9418/02
Immunization
Naomi KiniuH31/7521/04

Roy MunialoH31/2496/04
Brian AkuomH31/2397/02
Shelmith GichukiH31/2440/04
Dhara PatelH31/7572/04
Brian AyaraH31/2438/04

LIST OF ABBREVIATIONS

ANC………………………………..Antenatal clinic
CPR………………………………...Contraceptive Prevalence Rate DCH………………………………..Department of Community Health FP…………………………………...Family Planning
HIV…………………………………Human Immunodeficiency Virus KEPI………………………………...Kenya Expanded Program on Immunization KDHS……………………………….Kenya Demographic and Health Survey MDG………………………………...Millennium Development Goal STI…………………………………...Sexually Transmitted Infection TBA………………………………….Traditional Birth Attendant OCPs....................................................Oral contraceptive Pills GIVS....................................................Global Immunization Vision and Strategy

TABLE OF CONTENTS

Aknowledgements...................................................................... Dedication................................................................................... List of contributors........................................................................ List of abbreviations...................................................................... Antenatal care section

1.1 Introduction
1.2 Antenatal care clinic attendance 1.3 Number of anc visits
1.4 Reasons for not attending anc 1.5 Place of delivery
1.6 Assistant at delivery
1.7 Relationship between attendance of anc and delivery at a health facility 1.8 Discussion
1.9 Conclusions
1.10 Recommendations

Family planning section
2.1 Introduction
2.2 Knowledge of family planning
2.3 Use in the last five years
2.4 Current use of family planning 2.5 Reasons for not using fp
2.6 Interest of use of fp methods 2.7 Discussion
2.8 Conclusion
2.9 Recommendations
Immunization section
3.1Definition:
3.2 Immunisation schedule
3.3 Immunisation coverage
3.4 Drop out rates
3.5 Knowledge of immunizable diseases
3.6 Proportion of children vaccinated
3.7 Coverage of the specific immunizations
3.8 Full coverage of kepi schedule
3.9 Reasons for not vaccinating
3.10 Relationship between adequate knowledge and full coverage of immunization 3.11...
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