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15. The three pathways to becoming a midwife: self-assessed confidence in selected competencies in intrapartum care from seven African countries

Author

Lindgren, Helena, primary, Hildingsson, Ingegerd, additional, Christensson, Kyllike, additional, Bäck, Lena, additional, Mudokwenyu–Rawdon, Christina, additional, Maimbolwa, Margaret C, additional, Laisser, Rose Mjawa, additional, Omoni, Grace, additional, Chimwaza, Angela, additional, Mwebaza, Enid, additional, Kiruja, Jonah, additional, and Sharma, Bharati, additional

Published
2021
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16. Effectiveness of mobile phone text message reminder on birth preparedness in a rural community in Kenya

Author

Omoni Grace, Mirie Waithira, and Cheptum Joyce

Subjects
medicine.medical_specialty, Rural community, Antenatal, birth preparedness, delivery, message reminder, mobile phone, business.industry, Public health, Primary level, Text message, lcsh:Gynecology and obstetrics, law.invention, Randomized controlled trial, Mobile phone, law, Family medicine, Birth preparedness, medicine, Mobile technology, business, lcsh:RG1-991
Abstract

Background: Birth preparedness is a strategy that has been found effective in preventing obstetric delays. Use of mobile technology can enable access and efficiency of health messages delivered during antenatal care. The mobile technology can be more effective in conveying health messages owing to its accessibility and enables follow up. Materials and Methods: This was a randomized control trial carried out among pregnant women attending public health antenatal clinics in Migori County. Four health facilities were randomized. Two facilities each were randomly picked for the study and control groups respectively. A total of 379 participants were recruited into the study. The study group participants received a verbal message on birth preparedness and a mobile phone text message reminder one month to their expected date of delivery. Follow up was done to both groups through their mobile phone contacts. Data was collected using an interviewer‑administered questionnaire and analyzed using Stata version 11. Proportion tests were done to compare the groups. Results: The success rate of the study was 90.5% (n = 343). Most of the participants (73%) were aged between 20 and 34 years. Majority of them were married (79.2%) and most of them had primary level of education. Protestant was the predominant religion (55.2%). Housewives and businesswomen constituted 34.2% and 27%, respectively. The respondents in the study group who were birth prepared were 74.3% (n = 136) while those in the control group were 48.1% (n = 77).Conclusion: The use of mobile phone text message reminder in addition to verbal messages is more effective. Key words: Antenatal; birth preparedness; delivery; message reminder; mobile phone

Published
2019

20. Sharps injuries among nurses and midwives in sub-Saharan Africa

Author

Zhu, Shijun, primary, Liu, Wen, additional, Amoroso, Anthony, additional, Blanshan, Sue, additional, Guberski, Thomasine, additional, Iwu, Emilia, additional, Kiama, Beatrice, additional, Lipscomb, Jane, additional, Maimbolwa, Margaret, additional, Maro, Peter, additional, Mwakyus, Sekela, additional, Omoni, Grace, additional, Smith, Nathaniel, additional, and Smith, Barbara, additional

Published
2019
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21. African midwifery students’ self-assessed confidence in antenatal care: a multi-country study

Author

Hildingsson, Ingegerd, primary, Lindgren, Helena, additional, Karlström, Annika, additional, Christensson, Kyllike, additional, Bäck, Lena, additional, Mudokwenyu–Rawdon, Christina, additional, Maimbolwa, Margaret C., additional, Laisser, Rose Mjawa, additional, Omoni, Grace, additional, Chimwaza, Angela, additional, Mwebaza, Enid, additional, Kiruja, Jonah, additional, and Sharma, Bharati, additional

Published
2019
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33. Clinical nursing and midwifery research priorities in eastern and southern African countries

Author

Sun, Carolyn, Dohrn, Jennifer, Klopper, Hester Catharina, Malata, Address, Omoni, Grace, Larson, Elaine, and 11089016 - Klopper, Hester Catharina

Abstract

Background: Because of the profound shortage of nurse and midwifery researchers in many African countries, identification of clinical nursing and midwifery research is of highest priority for the region to improve health outcomes. Objectives: The aim of this study was to gain consensus from experts on the priorities of clinical nursing and midwifery research in southern and eastern African countries. Method: A Delphi survey was conducted among experts in the region. Criteria for “expert” included (a) a professional nurse, (b) a bachelor's degree or higher in nursing, (c) published research, (d) affiliated with a school of nursing with at least a master's level nursing program, and/or (e) identified by the African core collaborators as an expert in the region. A list of candidates was identified through searches of published and gray literature and then vetted by core collaborators in Kenya, Malawi, and South Africa. Core collaborators held leadership roles in a nursing school and a doctoral degree in nursing, had conducted and published nursing research, and resided in an included country. Results: Two rounds of the Delphi survey were required to reach consensus. In total, 40 participants completed both rounds, and at least one participant from each country completed both rounds; 73% and 85% response rates were achieved for each round, respectively. Critical clinical research priorities were infectious disease/infection control and midwifery/maternal health topics. These included subtopics such as HIV/AIDS, tuberculosis, maternal health and mortality, infant mortality, and obstetrical emergencies. Many other topics were ranked as important including patient outcomes, noncommunicable diseases, and rural health. Discussion: Areas identified as research priorities were consistent with gaps identified in current literature. As evidenced by previous research, there is a lack of clinical nursing and midwifery research in these areas as well as nurses and midwives trained to conduct research; these priorities will help direct resources to the most essential research needs.

Published
2015

45. A pilot quasi-experimental study to determine the feasibility of implementing a partograph e-learning tool for student midwife training in Nairobi.

Author

Lavender, Dame Tina, Omoni, Grace, Lee, Karen, Wakasiaki, Sabina, Campbell, Malcolm, Watiti, James, and Mathai, Matthews

Abstract

Objective: the partograph is a tool used globally to record labour progress. Although it has the potential to improve maternal and neonatal outcomes, some midwives struggle with using it in practice. Training in partograph use is limited, and the theory is often divorced from practice. Innovative ways of improving training are urgently required. We therefore aimed to determine whether the use of an e-learning tool is beneficial for learning partograph skills. Design: an uncontrolled before-and-after study was conducted, informed by Kirkpatrick's four-stage model of evaluation; we report on the first two stages. We included a cohort of third and fourth year midwifery students who were studying at one university in Nairobi. The same hypothetical case scenario was used, pre- and post-implementation of the World Health Organization partograph e-learning tool, to assess students' partograph completion ability. Views on the tool were also sought, using semi-structured questionnaires. Data were analysed using standard statistical techniques and framework analysis. Findings: 92 (88%) students participated. Students expressed positive views about the e-learning tool. However, the mean post-intervention score (27.21) was less than half of the maximum obtainable score. There was some improvement in test scores; year three mean score pre-intervention was 21.39 (SD 5.72), which increased to 25.10 (5.41) post-intervention (paired-r=3.47, p=0.001); year four mean score preintervention was 24.39 (5.98) which increased to 29.30 (6.77) post-intervention (paired r=3.85, df=91, p o 0.001). In the post-test, year four students scored higher than year three students (unpaired r=3.28, df=90, p=0.001). Students were unable to plot cervical dilatation correctly, once established labour had been confirmed. Key conclusion: e-Learning training is acceptable to student midwives and has the potential to be an effective means of teaching the practical application of the partograph. However, in this study, their inability to correctly plot transference from the latent to active phase of labour suggests that the partograph itself may be too complicated. Modifications and further evaluation of the e-learning tool would be required before any widespread implementation. Furthermore, students need the clinical support to operationalise their learning; educating qualified midwives and obstetricians to be positive role models when completing the partograph would be one potential solution. Further research is required, taking on board the recommendations from our pilot study, to investigate the impact of partograph e-learning on practice and clinical outcomes. [ABSTRACT FROM AUTHOR]

Published
2013
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48. Preventing genderbased violence.

Author

Omoni, Grace Moraa

Abstract

The author reflects on the violence against women. He points out that sexual violence is a universal form of violence against women which is rampant worldwide but is seldom discussed in international security forums. He criticizes the countries that are short of appropriate prevention and response measures despite the eradication of all forms of violence against women and girls by the United Nations Security Council.

Published
2010
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