Abstract
Millennium Development Goals (MDGs) were adopted at the 2000 Millennium Summit. Improving maternal health was one of the eight goals, Millennium Development Goals four (MDG 4) and five (MDG 5) related to maternal and child health. The fourth goal (MDG 4) aimed at reducing child mortality by two thirds between 1990 and 2015 while the fifth goal (MDG 5) aimed to improve maternal health by reducing the maternal mortality ratio (MMR) by three quarters between the same years (WHO, Trends in maternal mortality (1990–2008). WHO, UNICEF, UNFPA and World Bank, Geneva, 2010, p. 3). However, they did not meet these promises because the essential role of information and communication was given an afterthought. The United Nations has now embarked on Sustainable Development Goals in which goal 3 aims to ensure healthy lives and promote well-being for all at all ages, while goal 5 aims to achieve gender equality and empower all women and girls. The objectives of the chapter were investigation of the maternal-child health patients’ knowledge, influence of provider-patient communication, and maternal health communication strategies. The study used the setting of Kenya and reviewed available literature. Data was analyzed thematically. Findings indicate that lack of maternal-child health knowledge leads to non-utilization of skilled facility health. From the study, we conclude appropriate communication strategies if mainstreamed in maternal health campaigns can enhance utilization of skilled facility health care and recommend that communication strategies in Africa should foster participation and strengthening of community structures. The study was grounded in the social cognitive theory postulated by Albert Bandura. This theory posits that although environmental stimuli influence behavior, individual personal factors such as beliefs and expectations also influence behavior change.
References
Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall, Englewood Cliffs
Berry D (2007) Health communication: theory and practice. McGraw Hill Education, New York
Kamali B (2007) Critical reflections on participatory action research for rural development in Iran. Action Res J 5:103. Sage
Kenya Demographic and Health Survey (KDHS) (2009) Kenya demographic and health survey 2008–2009. ICF Macro, Calverton
Kenya Service Provision Assessment Survey 2004–2005 (2011) Maternal and child health, family planning and STIs. NCAPD, MOH, CBS and ORC Macro, Nairobi
Magadi MA (2000) Maternal and child health among the urban poor in Nairobi, Kenya. Centre for Research in Social Policy (CRSP), Loughboroug, Loughborough University
Mefalopulos P (2005) Communication for sustainable development: applications and challenges. In: Oscar H, Tufte T (eds) Media and glocal [sic] rethinking communication for development. Gothenburg: Nordicom, pp 247–259
National Coordinating Agency for Population and Development (NCAPD) (2010) Facts and figures on population and development 2010. National Coordinating Agency for Population and Development (NCAPD), Nairobi
Oronje NR (2009) The maternal health challenge in poor urban communities in Kenya: a policy briefs no 12, 2009. African Population and Health Research Centre, Nairobi
Pandey S, Lama G, Lee H (2011) Effects of women’s empowerment on their utilization of health services: a case of Nepal. J Int Soc Work. Accessed on 12 Apr 2013 from http://isw.sagepub.com/. Sage
Snyder LB (2007) Health communication campaigns and their impact on behaviour. J Nutr Educ Behav 39(2S):S32
Thomas KR (2006) Health communication. Springer, New York
UN, UNICEF, UNFPA, WB (2012) Trends in maternal mortality: 1990 to 2010. WHO, Geneva
UNESCO (1990) Literacy and civic education among rural women. UNESCO, Bangkok
UNICEF (2008) The state of Africa’s children 2008: child survival. UNICEF, Nairobi
United Nations (2000) World’s women: trends and statistics. United Nations, New York
United Nations (2010) The Millennium Development Goals report. United Nations, New York
WHO (2000) The world health report 2000-health systems: improving performance. WHO, Geneva
WHO (2010) Trends in maternal mortality (1990–2008). WHO, UNICEF, UNFPA and World Bank, Geneva
WHO, UNICEF, UNFPA (2004) Maternal mortality in 2000: estimates
WHO, UNICEF, UNFPA, WB (2005) Maternal mortality in 2005. WHO, Geneva
Williams JJ (2006) Community participation: lessons from post-apartheid South Africa. J Policy Stud 27:197. Routledge
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Okoth Akwala, A. (2018). Millennium Development Goals (MDGs) and Maternal Health in Africa. In: Servaes, J. (eds) Handbook of Communication for Development and Social Change. Springer, Singapore. https://doi.org/10.1007/978-981-10-7035-8_136-1
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DOI: https://doi.org/10.1007/978-981-10-7035-8_136-1
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Millennium Development Goals (MDGs) and Maternal Health in Africa- Published:
- 21 February 2020
DOI: https://doi.org/10.1007/978-981-10-7035-8_136-2
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Millennium Development Goals (MDGs) and Maternal Health in Africa- Published:
- 12 July 2018
DOI: https://doi.org/10.1007/978-981-10-7035-8_136-1