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Course Name

Clinical Improvement Project II CAPSTONE

Graduation Year

8-2026

Faculty Advisor

Dr. Katie Rolan

Abstract

Maternal mortality remains a significant public health concern in rural Kenya because of limited healthcare resources, inadequate emergency obstetric training, and barriers to accessing timely, high-quality maternal care. This quality improvement project evaluated the implementation of the Know Your Birth educational intervention, a culturally responsive, simulation-based training program designed to improve healthcare providers' knowledge, confidence, and competency in evidence-based maternal and newborn care. The project was conducted at Sega Dispensary in Sega, Siaya County, Kenya, and included 26 healthcare staff members. Guided by the Plan-Do-Study-Act framework, participants completed a brief educational presentation followed by three interactive skills stations focused on respectful maternity care, postpartum hemorrhage recognition and response, breastfeeding support, safe newborn swaddling, and evidence-based labor positioning using peanut balls. Pre- and post-intervention surveys measured changes in knowledge and confidence, and quantitative data were analyzed using descriptive statistics and paired-samples t tests. Confidence scores demonstrated a statistically significant improvement following the intervention (M = 4.86 vs. 4.93, p = .029). Knowledge scores increased from 5.04 to 5.35, but did not reach statistical significance (p = .188). Participants demonstrated high engagement throughout the simulation-based educational activities and demonstrated increased confidence in providing evidence-based maternal and newborn care. These findings suggest that brief, low-cost, simulation-based education is a feasible and sustainable strategy for strengthening provider confidence and supporting evidence-based maternity care in low-resource settings. Future quality improvement initiatives should evaluate long-term knowledge retention, changes in clinical practice, and maternal and neonatal outcomes to determine the sustained impact of the intervention.

Keywords

quality improvement, maternal health, postpartum hemorrhage, provider education, rural Kenya

Know Your Birth

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