Routine antenatal ultrasound by nurse-midwives in rural Kenya: a pragmatic trial assessing feasibility and effects of the Mimba Yangu (My Pregnancy) project
Pragmatic trial shows improved uptake of antenatal ultrasound in pregnant women by nurse-midwives, indicating effective task-sharing.
Key Points
The intervention improved antenatal ultrasound access, with 50.4% of women receiving an ultrasound in intervention facilities compared to 19.2% in controls.
Interviews confirmed that nurse-midwives found the task-sharing approach feasible, acceptable, and relevant for improving maternal care.
The study involved 28 facilities, assessing the role of nurse-midwives in ultrasound task-sharing through interviews and data analysis.
Implementing this intervention highlights the need for policy reforms to support nurse-midwife roles in ultrasound services.