ACCESS TO HEALTH FACILITY AS A DETERMINANT OF CHOICE OF PLACE OF BIRTH AMONG WOMEN OF REPRODUCTIVE AGE IN MURANG’A COUNTY, KENYA

Daniel Muya Gachathi, Rosemary Okova, Francisca Mwangangi

Abstract


Introduction: Maternal and child mortalities are among major health problems facing most of developing countries including Kenya. Most of these deaths are avoidable if women access and utilize maternity healthcare services. The aim of the study was to assess how the accessibility to health care facilities influenced choice of place of delivery among mothers seeking Child Welfare services in selected health facilities in Kandara Sub County.

Methods: The study adopted a facility-based cross-sectional survey design using an interviewer guided questionnaire. The population comprised of mothers who had delivered within 12 months prior to the study and seeking Child Welfare services at the selected health facilities in the Sub County. A purposive sampling method was used to identify the facilities which participated in the study.  The desired sample size was 352 respondents who were selected using systematic random sampling method. Descriptive statistics were used to present analyzed the data.

Results: The study found that access to health facility significantly (p value of 0.049) influence the choice of place of birth within the study area.

Conclusion and Recommendations: Accessibility to health facility had significant positive influence on the choice of place for birth. The study therefore recommends concerted effort by County government and other stakeholders interested in maternal healthcare and infrastructure development and teamwork with the department of health services to improve and increasing the accessibility of health facilities. TA broad based study covering all counties in Kenya be done to find out the determinants of choice of place of birth.

Keywords


Access, place of birth, choice, women, Kenya, reproductive age, determinants

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References


Bailey ,K.D (2000) Methods of Social Research. 3rd ed. New York, NY: Free Press.

Borghi J, Ensor T, Neupane BD, Tiaras S. (2006). Financial implications of skilled attendance at delivery in Nepal. Tropical Medicine International Health11(2):228–237

Bagozzi, R.P. (1994) Structural equation models in marketing research: Basic principles. In R.P. Bagozzi (Ed.), Principles of marketing research (317–385)

Central Bureau of Statistics [Kenya], Ministry of Health and ORS Macro (2004). Kenya Demographic and Health Survey 2003. Calverton, Maryland: CBS, MOH and ORS Macro.

District health Information Software Kenya (DHIS 2014). Murang’a

Gall, M. D., Gall, J. P., & Borg, W. R. (2003). Educational research: An introduction (7th ed.). Boston, MA: A & B Publications.

Kabir M., (2007). Safe delivery practices in rural Bangladesh and its associated determinants. Evidence from Bangladesh demographic and health survey-2004.

Kenya National Bureau of Statistics (KNBS) and ICF Macro (2010). Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro.

Kenya National Bureau of Statistics, Ministry of Health, O. R. C. Macro (2009). Kenya 18 Demographic and Health Survey 2008 report. Calverton, Maryland, USA; 2009

Kenya Demographic and Health Survey (2008/09). Calverton, Maryland: Kenya National Bureau of statistics and ICF Macro: 2010.

Kenya Demographic and Health Survey (2014). Calverton, Maryland: Kenya National Bureau of statistics and ICF Macro: 2014.

Killew j etal. (2004) three delay models of safe motherhood.

Lee ACC, Lawn JE, Cousens S, Kumar V, Osrin D, Bhutta ZA, and Wall SN, Nandakumar A., K., Syed U., Darmstadt G., L., (2009). Linking families and facilities for care at birth: What works to avert intrapartum-related deaths? International journal of gynecology and obstetrics: the official organ of the International Federation of Gynecology and Obstetrics,107:S65-S88.

Montagu D., Yamey G., Visconti A., Harding A., Yoong (2011). Where Do Poor Women in Developing Countries Give Birth? A Multi-Country Analysis of Demographic and Health Survey Data.PLoS One 2011, 6(2):e17155. doi: 10.1371/journal.pone.0017155.

Mugenda O., and Mugenda A., (2003). Research methods; qualitative and quantitative approaches. Act Press; Nairobi

Mutiso S. M, Qureshi Z., Kinuthia J. (2007). Birth/preparedness among ANC clients. East African Medical Journal 2008, 85(6):474-478.

Nunnally, J.C. (1978). Psychometric Theory. New York; McGraw-Hill-USA

Oguntunde O. O., AinaM.S., Ibrahim, H.S.Umarand P. Passano (2010). Antenatal care and skilled birth attendance in three communities in Kaduna state. Nigeria. Afr.J. Reprod.Health,14(3):89-96.

Ronsmans C. Graham (2006). Maternal mortality: who, when, where, and why'. Lancet 2006, 368:1189-2000.

Rosenstock I. (1974). Historical Origins of the Health brief model. Health education monographs. Vol 2 number 4.

Seljeskog L., Sundby J., Chimango J. (2006). Determinants Influencing Women's Place of delivery in Rural Malawi-An explorative study.

Starrs A. (2006). Safe motherhood: 20 years and counting. Lancet 2006,

United Nations (2007). The Millennium Development Goals report: Statistical annex. New York.

United Nations Population Fund (1999). UNFPA Key actions for the further implementation of the Programme of Action of the International Conference on Population and Development. Adopted by the Twenty-first Special Session of the United Nations General Assembly. New York: UNFPA:64.

Van Eijk A., Bles H., Odhiambo F., Ayisi J., Blokland I., Rosen D., Adazu K., Slutsker L., Lind blade K. (2006). Use of antenatal services and delivery care among women in rural Western Kenya: a community based survey. Journal of reproductive health 2006, 3(2)

World Health Organization (2008). Trends in Maternal Mortality: 1990 to 2008. Geneva: WHO, UNICEF, UNFPA & the World Bank

World Health Organization, UNICEF and UNFPA/WB (2008). Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA and World bank. Geneva, Switzerland.

World Health Organization (2005). Reconciling maternal, new-born and child health with health system development. Chapter 7 in World Health Report 'Make every mother and child count'. WHO Geneva, Switzerland.

World Health Organization (2008). Proportion of births attended by a skilled health worker. [http://www.who.int/reproductivehealth/ publications/maternal perinatal health/ 2008_skilled_attendant.pdf] Geneva, Switzerland: WHO; 2008


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