A system approach to improving maternal and child health care delivery in Kenyan communities and primary care facilities: baseline survey on maternal health.
Adult
Child
Community Health Centers
/ organization & administration
Contraception Behavior
Cross-Sectional Studies
Female
Humans
Kenya
Maternal Health
Maternal Mortality
Maternal-Child Health Centers
/ organization & administration
Maternal-Child Health Services
/ standards
Patient Compliance
Pregnancy
Prenatal Care
/ statistics & numerical data
Primary Health Care
/ methods
Socioeconomic Factors
Kenyan communities
System approach
maternal and child health care
Journal
African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
entrez:
29
10
2019
pubmed:
28
10
2019
medline:
13
11
2019
Statut:
ppublish
Résumé
Maternal, fetal and neonatal mortality are 10 to 100 fold higher in many low-income compared to high-income countries. Reasons for these discrepancies include limited antenatal care and delivery outside health facilities. The study aimed at conducting a baseline survey to assess the current levels of maternal health indicators in six counties in Western Kenya. This was a cross sectional study conducted targeting women residing in Uasin-Gishu, ElgeyoMarakwet, TransNzoia, Bungoma, Busia and Kakamega counties who had given birth five years prior to the interview. Socio-demographic and maternal indicators were collected using forms adopted from KDHS 2009. Interviews were conducted in the homesteads between December 2015 and June 2016. A total of 6257 women participated in the study, median age 27 years IQR 23-32. Majority of the women had post-primary level of education, were married and 40% were members of an income-generating activity. 56.8% were using modern family planning method, 49% attended WHO recommended four plus antenatal clinic visits and only 20% attended in the first trimester. Majority, 85% had their most recent delivery in a health facility. Findings suggest that women are not attending recommended four plus antenatal clinic visits and even those that attend are few are during the first trimester.
Sections du résumé
BACKGROUND
BACKGROUND
Maternal, fetal and neonatal mortality are 10 to 100 fold higher in many low-income compared to high-income countries. Reasons for these discrepancies include limited antenatal care and delivery outside health facilities.
OBJECTIVES
OBJECTIVE
The study aimed at conducting a baseline survey to assess the current levels of maternal health indicators in six counties in Western Kenya.
METHODS
METHODS
This was a cross sectional study conducted targeting women residing in Uasin-Gishu, ElgeyoMarakwet, TransNzoia, Bungoma, Busia and Kakamega counties who had given birth five years prior to the interview. Socio-demographic and maternal indicators were collected using forms adopted from KDHS 2009. Interviews were conducted in the homesteads between December 2015 and June 2016.
RESULTS
RESULTS
A total of 6257 women participated in the study, median age 27 years IQR 23-32. Majority of the women had post-primary level of education, were married and 40% were members of an income-generating activity. 56.8% were using modern family planning method, 49% attended WHO recommended four plus antenatal clinic visits and only 20% attended in the first trimester. Majority, 85% had their most recent delivery in a health facility.
CONCLUSION
CONCLUSIONS
Findings suggest that women are not attending recommended four plus antenatal clinic visits and even those that attend are few are during the first trimester.
Identifiants
pubmed: 31656466
doi: 10.4314/ahs.v19i2.6
pii: jAFHS.v19.i2.pg1841
pmc: PMC6794517
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1841-1848Informations de copyright
© 2019 Mwangi et al.
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