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http://ir.mu.ac.ke:8080/jspui/handle/123456789/4661
Title: | Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya |
Authors: | Akwanalo, Constantine O. Aruasa, Wilson Barasa, Felix A. Esamai , Fabian |
Keywords: | Cardiovascular disease Global health partnership noncommunicable disease |
Issue Date: | 2015 |
Publisher: | Elsevier |
Abstract: | Objective To determine the level of use of maternal health services and to identify and assess factors that influence women's choices where to deliver in Kalabo District, Zambia. Methods A cross-sectional descriptive study conducted between 1998 and 2000, with 332 women interviewed using semi-structured questionnaires. Focus group discussions were held and hospital data and registers were checked. Results Although 96% of respondents would prefer to deliver in a clinic, only 54% actually did, because of long distances, lack of transport, user fees, lack of adequate health education given during antenatal clinic attendances, poorly staffed and ill-equipped institutions with poorly skilled personnel. Conclusion Unmarried women, women with higher education and women with formal employment, who are able to pay the user fees and live near a clinic are more likely to deliver in a clinic. This does not guarantee survival, however; maternal mortality is high in the district; health facilities are poorly staffed, poorly skilled and ill-equipped. |
URI: | https://doi.org/10.1016/j.jacc.2015.09.086 http://ir.mu.ac.ke:8080/jspui/handle/123456789/4661 |
Appears in Collections: | School of Medicine |
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