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Title: | A system approach to improving maternal and child health care delivery in Kenyan communities and primary care facilities: baseline survey on maternal health |
Authors: | Mwangi, Ann Nangami, Mabel Tabu, John Were, Edwin Esamai, Fabian Ayuku, David |
Keywords: | System approach Kenyan communities Maternal and child health care |
Issue Date: | 2019 |
Publisher: | African Health Science |
Abstract: | 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: The study aimed at conducting a baseline survey to assess the current levels of maternal health indicators in six counties in Western Kenya. 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: A total of 6257 women participated in the study, median age 27 years IQR 23-32. Majority of the women had post-pri- mary 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: 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. |
URI: | https://dx.doi.org/10.4314/ahs.v19i2.6 http://ir.mu.ac.ke:8080/jspui/handle/123456789/6658 |
Appears in Collections: | School of Public Health |
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