Please use this identifier to cite or link to this item:
http://ir.mu.ac.ke:8080/jspui/handle/123456789/7675
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Mwangi, Winfred | - |
dc.contributor.author | Gachuno, Onesmus | - |
dc.contributor.author | Desai, Meghna | - |
dc.contributor.author | Obor, David | - |
dc.contributor.author | Were, Vincent | - |
dc.contributor.author | Odhiambo, Frank | - |
dc.contributor.author | Nyaguara, Amek | - |
dc.contributor.author | Laserson, Kayla F. | - |
dc.date.accessioned | 2023-06-27T07:50:33Z | - |
dc.date.available | 2023-06-27T07:50:33Z | - |
dc.date.issued | 2018-05-16 | - |
dc.identifier.uri | https://doi.org/10.1186/s12884-018-1803-4 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/7675 | - |
dc.description.abstract | Background: Examining skilled attendance throughout pregnancy, delivery and immediate postnatal period is proxy indicator on the progress towards reduction of maternal and neonatal mortality in developing countries. Methods: We conducted a cross-sectional baseline survey of households of mothers with at least 1 child under- 5 years in 2012 within the KEMRI/CDC health and demographic surveillance system (HDSS) area in rural western Kenya. Results: Out of 8260 mother-child pairs, data on antenatal care (ANC) in the most recent pregnancy was obtained for 89% (n = 8260); 97% (n = 7387) reported attendance. Data on number of ANC visits was available for 89% (n = 7140); 52% (n = 6335) of mothers reported ≥4 ANC visits. Data on gestation month at first ANC was available for 94% (n = 7140) of mothers; 14% (n = 6690) reported first visit was in1st trimester (0-12 weeks), 73% in 2nd trimester (14-28 weeks) and remaining 13% in third trimester. Forty nine percent (n = 8259) of mothers delivered in a Health Facility (HF), 48% at home and 3% en route to HF. Forty percent (n = 7140) and 63% (n = 4028) of mothers reporting ANC attendance and HF delivery respectively also reported receiving postnatal care (PNC). About 36% (n = 8259) of mothers reported newborn assessment (NBA). Sixty eight percent (n = 3966) of mothers that delivered at home reported taking newborn for HF check-up, with only 5% (n = 2693) doing so within 48 h of delivery. Being ≤34 years (OR 1.8; 95% CI 1.4-2.4) and at least primary education (OR 5.3; 95% CI 1.8-15.3) were significantly associated with ANC attendance. Being ≤34 years (OR 1.7; 95% CI 1.5-2.0), post-secondary vs primary education (OR 10; 95% CI 4.4-23.4), ANC attendance (OR 4.5; 95% CI 3.2-6.1), completing ≥4 ANC visits (OR 2.0; 95% CI 1.8-2.2), were strongly associated with HF delivery. The continuum of care was such that 97% (n = 7387) mothers reported ANC attendance, 49% reported both ANC and HF delivery attendance, 34% reported ANC, HF delivery and PNC attendance and only 18% reported ANC, HF delivery, PNC and NBA attendance. Conclusion: Uptake of services drastically declined from antenatal to postnatal period, along the continuum of care. Age and education were key determinants of uptake. | en_US |
dc.description.sponsorship | R24TW008907-01S | en_US |
dc.language.iso | en | en_US |
dc.publisher | BMC | en_US |
dc.subject | Skilled attendance | en_US |
dc.subject | Maternal and child health | en_US |
dc.subject | Antenatal care | en_US |
dc.subject | Newborn care | en_US |
dc.title | Uptake of skilled attendance along the continuum of care in rural Western Kenya: selected analysis from Global Health initiative survey-2012 | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.