Adherence to well Child clinic and the  contributing factors among infants at the Moi  Teaching and Referral Hospital, Eldoret, Kenya

Kilonzo, Owiti N. Catherine

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dc.contributor.author	Kilonzo, Owiti N. Catherine
dc.date.accessioned	2022-01-25T06:38:33Z
dc.date.available	2022-01-25T06:38:33Z
dc.date.issued	2010
dc.identifier.uri	http://ir.mu.ac.ke:8080/jspui/handle/123456789/5778
dc.description.sponsorship	Background: Well child care services are offered free or at a subsidized cost in Kenya yet the country has performed poorly in child health indicators. Adherence to well child clinics in the developed world (US) average 61.4 percent. Kenyan studies on immunization show high vaccine dropout rates but the overall clinic adherence has not been studied. Objective: To determine the level of adherence to scheduled well child care (WCC) visits and to investigate the factors contributing to good or poor adherence. Research design and methodology: This was a prospective cohort study conducted at the Well child clinic of the Moi Teaching and Referral Hospital, Eldoret, Kenya on Infants and their mothers attending the clinic during February 2012 to May 2013. Subjects were enrolled during their first visit and followed up for 12 months. Mothers who demonstrated poor attendance at the end of the study were phoned to establish the reasons for dropping out and those with good attendance interviewed at their twelfth visit. A structured questionnaire was used to collect data. Factors associated with poor and good adherence to well child care were analyzed using Logistic regression model and Odds ratios and P values derived. Factors that influenced the length of seeking well child care and pattern of drop out from care were analyzed using survival analysis methods (Cox proportional hazards model and Kaplan-Meier estimates where by hazard ratios and p values were derived. Kaplan–Meir plots estimated survivor function and its 95% confidence interval. Results: 154 mother infant pairs were studied with 78(50.6%) of infants being female and the median age of mothers being 27 years. Only 75(48.7%) knew the required duration of well child care. Majority, 132 (88.3%) of the mothers were knowledgeable on what services are offered in WCC. Only 5(3.3%) of the infants attended all while 12(7.8%) attended more than 75% of the scheduled visits in the first year. Median survival time was the fourth visit. All the factors studied were not statistically significant in affecting adherence. Majority 8(66.7%) of mothers with good attendance cited their awareness of the required duration of care as the reason. Among the respondents with poor attendance, most dropped from care because they had finished immunization 43(33.6%). Conclusions and Recommendation: Adherence to well child care among infants at MTRH is very low and majority of infants drop out on the fourth visit. Most respondents did not know the duration of WCC care. All factors studied were not statistically significant in affecting adherence. This study recommends parents to be sensitized on the stipulated duration of WCC and further studies to be done to investigate adherence to WCC in various Kenyan settings	en_US
dc.language.iso	en	en_US
dc.publisher	Moi university	en_US
dc.subject	Well child care	en_US
dc.subject	Child health indicators.	en_US
dc.title	Adherence to well Child clinic and the contributing factors among infants at the Moi Teaching and Referral Hospital, Eldoret, Kenya	en_US
dc.type	Thesis	en_US