IDEAS home Printed from https://ideas.repec.org/a/bcp/journl/v5y2021i12p207-215.html
   My bibliography  Save this article

Health system factors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya

Author

Listed:
  • Christine Bokayo Arero, MPH

    (Kenyatta University, Department of Population, Reproductive Health and Community Resource Management, School of Public Health and Applied Human Sciences, Kenyatta University, Nairobi Kenya)

  • Keraka Nyanchoka Margaret, PhD (Professor)

    (Department of Population, Reproductive Health and Community Resource Management, School of Public Health and Applied Human Sciences, Kenyatta University, Nairobi Kenya)

  • Shadrack Yonge Ayieko, PhD

    (Department of Environmental and Health Sciences, School of Applied and Health Sciences, Technical University of Mombasa, Mombasa Kenya)

  • Matoke Omwenga Vincent, MPH

    (Department of Population, Reproductive Health and Community Resource Management, Kenyatta University, Nairobi Kenya)

  • Okari Maseme Geoffrey, MSc

    (Department of Health Management and Informatics, Kenyatta University, Nairobi Kenya)

Abstract

Background: Worldwide, there were approximately 295,000 women died as a result of pregnancy and childbirth related complications in 2017. Majority of this was from Sub-Saharan Africa with 196000. In Africa, about seventy-five per cent maternal and neonatal deaths occur outside health facilities. In Kenya, maternal mortality rate is 362 per 100,000 live births with 61.2% deliveries occurring in hospitals. There is still evidence of home deliveries despite significant efforts through several interventions. Objective: The study aims to determine health system factors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya. Materials and methods: This research adopted a mixed descriptive cross-sectional study design method. Quantitative and qualitative research methods were used to collect data from participants. A total of 416 respondents were interviewed. The respondents were drawn from households using systematic random sampling at a predetermined interval of four. The study was done in 24 selected villages from Moyale Township, Golbo, Dukana and North-Horr Wards. Statistical Package for Social Sciences (SPSS) version 20.0 was used to analyze descriptive data. Inferential statistics such as Chi-Square tests at 95% confidence level and p-values of 0.05 was used to determine variable association. Results: About 178(43.3%) of postnatal women delivered at home in Marsabit County. Chi-square statistics indicated that most health system factors such as distance to the nearest facility (p=0.001), experience with care provider (0.012), hindrance from health facility (p=0.008) and provision of information (0.001) were associated with choice of place of delivery. Results from focused group interviews and key informants were reported as direct narrations. Conclusion: The study concluded that there was a significant number of women who are still delivering at home in Marsabit County. Majority of the health system factors were associated with choice of place of delivery. This requires concerted efforts by relevant stakeholders to ensure improved access health facility delivery through mobile clinics to assist women deliver under the hands of skilled birth attendants thus discouraging home deliveries.

Suggested Citation

  • Christine Bokayo Arero, MPH & Keraka Nyanchoka Margaret, PhD (Professor) & Shadrack Yonge Ayieko, PhD & Matoke Omwenga Vincent, MPH & Okari Maseme Geoffrey, MSc, 2021. "Health system factors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(12), pages 207-215, December.
    • Handle: RePEc:bcp:journl:v:5:y:2021:i:12:p:207-215
    as

    Download full text from publisher

    File URL: https://www.rsisinternational.org/journals/ijriss/Digital-Library/volume-5-issue-12/207-215.pdf
    Download Restriction: no
    File URL: https://rsisinternational.org/virtual-library/papers/health-system-factors-associated-with-choice-of-place-of-delivery-among-postnatal-women-in-marsabit-county-kenya-christine-bokayo-arero-mph1-keraka-nyanchoka-margaret-phd-professor2-shadrack-yo/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Altman, Molly R. & Oseguera, Talita & McLemore, Monica R. & Kantrowitz-Gordon, Ira & Franck, Linda S. & Lyndon, Audrey, 2019. "Information and power: Women of color's experiences interacting with health care providers in pregnancy and birth," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. Ashoke Gorain & Anamitra Barik & Abhijit Chowdhury & Rajesh Kumar Rai, 2017. "Preference in place of delivery among rural Indian women," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-11, December.
    3. Laura Treacy & Håkon A Bolkan & Mette Sagbakken, 2018. "Distance, accessibility and costs. Decision-making during childbirth in rural Sierra Leone: A qualitative study," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    4. Anthony K Ngugi & Felix Agoi & Megan R Mahoney & Amyn Lakhani & David Mang’ong’o & Esther Nderitu & Robert Armstrong & Sarah Macfarlane, 2017. "Utilization of health services in a resource-limited rural area in Kenya: Prevalence and associated household-level factors," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-12, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Noah Kaiser & Christina K. Barstow, 2022. "Rural Transportation Infrastructure in Low- and Middle-Income Countries: A Review of Impacts, Implications, and Interventions," Sustainability, MDPI, vol. 14(4), pages 1-48, February.
    2. Tuyet-Mai H. Hoang & Ainslee Wong, 2022. "Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-25, December.
    3. Bertotti, Andrea M. & Mann, Emily S. & Miner, Skye A., 2021. "Efficacy as safety: Dominant cultural assumptions and the assessment of contraceptive risk," Social Science & Medicine, Elsevier, vol. 270(C).
    4. Hicks, Alison, 2022. "The missing link: Towards an integrated health and information literacy research agenda," Social Science & Medicine, Elsevier, vol. 292(C).
    5. Akinade, Temitope & Kheyfets, Anna & Piverger, Naissa & Layne, Tracy M. & Howell, Elizabeth A. & Janevic, Teresa, 2023. "The influence of racial-ethnic discrimination on women's health care outcomes: A mixed methods systematic review," Social Science & Medicine, Elsevier, vol. 316(C).
    6. Hillary K Rono MMed & David Macleod & Andrew Bastawrous & Emmanuel Wanjala & Michael Gichangi & Matthew J. Burton, 2019. "Utilization of Secondary Eye Care Services in Western Kenya," IJERPH, MDPI, vol. 16(18), pages 1-13, September.
    7. McFarlane, Soroya Julian & Wright, Kallia O. & Acheampong, Beauty & Francis, Diane B. & Callands, Tamora & Swartzendruber, Andrea & Adesina, Oyinade, 2024. "Reframing the experience of childbirth: Black doula communication strategies and client responses during delivery hospitalization," Social Science & Medicine, Elsevier, vol. 351(C).
    8. McLean, Kristen E., 2020. "Men's experiences of pregnancy and childbirth in Sierra Leone: Reexamining definitions of “male partner involvement”," Social Science & Medicine, Elsevier, vol. 265(C).
    9. Gu, Hejun & Bian, Fengqin & Elahi, Ehsan, 2021. "Impact of availability of grandparents’ care on birth in working women: An empirical analysis based on data of Chinese dynamic labour force," Children and Youth Services Review, Elsevier, vol. 121(C).
    10. Mathur, Vani A. & Morris, Theresa & McNamara, Kelly, 2020. "Cultural conceptions of Women's labor pain and labor pain management: A mixed-method analysis," Social Science & Medicine, Elsevier, vol. 261(C).
    11. Atkure Defar & Kassahun Alemu & Zemene Tigabu & Lars Åke Persson & Yemisrach B. Okwaraji, 2021. "Caregivers’ and Health Extension Workers’ Perceptions and Experiences of Outreach Management of Childhood Illnesses in Ethiopia: A Qualitative Study," IJERPH, MDPI, vol. 18(7), pages 1-11, April.
    12. Marta Caviglia & Marcelo Dell’Aringa & Giovanni Putoto & Riccardo Buson & Sara Pini & Daniel Youkee & Amara Jambai & Matthew Jusu Vandy & Paolo Rosi & Ives Hubloue & Francesco Della Corte & Luca Ragaz, 2021. "Improving Access to Healthcare in Sierra Leone: The Role of the Newly Developed National Emergency Medical Service," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    13. Yufeng Ouyang & Jiaojiao Zou & Meimei Ji & Yefu Zhang & Tong Yuan & Lina Yang & Qian Lin, 2019. "Study on the Status of Health Service Utilization among 3–5 Years Old Left-Behind Children in Poor Rural Areas of Hunan Province, China: A Cross-Sectional Survey," IJERPH, MDPI, vol. 16(1), pages 1-12, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bcp:journl:v:5:y:2021:i:12:p:207-215. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Dr. Pawan Verma (email available below). General contact details of provider: https://rsisinternational.org/journals/ijriss/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.