Utilization of free maternity services among women of child bearing age in Machakos County Kenya
Introduction:
globally the rate of maternal mortality is unacceptably high with Kenya recording a rate of 362 maternal death per 100000 live births. Even so only 62 of women deliver under skilled health care. The government of Kenya introduced Free Maternity Services FMS to all women delivering in public health facilities as a way of increasing facility-based deliveries. Despite this intervention health facility deliveries in Machakos County are still low.
Objectives:
This study aimed to identify hindrances and enablers of the FMS program in Machakos County.
Methodology:
it was a cross-sectional study conducted among postnatal women who delivered between September 2018 and September 2019 in Machakos County. A total of 394 women were enrolled. Data was collected using questionnaires and focus group discussions. Key informant interviews were conducted using nursing officer in charge of selected health facilities. Qualitative data was analyzed using chi-square and fishers exact. Multivariate logistic regression was used to determine predictors of utilization of FMS. Statistical significance was set at p 0.05.
Findings:
Results:
utilization of FMS in Machakos County was 75.6. Factors that were associated with utilization of FMS included marital status p 0.006 parity p 0.038 distance from health facility p 0.000 services offered during labour p 0.000 treatment of mothers by healthcare workers during labour p 0.000 provision of adequate food p 0.005 quality of service p 0.000 and cleanliness of the maternity ward p 0.000.
Conclusion:
utilization of FMS in Machakos County is optimal.
Publication Information
Author(s):
Focus County(s):
Machakos County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
Utilization of maternal services
Document History:
Publication Date: 10.May.2021
Conference Title:
Venue: