Department of Population and Reproductive Health

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Browsing Department of Population and Reproductive Health by Author "Owaka, Isaac O."

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    Barriers and Enablers to Postnatal Care Services Utilization among Women of Reproductive Age in Bosaso District, Somalia
    (International Journal of Community Medicine and Public Health, 2025-07-01) Mohamud, Suad M.; Owaka, Isaac O.; Musau, Joseph K.
    Background: The postnatal period is the period immediately following birth and up to six weeks after delivery. Quality postnatal care is important for continuity of care for the mother and the newborn. The aim of this study was to establish the barriers and obstacles to postnatal services utilization among women of reproductive age in Bosaso district, Somalia. Methods: The study was a cross-sectional analysis and a community-focused approach. The sample size was determined by the statistical formula proposed by Cochran (1998) and 384 women participated in the study. Questionnaires were used to obtain quantitative data. Qualitative data was obtained through key informant interviews and focus group discussions. Data was analysed using statistical package for the social sciences (SPSS) V25. Chi square test provided inferential statistics with 95% confidence intervals, and a p value cut-off of ≤0.05. Results: The response rate was 100%. 33.3% were aged 23 to 28 years while 49.0% were married. There was a statistically significant association (χ²=6.007, df=2, p=0.050, Cramer’s V=0.050) between marital status and the utilization of postnatal care services. There was no significant association between education levels and the uptake of postnatal care services, (χ²=3.497, df=3, p=0.321, Cramer’s V=0.321). There was a statistically significant correlation between accessibility of health facilities and utilization of postnatal care services. Conclusions: Marital status is a significant factor in utilizing postnatal care services. Distance to health facilities impacts health seeking behaviour. Majority never attended postnatal care services as recommended.
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    nfluence of male targeted short message service on knowledge, nature of attitude and male involvement on uptake of family planning among spouses in Marsabit County, Kenya
    (Medip Academy, 2024-09-20) Matoke, Vincent O.; Gitonga, Eliphas M.; Owaka, Isaac O.; Okari, Geoffrey M.; Mutabazi, Michel; Ogutu, Gideon M.; Odhiambo, Felix B.; Anyika, Daniel K.; Salima, Ruth; Okenyoru, Douglas S.
    Background:Family planning services helps the individuals or couples to regulate the number and determine healthy spacing and timing of pregnancies. Globally, contraceptive prevalence stands at 49.0%, Sub-Saharan Africa at 29.0%, Kenya at 56.9% and Marsabit County at 5.6%. Some of the reasons given for low uptake include low knowledge level, negative attitude and lack of male involvement on family planning matters. This study aimed at establishing the influence of male targeted short message service on knowledge, nature of attitude and male involvement on uptake of family planning among spouses in Marsabit County.Methods:A pre-test and post-test quasi experimental study design was adopted involving randomly selected 220 couples from Laisamis (control group) and Moyale (intervention group) sub-counties. Intervention of male targeted short message service was offered weekly to male spouses from Moyale sub-county. A questionnaire was used to collect data. Data analysis was done using SPSS. All the required ethical and logistical considerations were adhered to accordingly.Results:Male targeted short message service increased level of knowledge significantly (OR 4.173, p=0.001), changed nature of attitude (OR 2.7335, p=0.004) and male involvement in family planning (OR 4.4306, p=0.001).Conclusions:The study concluded male targeted SMS intervention increased level of knowledge, attitude changed and males were involved. The County government of Marsabit should engage opinion leaders in family planning to help in educating and changing the attitude of the men towards family planning.Keywords: Attitude, Family planning, Knowledge,Male targeted short message service1Department of Environmental and Occupational Health, School of Health Sciences, Kenyatta University, Nairobi, Kenya2Department of Community Health and Development, Faculty of Science, The Catholic University of Eastern Africa, Nairobi, Kenya3Department of Family Medicine, Community Health and Epidemiology, School of Health Sciences, Kenyatta University,Nairobi, Kenya4Department of Health Management and Informatics, School of Health Sciences, Kenyatta University,Nairobi, Kenya5Department of Health Systems Management and Development, School of Public Health, Amref International University,Nairobi, KenyaReceived:09 August 2024Revised:18 September 2024Accepted:20 September 2024*Correspondence:Dr.Vincent O. Matoke,E-mail: omwengavincent96@yahoo.comCopyright:© the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20243274