Utilization of post natal care services in Kiambaa Sub-County, Kiambu County, Kenya
Njoka, Nancy Mugure
MetadataShow full item record
Post Natal Care (PNC) has been demonstrated to reduce both the maternal and infants‟ morbidities and mortalities; however, the uptake has been low. It is just about 51% of women in Kenya, who receive these services from a skilled health care worker. There has been little investigation of factors associated with the use of these services. The objective of the study was to determine factors that influence utilization of PNC services. Specifically, the study focused on the socio-demographic, health systems factors; and knowledge and attitude towards utilization of PNC services. A cross sectional descriptive study design was conducted among 399 mothers randomly selected from Kiambaa Sub-County. Mothers at household level were included in the study if they had a child aged < 1 years. Data was collected using structured questionnaire, focus group discussion, and key informant interview guides. Quantitative data was analyzed using Stata version 13, while qualitative data was analyzed based on themes. Relationships between variables were tested using chi square test and logistic regression and a p-value of <0.05 was considered significant. The average age of the women interviewed was 26 years (SD 4.9), with a median of 26.8 years. More than three-quarters (75.7%) of the respondents were married. Less than half (43.1%) of the women interviewed had secondary school education and majority of the women (67.4 %) had more than 2 children. Utilization of PNC services was 45.1%. The health care workers had informed only 15 % of the women, to attend the PNC services. The determinants of utilization of PNC services were having college education (OR=12.292, p=0.000); high household wealth status (OR=3.6211, p=0.000); formal employment (OR=2.705, p=0.008); delivery at a private facility (OR=2.9269, p=0.000) and high knowledge of PNC services (OR=2.2307, p=0.008). Perceived good quality of care (OR=5.2607, p = 0.000), and a positive attitude (OR=3.6507, = 0.000) were other determinants. There was low utilization of PNC services, influenced by level of education, household wealth index, delivery at a private facility, perceived good quality of services, good knowledge of services and a positive attitude. The government should enhance uptake of PNC services through community-based strategies; such efforts should target those with low education and economic status. The health care workers need to inform the clients about PNC services and schedule appointments. Qualities of services in the facilities need to improve.