Utilization of Free Maternity Services among Women of Child Bearing Age in Machakos County, Kenya

Thumbnail Image
Ngesa, Alice Mukunzu
Kirui, Joyce
Matheka, Isaac
Otieno, George
Yoos, Alison
Journal Title
Journal ISSN
Volume Title
Pan African Medical Journal
Introduction: globally, the rate of maternal mortality is unacceptably high with Kenya recording a rate of 362 maternal death per 100,000 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. This study aimed to identify hindrances and enablers of the FMS program in Machakos County. Methods: 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 chisquare and fishers exact. Multivariate logistic regression was used to determine predictors of utilization of FMS. Statistical significance was set at p < 0.05. 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. Health facilities should be supported to offer FMS by providing them with necessary supplies
An Article Published in Pan African Medical Journal
Free maternity services, Utilization of free maternity services, Post natal women
Alice Mukunzu Ngesa et al. Utilization of free maternity services among women of child bearing age in Machakos County, Kenya. Pan African Medical Journal. 2021;39(25). 10.11604/pamj.2021.39.25.26499