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

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dc.contributor.authorNgesa, Alice Mukunzu
dc.contributor.authorKirui, Joyce
dc.contributor.authorMatheka, Isaac
dc.contributor.authorOtieno, George
dc.contributor.authorYoos, Alison
dc.date.accessioned2021-06-14T09:23:02Z
dc.date.available2021-06-14T09:23:02Z
dc.date.issued2021
dc.descriptionAn Article Published in Pan African Medical Journalen_US
dc.description.abstractIntroduction: 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 suppliesen_US
dc.identifier.citationAlice 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.2021.39.25.26499en_US
dc.identifier.issn1937-8688
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/22338
dc.language.isoenen_US
dc.publisherPan African Medical Journalen_US
dc.subjectFree maternity servicesen_US
dc.subjectUtilization of free maternity servicesen_US
dc.subjectPost natal womenen_US
dc.titleUtilization of Free Maternity Services among Women of Child Bearing Age in Machakos County, Kenyaen_US
dc.typeArticleen_US
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