Uptake of Antenatal Care Among Women of Reproductive Age In Kisumu County, Kenya
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Date
2019-06
Authors
Kilowua, Lydia Munteyian
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Every pregnancy is at risk of complications and hence the need to follow up in Antenatal
clinic by a skilled health provider. The government of Kenya through the ministry of health
offers pregnant women a focused antenatal care plan which provides an integrated care
package with an aim to cut down on the incidence and prevalence of pregnancy
complications. The antenatal care coverage is still low at 58% in Kenya despite the Linda
mama Program that provide Antenatal care services and skilled delivery for free in all
public hospitals. This study sought to describe the uptake of Antenatal Care services.
Specifically, the study sought to describe the uptake of Antenatal Care services among
women of reproductive age, assess how the socio-demographic features of women of
reproductive age affect the uptake of antenatal care services and determine how health
system factors, affect antenatal care services uptake. A descriptive cross-sectional study
design was adopted. The study was conducted in Manyatta B ward, Kisumu East Sub-
County, one of the 7 Sub-Counties in the region. The population under study was women of
reproductive age with children aged 0-60 months. A sample of 180 women was determined
using the modified formulae by Fisher. Convenience sampling was used to recruit
respondents in the study. Questionnaires were used to collect data from the women of
reproductive age. Descriptive statistics and chi-square tests were used to analyse data with
the help of SPSS. Most (96%) respondents had attended ANC during pregnancy, though
more than half (53.4%) started ANC within 3-6 months of pregnancy. Majority of the
respondents, 53.4% visited in the second trimester while 25.3% visited in the third
trimester. There was a significant relationship (p=0.023) between the age of the mother and
attending ANC. there was a significant relationship (p=0.043) between distance to facility
and attendance of ANC. Similarly, there was a significant relationship (p=0.012) between
satisfaction with waiting time and attendance of ANC. Most of those who attended ANC
lived near and those who indicated that they were satisfied with waiting time were more
likely to have attended ANC. Results also showed that means of transport used (p=0.016),
perceived quality of services (p=0.000) and perceived attitude of service provider (p=0.000)
were significant as pertains to number of ANC visits. The study concluded that ANC
uptake was poor. Age was the only socio-demographic feature of women affecting the
uptake of antenatal care services. Health system factors affecting uptake of ANC include
lack long distance to hospital, long waiting time, poor quality of services, commodity stock
outs and poor attitude of staff. The study recommended that services offered by the TBA,
CHW and HCW should be integrated into one package since all three have similar interest
to the pregnant mother and all want a safe delivery for the mother and delivery to be done
by all in the facility.
Description
Research Project Submitted in Partial Fulfillment of the Requirements for the Award Degree of Master of Science in
Public Health System Management and Application in the School of Public Health and Applied Human Science of Kenyatta University, June, 2019
Keywords
Antenatal Care, Women, Reproductive Age, Kisumu County, Kenya