Risk Factors for Occurrence of Stillbirths among Women Delivering in Selected Hospitals of Marsabit County, Kenya

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dc.contributor.advisorIsabella Epiuen_US
dc.contributor.advisorSamuel Otoren_US
dc.contributor.authorWako, Badane Amina
dc.date.accessioned2021-10-01T07:51:25Z
dc.date.available2021-10-01T07:51:25Z
dc.date.issued2021
dc.descriptionA Thesis Submitted in Partial Fulfilment of the Requirements for the Award of a Degree of Master of Public Health (Reproductive Health) in the School of Public Health and Applied Human Sciences of Kenyatta University, November, 2020en_US
dc.description.abstractGlobally, its estimated that out of 130 million births 4 million are stillborn, with majority occurring in developing countries. The Government of Kenya has put in place strategies for free maternity services to all mothers to offer early screening in pregnancy and prevented complications during delivery by use of skilled birth attendants. The current study sought to examine risk factors for occurrence of stillbirths among pregnant women delivering in Marsbait County. Specifically, the study sought to determine socio-economic, maternal, health system and knowledge factors associated with occurrence of stillbirths. The study employed cross-sectional descriptive study design targeting women who delivered at Marsabit County. The study used both qualitative and quantitative data collection techniques. Questionnaires were used to collect Quantitative data while qualitative data was collected using Key Informant Interview schedules which targeted nurses working in the selected hospitals. A sample size of 387 mothers was selected from Kalacha Sub-County Referral Hospital, Laisamis Sub-County Referral Hospital, Moyale Sub-County Referral Hospital and Marsabit County Referral Hospitals using systematic sampling with a predetermined interval of 10 while 8 nurses were selected purposively to provide additional information as the Key Informants. Ethical considerations were followed to the latter. Confidentiality was maintained and quantitative data analyzed using Statistical Package for Social Sciences version 24.0 with results described as frequencies and percentages. Qualitative data were triangulated with quantitative results as direct narrations or verbatim quotes. Inferential statistics were calculated using Chi-Square and Fisher‟s Exact Tests at 95% confidence interval and p-values of <0.05 were considered significant. The study results revealed that the rate of stillbirth occurrence was 5.9 per cent. Socio-economic factors such age (p=0.006), education (p=0.007), occupation (p=0.002) and level of income (p=0.047), maternal factors such as antenatal attendance (p=0.031), use of illicit drugs(locally made brew “chang‟aa”) (p=0.041), low maternal weight (p=0.043) and tough domestic work (p=0.004), health system factors such as distance (p=0.002), cost of transport (p=0.036), health information (p=0.004), type of insurance (p=0.029) and culture (p=0.031) were significantly associated with outcome of delivery. The results further revealed low knowledge levels among respondents with significant influence (p=0.039) on outcome of delivery. The study concludes that the respondents from Marsabit County experience relatively high rates of stillbirths compared to the national figure. The outcome of delivery was significantly influenced by socio-economic, maternal and health system factors. The respondents further had low knowledge levels which influenced outcome of delivery. These results would also be of use to the Ministry of Health for purposes of health education, policy formulation and implementation with regards to workable short term interventions and long-term maternal and child health interventions. This will address high cases of stillbirth occurrence across the country thus improving the delivery outcomes of pregnancies among mothers delivering in public hospitalsen_US
dc.description.sponsorshipKenyatta Universityen_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/22708
dc.language.isoenen_US
dc.publisherKenyatta Universityen_US
dc.subjectRisk Factorsen_US
dc.subjectOccurrenceen_US
dc.subjectStillbirthsen_US
dc.subjectWomen Deliveringen_US
dc.subjectSelected Hospitalsen_US
dc.subjectMarsabit Countyen_US
dc.subjectKenyaen_US
dc.titleRisk Factors for Occurrence of Stillbirths among Women Delivering in Selected Hospitals of Marsabit County, Kenyaen_US
dc.typeThesisen_US
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