Utilisation of skilled birth attendants among women of reproductive age in Central District, Kitui County, Kenya

Simple item page
dc.contributor.authorKimani, H.
dc.contributor.authorKanini, Caroline M
dc.contributor.authorMwaniki, P.
dc.date.accessioned2014-11-07T08:27:59Z
dc.date.available2014-11-07T08:27:59Z
dc.date.issued2013
dc.description.abstractThis is a descriptive cross-sectional study utilising quantitative and qualitative approaches targeting women of reproductive age (15-49 years old). The proportion of deliveries attended by skilled birth attendants (SBA) was at 41.4%. Factors influencing utilisation of SBAs in the study area were: age (χ2=8.65(df=2), p=0.013), religion (Odds Ratio (OR) 3.22, p=0.004), level of education (OR 2.43, p=0.05), partner's occupation (OR 0.533, p=0.029), parity (OR 0.26, p=0.002), residence (OR 4.07, p<0.0001), type of housing (OR 0.502, p=0.010), house ownership (OR 0.39, p=0.001), number of house occupants (χ2=10.9(df=2), p=0.004), household monthly income (OR 1.73, p=0.018), antenatal clinic attendance (OR 5.6, p=0.025), facility for antenatal clinic attendance (OR 0.388, p=0.001), birth preparedness (OR 0.8, p=0.015), decision to attend antenatal clinics (χ2=7.59(df=2), p=0.022), decision on delivery place (χ2=10.424(df=2), p=0.005) and facility staff's attitude (OR 5.18, p=0.014). Barriers to utilisation of SBAs included: training of traditional birth attendants (TBA), lack of co-ordinated referral systems, poor and unreliable means of transport, limited infrastructure, and limited number of SBAs. The study sought to find out about utilisation of SBAs in Kitul County, Kenya. The results indicate sociodemographic and economic factors significantly determine utilisation. Various barriers hindered utilisation of skilled birth attendants. In conclusion, ensuring skilled deliveries is only possible in health facility settings. At the same time, this is not practical unless the health facilities are renovated and equipped with supplies and service providers. As per the key informants, there are limited numbers of skilled birth attendants even in the hospitals, the health system lacks infrastructure (means of transport), supplies are limited, the terrain is rocky and there are few retired midwlves in the community to offer these services. From the study area, none of the deliveries which took place at home were conducted by a SBA.en_US
dc.identifier.citationAfrican Journal of Midwifery & Women's Health;Apr-Jun2013, Vol. 7 Issue 2, p80en_US
dc.identifier.issn1759-7374
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/11624
dc.language.isoenen_US
dc.publisherMark Allen Healthcareen_US
dc.titleUtilisation of skilled birth attendants among women of reproductive age in Central District, Kitui County, Kenyaen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Utilisation of skilled birth attendants among women of.pdf
Size:
139.7 KB
Format:
Adobe Portable Document Format
Description:
Abstract
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
RP-Department of Community Health