American Journal of Theoretical and Applied Statistics Analysis of Determinants of Antenatal Care Services Utilization in Nairobi County Using Logistic Regression Model (original) (raw)
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EAS Journal of Nursing and Midwifery, 2021
Maternal mortality and morbidity is a crucial public health concern. Every year, more than half a million women die from pregnancy-related causes and majority of these deaths occur in sub-Saharan Africa. This study explored socio-demographic factors, knowledge and attitude as determinants of antenatal care services utilization in Gesusu Hospital, Kisii County, Kenya. Cross-sectional research design was used. The study was conducted among pregnant women of reproductive age attending antenatal care clinic at Gesusu Hospital. Fisher's et al. (1998) formula was used to determine the required sample size of 268 respondents. Quantitative data was collected using a pre-tested, semi-structured intervieweradministered questionnaire and checklist. Data was analyzed, presented and stored using SPSS version 20. Bivariate correlation and regression was done for the independent and dependent variables. Presentation was done using tables and bar graphs. The results showed that none of the independent variables was strongly associated with the dependent variable. The study concluded that there was poor utilization of ANC services; none of the socio-demographic characteristics examined was a true influencer of utilization of ANC services; general awareness on ANC was low; and, that there was an attitudinal problem towards the recommended number of ANC visits. It's thus recommended that comprehensive longitudinal studies are done to help in better understanding of the underlying factors for late prenatal attendance and incomplete utilization of the services offered during antenatal care in order to improve their uptake.
Patient related factors that influence utilization of antenatal care at Saku sub-county, Kenya
International Journal Of Community Medicine And Public Health
Background: Antenatal care (ANC) is the continuous care that is accorded to women in the course of pregnancy. Notably, antenatal care is an efficient health intervention aimed at inhibiting maternal mortality and morbidity majorly in areas where women have poor health. This study therefore assessed the patient related factors that influence utilization of ANC at Saku sub-county, Kenya.Methods: This research applied descriptive cross sectional study design. The study was carried out in Saku Sub County in the following randomly selected health facilities: Marsabit County Referral Hospital, Dakabaricha Dispensary and Jirime Dispensary. The study population comprised of post-natal mothers aged between 15-49 years seeking services at maternal and child health clinic (MCH) in Saku Sub County. The Cochran's Sample Size Formula was used to calculate a sample size of 154 respondents. The study employed a researcher- administered semi-structured questionnaire and use of focused group dis...
2019
This study sought to determine how health system factors affect antenatal care services uptake. A descriptive cross-sectional study design was adopted. The population under study was selected household members of the community, facility in charges as well as community own resource persons in Kisumu county. The study used purposive sampling method in selecting the Key Informants. A total sample size of 300 respondents were interviewed. The study used an interview and questionnaires to collect data. Descriptive statistics and chi-square tests were used to analyse data with the help of Statistical Package for the Social Sciences. Chi-square analysis showed that distance to facility (p=0.043), waiting time (p=0.012), 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 health system factors affect uptake of ANC. Specifically, lack long...
Determinants of Focused Antenatal Care Uptake among Women in Tharaka Nithi County, Kenya
Advances in Public Health, 2017
Background. The health status of women is an important indicator of the overall economic health and well-being of a country. Maternal health is closely linked with the survival of newborns. For every woman who dies, about thirty others suffer lifelong injuries. Focused antenatal care is one of the interventions to reduce maternal morbidity and mortality. It recommends four targeted visits during pregnancy within which essential services are offered. The aim of the study was to assess the determinants of uptake of focused antenatal care among women in Tharaka Nithi County, Kenya. Methods. This was a descriptive cross-sectional survey. Stratified sampling was used to select the health facilities while systematic sampling was used to select the respondents. Chi square, Fisher's exact test, and logistic regression were used to analyse the data. Results. The level of uptake of focused antenatal care was slightly more than half (52%). The determinants of uptake of focused antenatal care are level of education, type of employment, household income, parity, and marital status of the pregnant women. Conclusion. Despite high attendance of at least one antenatal visit in Kenya, the uptake of focused antenatal care is proportionally low.
The Pan African medical journal, 2016
Globally, pregnancy related complications contribute to more than half of the deaths among women annually. Antenatal care (ANC) is important for the prevention of maternal and fetal mortality and morbidity. This study identifies the socio-demographic and economic characteristics; knowledge and attitude and; health service provision for focused antenatal care (FANC) services. A cross-sectional comparative study conducted among 385 women of reproductive age who visited 5 public health facilities in Malindi and Magarini Sub Counties. Data collection was conducted between June 2013 and September 2013 through structured questionnaires, Key Informant Interviews (KIIs) and Focused Group Discussions (FGDs) and analyzed through descriptive summary statistics and test of associations of the various variables using chi square. About 35% of women sought 1st and 2nd ANC services at the health facilities. These women went ahead to complete the recommended 4 minimum visits as recommended by World ...
2015
Proper care during pregnancy and delivery is important for the health of both the mother and the child. This study has aimed to assess the utilization of antenatal care service in the most rural region of Ethiopia, SNNPR. A random sample of 2,034 women were included in the study. Binary logistic regression model was used to analysis the data. The descriptive analysis of the study revealed that the coverage of antenatal care service uptake is only 29% in the region. Result of the binary logistic regression suggests the importance of, mother's age, birth order, husband's education, mother's education, visited by CHW and religion as the principal determinants of antenatal care service utilization in the region. To improve women's utilization of antenatal care service and reduce maternal mortality in the region some crucial mea sures should be taken quickly. The measures should focus on educating women and men, providing relevant information from CHW about, shaping the t...
Determinants of Utilization of Maternal Health Care Services in Tana River County, Kenya
Journal of Health, Medicine and Nursing
Purpose: The main purpose of this study was to determine factors influencing utilization of delivery services by Women of Reproductive age in Tana River County Methodology: The study was cross-sectional in design. The target population included all women of reproductive age (14-49 years) in Kipini location. The study population consisted of women of reproductive age who had delivered. A structured questionnaire was used as the primary instrument of data collection during interviews of the consenting women of reproductive age. The sampling techniques used involved a combination of cluster sampling, proportionate, systematic sampling and simple random sampling. Data analysis was done using the SPSS. Authorization from the Kenya Methodist University ethical committee was sought prior to data collection Findings: A total of 335 (95.7%) questionnaires were filled and returned. Majority of the respondents were married, with a primary level of education, occupation being farmers. Majority...
International Journal of Advanced Research (IJAR), 2019
Introduction: Factors determining maternity services utilization are diverse and yet interrelated. They can be grouped into five main factors namely socio cultural factors, Physical access, and economic access, past obstetric experience and perceived benefit or quality of care. Objective: To determine predictors of uptake of skilled birth services in Lurambi sub-County. Methodology: A descriptive cross-sectional study adopting Quantitative methods. The study was carried out in Kakamega County and Sampling frame consisting of all the 17 government facilities were used. A multistage stratified sampling strategy was used and Probability sampling technique of systematic sampling applied to select women seeking health facility delivery services in Lurambi sub county government facilities (n = 200). Data was analyzed through descriptive statistics, chi-square test and logistic regression. Results: The majority of the women were aged 20-35 years (70.5%) and 66% were married. About 40% had 1-2 children and majority had attained secondary education at 48.5% as the highest educational level. A majority of the women were business people at 25.5% and CHVs have a bigger role in deciding where the mothers deliver at 42%. Majority of the mothers 77.5% were less wealthy and a majority of them attended the ANC clinic at 98.5%. Chi square analysis showed that there was no statistically significant relationship between the skilled service delivery and age X2 (1, N=200) =0.22, p>0.05. Multinomial logistic regression was done, and the results showed people with one to two children were 1.7 times more likely (OR=1.17, 95% C.I, 0.4-3.8) to belong to the ?poor birth service? group than the ?good birth service? group compared to respondents who had seven children and above. With regards to marital status, respondents who were divorced from their spouses received good birth services (66.7%), while majority of the married people received poor birth services (55.6%). Results from chi square test showed that there was a statistically significant relationship between marital status and uptake of skilled birth service X2 (4, N=248) =39.109, p<0.05. Bivariate analysis on health facility related factors that are associated with uptake of skilled service delivery showed that there was a borderline significant relationship between delivery place and uptake of skilled birth service in the study area (OR: 0.8; 95% CI: 0.6 ? 1.2; p=0.02) Conclusion and Recommendation: Demographic factors like age, marital status, number of children and education level determine whether a woman would deliver in hospital or not.The factors are key players in women?s ability to uptake skilled birth services. It is recommended that sensitization of the elderly women and adolescent girls be done on importance of early access of antenatal clinic and hospital delivery through the community health volunteers.
International Journal of TROPICAL DISEASE & Health, 2018
Pregnancy-related morbidities and mortalities remain a major challenge in developing countries like Nigeria where most of them were associated with poor/underutilization of antenatal care (ANC) services. This study, therefore, aims to examine the effect of socio-demographic and institutional factors on the utilization of antenatal care services among pregnant women in Damaturu, Yobe state, Nigeria. A descriptive study was carried out among 204 women (15-49 years) who have given birth within the last 12 months or are pregnant at the time of the study. Purposive sampling was used, and data were collected using structured questionnaire/interview guide. To establish the effect of socio-demographic and institutional factors on the utilization of ANC services, bivariate analysis using Pearson's chi-square test was conducted. The results showed that majority of the Original Research Article