Utilization of Kenya's free maternal health services among women living in Kibera slums: a cross-sectional study.
作者： Angela Owiti , Julius Oyugi , Dirk Essink
DOI: 10.11604/PAMJ.2018.30.86.15151
关键词: Government 、 Public health 、 Kenya 、 Service (business) 、 Attendance 、 Environmental health 、 Medicine 、 Health facility 、 Slum 、 Support group
摘要: Introduction This study was aimed at determining factors affecting utilization of public health facilities by pregnant Kenyan women living in Kibera slums, Nairobi since the implementation Free Maternal Service (FMS) Program 2013. Methods a cross-sectional done on 396 who delivered between 2014 and 2015. Interview questions addressed socio-demographic characteristics, perception quality care facilities, awareness FMS Program, antenatal (ANC) delivery service utilization. Results 43.9% facility, 30.3% private non-profit facility (NGO), 22.7% 3.0% home. Of 97% only despite these having free maternal services. Factors that favoured uptake included positive within close proximity, learning about from support group short waiting time before being examined doctor. On other hand, safe delivery, service, accessing foot, ANC attendance were associated with low Conclusion The program can improve if government directs its efforts towards changing women's to access slum areas Nairobi.
sci-hub.se 参考文章(21)
Chimaraoke O. Izugbara, Caroline W. Kabiru, Eliya M. Zulu, Urban poor Kenyan women and hospital-based delivery. Public Health Reports. ,vol. 124, pp. 585- 589 ,(2009) , 10.1177/003335490912400416
Benson Oduor Ojwang, Emily Atieno Ogutu, Peter Maina Matu, None, Nurses' impoliteness as an impediment to patients' rights in selected Kenyan hospitals. Health and Human Rights. ,vol. 12, pp. 101- 117 ,(2010)
AA Adegoke, N van den Broek, Skilled birth attendance-lessons learnt British Journal of Obstetrics and Gynaecology. ,vol. 116, pp. 33- 40 ,(2009) , 10.1111/J.1471-0528.2009.02336.X
Evaline Lang’at, Lillian Mwanri, Healthcare service providers' and facility administrators' perspectives of the free maternal healthcare services policy in Malindi District, Kenya: a qualitative study. Reproductive Health. ,vol. 12, pp. 59- 59 ,(2015) , 10.1186/S12978-015-0048-1
Susie Dzakpasu, Seyi Soremekun, Alexander Manu, Guus ten Asbroek, Charlotte Tawiah, Lisa Hurt, Justin Fenty, Seth Owusu-Agyei, Zelee Hill, Oona M. R. Campbell, Betty R. Kirkwood, Impact of Free Delivery Care on Health Facility Delivery and Insurance Coverage in Ghana’s Brong Ahafo Region PLoS ONE. ,vol. 7, pp. e49430- ,(2012) , 10.1371/JOURNAL.PONE.0049430
John Kuumuori Ganle, Michael Parker, Raymond Fitzpatrick, Easmon Otupiri, None, A qualitative study of health system barriers to accessibility and utilization of maternal and newborn healthcare services in Ghana after user-fee abolition BMC Pregnancy and Childbirth. ,vol. 14, pp. 425- 425 ,(2014) , 10.1186/S12884-014-0425-8
Stella Babalola, Adesegun Fatusi, Determinants of use of maternal health services in Nigeria - looking beyond individual and household factors BMC Pregnancy and Childbirth. ,vol. 9, pp. 43- 43 ,(2009) , 10.1186/1471-2393-9-43
SA Rizwan, Vijay Silan, Shashi Kant, S Archana, Puneet Misra, Determinants of underutilisation of free delivery services in an area with high institutional delivery rate: A qualitative study North American Journal of Medical Sciences. ,vol. 6, pp. 315- 320 ,(2014) , 10.4103/1947-2714.136906
Clémentine Rossier, Kanyiva Muindi, Abdramane Soura, Blessing Mberu, Bruno Lankoande, Caroline Kabiru, Roch Millogo, Maternal health care utilization in Nairobi and Ouagadougou: evidence from HDSS. Global Health Action. ,vol. 7, pp. 24351- 24351 ,(2014) , 10.3402/GHA.V7.24351
Samuel Mills, John E. Williams, Martin Adjuik, Abraham Hodgson, Use of Health Professionals for Delivery Following the Availability of Free Obstetric Care in Northern Ghana Maternal and Child Health Journal. ,vol. 12, pp. 509- 518 ,(2008) , 10.1007/S10995-007-0288-Y