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    Determinants of Use of Skilled Birth Attendant at Delivery in Makueni, Kenya: A Cross Sectional Study

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    Research article (358.8Kb)
    Publication Date
    2015-02-03
    Authors
    Gitimu, Anne
    Herr, Christine
    Oruko, Happiness
    Karijo, Evalin
    Gichuki, Richard
    Ofware, Peter
    Lakati, Alice
    Nyagero, Josephat
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    (8 total)
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    Article, Journal
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    Citation

    Gitimu A, Herr C, Oruko H, Karijo E, Gichuki R, Ofware P, Lakati A, Nyagero J. Determinants of use of skilled birth attendant at delivery in Makueni, Kenya: a cross sectional study. BMC Pregnancy Childbirth. 2015 Feb 3;15:9. doi: 10.1186/s12884-015-0442-2. PMID: 25645900; PMCID: PMC4324035.

    Abstract/Overview

    Background: Kenya has a maternal mortality ratio of 488 per 100,000 live births. Preventing maternal deaths depends significantly on the presence of a skilled birth attendant at delivery. Kenyan national statistics estimate that the proportion of births attended by a skilled health professional have remained below 50% for over a decade; currently at 44%, according to Kenya’s demographic health survey 2008/09 against the national target of 65%. This study examines the association of mother’s characteristics, access to reproductive health services, and the use of skilled birth attendants in Makueni County, Kenya. Methods: We carried out secondary data analysis of a cross sectional cluster survey that was conducted in August 2012. Interviews were conducted with 1,205 eligible female respondents (15-49 years), who had children less than five years (0-59 months) at the time of the study. Data was analysed using SPSS version 17. Multicollinearity of the independent variables was assessed. Chi-square tests were used and results that were statistically significant with p-values, p < 0.25 were further included into the multivariable logistic regression model. Adjusted odds ratio (AOR) and their 95% confidence intervals were (95%) calculated. P value less than 0.05 were considered significant. Results: Among the mothers who were interviewed, 40.3% (489) were delivered by a skilled birth attendant while 59.7% (723) were delivered by unskilled birth attendants. Mothers with tertiary/university education were more likely to use a skilled birth attendant during delivery, adjusted OR 8.657, 95% CI, (1.445- 51.853) compared to those with no education. A woman whose partner had secondary education was 2.9 times more likely to seek skilled delivery, adjusted odds ratio 2.913, 95% CI, (1.337- 6.348). Attending ANC was equally significant, adjusted OR 11.938, 95% CI, (4.086- 34.88). Living within a distance of 1- 5 kilometers from a facility increased the likelihood of skilled birth attendance, adjusted OR 95% CI, 1.594 (1.071- 2.371). Conclusions: The woman’s level of education, her partner’s level of education, attending ANC and living within 5kms from a health facility are associated with being assisted by skilled birth attendants. Health education and behaviour change communication strategies can be enhanced to increase demand for skilled delivery.

    Subject/Keywords
    Maternal Health; Skilled attendant; Delivery, Birth; Obstetric care; Kenya
    Further Details

    © 2015 Gitimu et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated

    Publisher
    Springer Nature
    Permalink
    https://repository.amref.ac.ke/handle/123456789/557
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