Level of Knowledge on Risks Associated with Home Deliveries among Women of Reproductive Age after Formal Antenatal Care Visits in Narok South Sub- County
DOI:
https://doi.org/10.47941/ijhmnp.1476Keywords:
Level of Knowledge, Reproductive Age, Home Delivery, Antenatal CareAbstract
Purpose: The main objective of this study was to investigate the level of knowledge on risks associated with home deliveries among women of reproductive age after formal antenatal care visits in Narok Sub County.
Methodology: The study adapted a descriptive, cross sectional study design which focused on all women of reproductive age who delivered at home after antenatal hospital care visits in the last 24 months. The research was completed in Narok South Sub County, Narok County in Kenya. The target populace included all women with children below two years of age who gave birth at home yet attended antenatal care visits in a health facility in Narok North Sub-County. The study population included all women of reproductive age which were in the age bracket of 15 and 49 years from Narok south sub-county in Narok County. The study adapted two sampling techniques (purposive sampling and simple random sampling) first, purposive sampling was used to obtain women who have had delivered in the last 24 months and also key informants like TBAs and community elders. A sample of 30% of the targeted population was selected; A semi structured questionnaire was utilized to gather data. The study utilized primary data only. The primary data was collected through semi structured questionnaires by visiting households with women of reproductive age who gave birth in the last 24 months in a non- hospital set up. Data was analyzed using excel and statistical package for social sciences SPSS version 22.0.
Findings: The study found that during antenatal care visits women are taught on how to plan for births and have back-up plans, many do not have any backup plans for life-threatening occurrences when giving birth. The study concluded that, young women as compared to older women are more involved in non-hospital delivery due to unplanned births. Also, those women who had attended antenatal care visits were more knowledgeable about the risk factors of delivering at home. In addition, regardless of the government effort to provide free maternal services in Kenya, stable source of income, formal education with the right knowledge about reproductive health and geographical access, are the determinants of place of delivery among women in rural parts of Narok County.
Unique Contribution to Theory, Practice and Policy: County Education officers in liaison with social development officers should work to promote adult formal education to improve literacy levels, which will go a long way in influencing reproductive health decisions.
Downloads
References
Atupamoi, M. (2017). Factors influencing access to health care service in west Pokot County, Kenya. Master's thesis. (1), 13-14.
Kenya Demographic Health Survey (2014).Kenya bureau of statistics (1), 127-130.
Kitui, J., Lewis, S., Davey, G. (2013) Factors influencing place of delivery for women in Kenya; an analysis of the KDHS, 2008/2009. BMC pregnancy and childbirth (13),13-40.
Moyer, A., Mustafa, A. (2013).Drivers and deterrents of facility delivery of delivery in sub - Saharan Africa; A systematic review. Reproductive health 2013. (10).40-43.
Mutiso, M., Gureshi, T., Kinuthia, J. (2013). Birth preparedness among antennal clients at Kenyatta National Hospital. East Africa medical journal (6). 85-87.
Pathak, Singh, S.(2013).Inequalities in maternal health care;prenatal and skilled birth attendance in India.1992-2006. PloSONES5(10);e13593.doi;10.137/journal.pone.0013593 (1),5-7.
Phiri, N., Torrid, K., Kuale, G., Byskor, S., Michell, C., Echoka, E., Fylkesnes, K. (2014). Factors associated with health facility childbirth in districts of Kenya, Tanzania and Zambia: a population based survey. BMC pregnancy and childbirth, (14),219-221.
Phiri, N., Torrid, K., Kuale, G., Byskor, S., Michell, C., Echoka, E., Fylkesnes, K. (2014). Factors associated with health facility childbirth in districts of Kenya, Tanzania and Zambia: a population based survey. BMC pregnancy and childbirth, (14),219-221.
Rajendra, K., Andy, H., Lee,B., Colin, W., Binns,K. (2013). Birth preparedness and skilled attendance at birth in Nepal: Implications for achieving millennium development goals 5. School of Public Health and Community medicine, BP Koivala Institute of Health Sciences, Dharama, Nepal.(I), 1206-1210.
Saker, K., Rahman, T., Hossain, J., Reichenbach, L., Mitra, K. (2016). Reasons for preference of home delivery with TBAs in rural Bangladesh: A qualitative exploration pubmed.(2),8-10.
Shiferaw, S., Spigt, M., Merijin, G., Yilma, M., Tekie M. (2013). Why do women prefer home delivery in Ethiopia? BMC pregnancy and child birth, (.1), 86-90.
Teplitskaya, L., Dutta, A., Pascal, T., Zetianyu, W. (2018). Maternal health services in Tanzania; Determinants of use and related financial barriers from 2015-2016 survey data Health policy plus.(1),8-11.
Titaley, R., Dibley, J., Roberts, L. (2012). Type of delivery attendant, Place of delivery and risk of early neonatal mortality; analysis of the 1994-2007 Indonesia demographic health survey. Health policy and planning. (27),405-416.
Turin, D. (2010). Health care utilization in the Kenyan health care system; challenges and opportunities. Student pulse. (2),9-11.
WHO (2014). Trends in maternal mortality: 1990 to 2013 Estimates by WHO, UNICEF, UNFPA, World Bank & UNPD, WHO library cataloguing -in- publication data,(1), 14-21.
WHO (2017). An evidence map of Social, Behavioral and Community engagement interventions for reproductive, maternal, newborn and child health: WHO Community reproductive health. ISBN: 978-92-4-069726-(31), 90-98.
WHO (2017). An evidence map of Social, Behavioral and Community engagement interventions for reproductive, maternal, newborn and child health: WHO Community reproductive health. ISBN: 978-92-4-069726-(31), 90-98.
WHO (2017). An evidence map of Social, Behavioral and Community engagement interventions for reproductive, maternal, newborn and child health: WHO Community reproductive health. ISBN: 978-92-4-069726-(31), 90-98.
WHO, United Nations Population Fund, UNICEF. (2015). Pregnancy, childbirth, postpartum and newborn care.ISBN 978-92-4-154935-6. (1), 31-38.
World Bank (2006). Trends in maternal health/health care in low income countries and implications on neonatal health. www.sfnjournal.com/articles/s1744-165x (05)00080.(1),38-40.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Ngotiek Kirubet Purity , Dr. Titus Muhu Kahiga, Dr. Onyambu Meshack Ondora
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
