Determinants to utilization of emergency obstetric care services among perinatal clients seeking care at Kajiado County Referral Hospital, Kajiado County, Kenya
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20242859Keywords:
Emergency obstetric care, Perinatal, UtilizationAbstract
Background: Worldwide, one or more potentially fatal perinatal obstetric complications affect nearly 15% of all pregnant women. There has been little research on the provision of emergency obstetric care (EmOC) services in Kenya. This study aimed to assess the determinants of EmOC services among perinatal clients seeking care at Kajiado County Referral Hospital, Kajiado County, Kenya.
Methods: An analytical cross-sectional study design was embraced in this study while both systematic and simple random sampling were used to recruit study respondents for this research. Associations between the utilization of emergency obstetric care services and associated determinants were established using a Chi-square test and binary logistic regression where a p value of 0.05 or lower was considered significant.
Results: The utilization of EmOC services from this research was at 74%. Study respondents aged between 18-25 years (OR=9.4, 95% CI=0.04-0.31), being knowledgeable about EmOC services (OR=3, 95% CI=0.13-9.75), and being knowledgeable about obstetric danger signs (OR=6, 95% CI=0.06-0.45), increased the odds of utilizing EmOC services while earning less than 10000 Kshs (OR=4.3, 95% CI=0.45-4.77), reduced the odds of utilizing EmOC services.
Conclusions: The utilization of EmOC services from this research was at 74%. Study respondents aged between 18-25 years, being knowledgeable about EMOC services and being knowledgeable about obstetric danger signs increased the odds of utilizing emergency obstetric care services while earning less than 10000 Kshs reduced the odds of utilizing emergency obstetric care services.
References
World Health Organization. Monitoring emergency obstetric care: a handbook. 2009. Available at: https://iris.who.int/handle/10665/44121. Accessed on 12 June 2024.
Wilunda C, Oyerinde K, Putoto G, Lochoro P, Dall’Oglio G, Manenti F, et al. Availability, utilisation and quality of maternal and neonatal health care services in Karamoja region, Uganda: a health facility-based survey. Reprod Health. 2015;12(1).
Thuranira PN. Spatial Analysis of Emergency Obstetric Care Services for Upgrading of Health Facilities: a Case Study of Homa Bay County. 2022. Available at: http://erepository.uonbi.ac.ke/handle/ 11295/161774. Accessed on 12 June 2024.
Kabo I, Orobaton N, Abdulkarim M, Otolorin E, Akomolafe T, Abegunde D, et al. Strengthening and monitoring health system’s capacity to improve availability, utilization and quality of emergency obstetric care in northern Nigeria. PLoS One. 2019;14(2).
Holmer H, Oyerinde K, Meara JG, Gillies R, Liljestrand J, Hagander L. The global met need for emergency obstetric care: a systematic review. BJOG An Int J Obstet Gynaecol. 2015;122(2):183-9.
Gitobu CM, Gichangi PB, Mwanda WO. The effect of Kenya’s free maternal health care policy on the utilization of health facility delivery services and maternal and neonatal mortality in public health facilities. BMC Pregnancy Childbirth. 2018;18(1):1-11.
Maingi NN, Margaret KM, Makworo DG. Prevalence and factors associated with utilization of emergency obstetric newborn care services among women of reproductive age in Nakuru county Kenya. Int J Community Med Public Health. 2023;10(9):3092-102.
KDHS. Kenya Demographic and Health Survey 2022. 2022. Available at: https://dhsprogram.com/ pubs/pdf/PR143/PR143.pdf. Accessed on 12 June 2024.
Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the un maternal mortality estimation inter-agency group. Lancet. 2016;387(10017):462-74.
Limam M, Hachani F, Ghardallou M El, Bachraoui M, Mellouli M, Mtiraoui A, et al. Availability, utilization and quality of emergency obstetric care services in Sousse, Tunisia. Pan Afr Med J. 2021;38:272.
Mkoka DA, Goicolea I, Kiwara A, Mwangu M, Hurtig AK. Availability of drugs and medical supplies for emergency obstetric care: Experience of health facility managers in a rural District of Tanzania. BMC Pregnancy Childbirth. 2018;14(1):1-10.
Alemayehu M, Yakob B, Khuzwayo N. Barriers and enablers to emergency obstetric and newborn care services use in Wolaita Zone, Southern Ethiopia: a qualitative case study. BMC Public Health. 2022;22(1).
Phiri SNA, Fylkesnes K, Moland KM, Byskov J, Kiserud T. Rural-Urban Inequity in Unmet Obstetric Needs and Functionality of Emergency Obstetric Care Services in a Zambian District. PLoS One. 2016;11(1):e0145196.
Kanyesigye H, Ngonzi J, Mulogo E, Fajardo Y, Kabakyenga J. Health Care Workers’ Experiences, Challenges of Obstetric Referral Processes and Self-Reported Solutions in South Western Uganda: Mixed Methods Study. Risk Manag Healthc Policy. 2022;15:1869.
Ketema DB, Leshargie CT, Kibret GD, Assemie MA, Petrucka P, Alebel A. Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2020;20(1):149.
