Predictors of birth preparedness among women in Laikipia County, Kenya

Joseph M. Wanjohi, Anthony K. Wanyoro, Eliphas G. Makunyi


Background: Maternal complications are the second leading cause of death among women after HIV/AIDS. World Health Organization (WHO) estimates that about 94% of all maternal deaths worldwide occur in developing countries. Evidence shows that birth preparedness; the process of strategizing for normal spontaneous vaginal delivery and anticipating the action plan in an obstetric emergency, reduces maternal mortality.

Methods: The study assessed the predictors of birth preparedness among women in Laikipia county, Kenya. It was a mixed method, cross-sectional analytical study conducted among 259 women who had delivered within one year prior to the study. Facilities were selected through simple random sampling, whereas participants were selected through systematic sampling. It was a facility-based study using structured questionnaire and key informant interview guide, and data analysed using Statistical package for the social sciences (SPSS).

Results: The level of birth preparedness was 23.2%. Inferential statistical tests showed that education, occupation and income, were statistically significant associated with the level of birth preparedness p<0.05, CI=95%). Logistic regression showed that tertiary education (AOR=8.469), formal employment (AOR=4.898) and, income above Kshs 39,000 (AOR=4.834) had a positive association with birth preparedness.

Conclusions: The level of birth preparedness was low in Laikipia County. Woman’s education, occupation and household monthly income were the predictors of birth preparedness.



Birth preparedness, Maternal mortality, Predictors, Birth plan, Danger signs, Pregnancy

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Cooper. World health statistics overview 2019: monitoring health for the SDGs, sustainable development goals. Available at: https://www.who. int/publications/i/item/world-health-statistics-2019-monitoring-health-for-the-sdgs-sustainable-development-goals. Accessed on 05 December 2021.

World Health Organization (WHO) Birth and emergency preparedness in antenatal care. Intergrated Manag. pregnancy childbirth. 2015. Available at: handle/10665/250796/9789241549912-eng.pdf. Accessed on 05 December 2021.

UNICEF. Situation analysis of children and women in Kenya. 017. Available at: https://www. Accessed on 05 December 2021.

Kenya Demographic and Health Survey. Available at: pdf. MOH, M. of H. (2017). Kenya Country Summary—Selected Demographic and Health Indicators Data. K Accessed on 05 December 2021.

Laikipia County Government. County Intergrated Development Plan. 2018. Available at: https:// Accessed on 05 December 2021.

Cheptum J, Omoni G, Mirie W. Role of Men in Birth Preparedness: A Qualitative Study of Women Attending Antenatal Clinics in Migori County, Kenya. J Midwifery Reprod Heal. 2019;7:1506-13.

World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. 2016. Available at: publications-detail-redirect/9789241549912. Accessed on 05 December 2021.

Fisher RA. Statistical method for research workers. 1926. Available at: resources/materials/Statistical_Methods_for_Research_Workers.pdf. Accessed on 05 December 2021.

DHIS. DHIS 2 Pivot Tables. 2019. Available at: Accessed on 05 December 2021.

Smeele P, Kalisa R, van Elteren M, van Roosmalen J, Van den Akker T. Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda. BMC Pregnancy Childbirth. 2018;18:1-7.

Asrat T, Baraki N, Assefa N, Alemkere G. Birth Preparedness among Women Who Gave Birth in the Last Twelve Months in Jardega Jarte District, Western Ethiopia. J Pregnancy. 2019;6473725.

Saaka M, Alhassan L. Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: An analytical cross-sectional study. BMJ Open. 2021;11:1-9.

Pervin J, Nu TU, Rahman AMQ, Rahman M, Uddin B, Razzaque A, Johnson S, Kuhn R, Rahman A. Level and determinants of birth preparedness and complication readiness among pregnant women: A cross sectional study in a rural area in Bangladesh. PLoS One. 2018;13:1-14.

Johnson AR, Ajay S. Are Pregnant Women in Rural Areas Aware of Birth Preparedness? Evidence from a Rural Maternity Hospital in South Karnataka. J Med Sci Heal. 2021;7:25-31.

Sau B, Ghosh S, Samanta A. Assessment of Birth Preparedness and Complication Readiness among Postnatal Mothers in Tertiary Care Hospital, West Bengal. J Clin Diagnostic Res. 2021;15:4.

Kiataphiwasu N, Kaewkiattikun K. Birth preparedness and complication readiness among pregnant women attending antenatal care at the faculty of medicine Vajira hospital, Thailand. Int J Womens Health. 2018;10:797-804.

Kasmai EK. Birth Preparedness and Complication Readiness Among Pokot Nomadic Pastoralists’ Pregnant Women in East Pokot District, Midwest- Kenya. Am J Biomed Life Sci. 2018;6:17.

Kimani C. Socio Economic Factors Influencing Access to Reproductive Health Services Among Youth of Laikipia County, Kenya. 2018.

Bejitual K, Jabessa Z, Care A. Birth Preparation and Complication Readiness among Antenatal Care Attendants in Bule Hora Governmental Health Facilities in Oromia Region, Ethiopia, in 2019. 2019.