Each year, over 500,000 women die from the complications of pregnancy and child birth, almost all of them in the developing countries. This trend can be addressed by increasing the rates of skilled care during childbirth. This study therefore sought to establish the socio-cultural factors influencing uptake of skilled childbirth care which has remained low in Kaiti Division. The researchers applied a descriptive cross-sectional study design which involved women of childbearing age (15-49 years). The study was conducted in March 2010 and had a sample size of 246 women which was randomly selected from the estimated target population of 12,077. The researchers applied both quantitative and qualitative approaches. The tests of significance employed included Fisher’s exact test, chi-square, test and logistic regression. The study established that the proportion of women attended to by the skilled attendant within various age cohorts was higher (58.9%) amongst the youth/adolescent (15-24 years) (P-value = 0.091> 0.05, c<sup>2</sup> 10.915 df 6).). Skilled attendance declined among the grand-multiparas (para4 and above) from 7.7% in Para 4-5 to 2% in Para 6+ (P-value = .000<0.05, c<sup>2</sup> 34.888 df 3; Para 1(p =0.000, OR 28.391), Para 2-3 (p =0.000, OR 7.564), Para 4-5(p=0.030, OR 3.493) Further findings indicated that the principal decision maker (46.7%) on type of assistant in the last delivery was the woman (P-value = 0.000 <0.05, c<sup>2</sup> 56.076 df 5). However, the husband was the leading (39.5%) decision maker in use of a skilled assistant in the last delivery (p=0.000, OR 15.667). More than two thirds (70.7%) of the respondents who performed a ceremony prayed for safe delivery in their last delivery. The study concluded that women’s parity, decision making and religion were significant in use of skilled childbirth services.
The purpose of the study was to evaluate the level of job satisfaction among the nurses of Makueni District Hospital. This was necessitated by the high nurse staff turnover from the facility and a myriad of complains from various departments. The study was a cross sectional descriptive survey involving about 50 nurses that was carried out between 15 and 19<sup>th</sup> July 2013. The study employed mixed method approach. Tests of significance were through use of Chi-square, Fishers exact test and logistic regression. The key results were that overall job satisfaction was low (36%). There were significant relationships between job satisfaction and cordial relationship with the nurse manager (c<sup>2</sup> 12.131 df 4 p=0.016<0.05. Logistic regression p=0.018<0.05). The plans to quit the hospital and work elsewhere indicates a relationship with job satisfaction (c<sup>2</sup> 12.749 df 4 p=0.013<0.05). The findings of this study suggest that there is no enabling working environment for the nurses and this could be a barrier to service delivery in the Hospital. These findings suggest that the Nurse Managers should build up effective relationship with the staff and other departments and should identify negative working conditions which affect staff and appropriately delegate authority to them.
Makueni County experiences a significant burden from traffic related injuries that often results to deaths and other complications. It is not clear whether the deaths and the complications are related to the actions of the responders. The purpose of this study was to provide information to enable the development of policies and programmes aimed at reducing fatality rate and life-long complications from road accidents in the Trans-African highway and other highways in Kenya. The study used the mixed method approach and applied the cross-sectional study design. Data was collected from 427 First Responders and 474 patients. Statistical tests applied included Chi-square, correlations and multinomial logistic regression. Study findings show that pre-hospital emergency care was provided to less than half (48%) of those with road traffic injuries. Study findings indicate a significant (p-value <0.05) relationship between outcome of injuries with helping with breathing, covering patients for warmth and positioning during transportation. Those transported on their side were less likely to end up with severe injury outcomes (OR 95% CI, 0.016 (0.001-0.305), 0.006). The study recommends empowerment of First Responders with appropriate First-aid equipment and skills for effective care on-transit to the health facilities.
The purpose of the study was to evaluate the level of job satisfaction among the nurses of Makueni District Hospital. This was necessitated by the high nurse staff turnover from the facility and a myriad of complains from various departments. The study was a cross sectional descriptive survey involving about 50 nurses that was carried out between 15 and 19<sup>th</sup> July 2013. The study employed mixed method approach. Tests of significance were through use of Chi-square, Fishers exact test and logistic regression. The key results were that overall job satisfaction was low (36%). There were significant relationships between job satisfaction and cordial relationship with the nurse manager (c<sup>2</sup> 12.131 df 4 p=0.016<0.05. Logistic regression p=0.018<0.05). The plans to quit the hospital and work elsewhere indicates a relationship with job satisfaction (c<sup>2</sup> 12.749 df 4 p=0.013<0.05). The findings of this study suggest that there is no enabling working environment for the nurses and this could be a barrier to service delivery in the Hospital. These findings suggest that the Nurse Managers should build up effective relationship with the staff and other departments and should identify negative working conditions which affect staff and appropriately delegate authority to them.
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