Barriers to emergency obstetric care services: accounts of survivors of life threatening obstetric complications in Malindi District, Kenya

Echoka, Elizabeth; Makokha, Anselimo; Dubourg, Dominique; Kombe, Yeri; Nyandieka, Lillian; Byskov, Jens

doi:10.11604/pamjs.supp.2014.17.1.3042

Cited by 30 publications

(43 citation statements)

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“…These include long distances to facilities, poor facilities as well as the negative perceptions about poor service provision from health-care workers. [31][32] Parents' level of education did not have a significant effect on either patient or total delay. Other studies have given contrasting reports.…”

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confidence: 79%

Factors influencing time to diagnosis and treatment among pediatric oncology patients in Kenya

Njuguna

Martijn

Langat

et al. 2016

Pediatric Hematology and Oncology

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ABSTRACT. Early diagnosis and start of treatment are fundamental goals in cancer care. This study determines the time lag and the factors that influence the time to diagnosis and start of treatment.Study participants were parents of childhood cancer patients diagnosed between August 2013and July 2014 in a hospital in Kenya. Patient, physician, diagnosis, treatment, health care system, and total delay were explored using a questionnaire. Demographic and medical data were collected from the patients' medical records. Parents of 99 childhood cancer patients were interviewed (response rate: 80%). Median total delay was 102 (9-1021) days. Median patient delay (4 days) was significantly shorter than health care system delay (median 87 days;P < .001).Diagnosis delay (median 94 days) was significantly longer than treatment delay (median 6 days; P < .001). days. Lack of health insurance at diagnosis and use of alternative medicine before attending conventional health services were associated with a significantly longer patient delay (P = .041 and P = .017, respectively). The type of cancer had a significant effect on treatment delay (P = .020). The type of health facility attended affected only patient delay (P = .03). Gender, age at diagnosis, stage of disease, parents' education level or income, and distance from hospital did not have a significant effect on the length of any type of delay. Training on childhood cancer should be included in the curricula for medical training institutes. In-service workshops should be held for the health workers already working. Families must be obligated to get health insurance. Families should be encourage to attend conventional health facilities and informed on symptoms of cancer through mass media

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confidence: 79%

Factors influencing time to diagnosis and treatment among pediatric oncology patients in Kenya

Njuguna

Martijn

Langat

et al. 2016

Pediatric Hematology and Oncology

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“…The government phased out TBA services for pregnant women in favor of skilled care delivery. However, TBAs remain highly utilized by the rural women during pregnancy and childbirth [17].…”

Section: Introductionmentioning

confidence: 99%

Male Involvement in Maternal Health Planning Key to Utilization of Skilled Birth Services in Malindi Subcounty, Kenya

Nyandieka

Njeru

Ng’ang’a

et al. 2016

Advances in Public Health

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Background.In Malindi, rural populations face challenges in accessing skilled birth services. Consequently, the majority of women deliver at home and only seek help when they have complications. This paper reports part findings from a study conducted to assess health priority setting process and its implication on availability, access, and use of emergency obstetric care services in Malindi.Methods. The study utilized qualitative methods to collect data from health personnel and maternal health stakeholders including community members. Source and method triangulation was used to strengthen the credibility of study findings. Data was categorized manually into themes around issues relating to utilization of skilled birth services discussed in this paper.Findings. Various barriers to utilization of skilled birth services were cited. However, most were linked tomwenye(the husband) who decides on the place of birth for the wife.Conclusion.Husbands are very influential in regard to decisions on skilled birth service utilization in this community. Their lack of involvement in maternal health planning may contribute as a barrier to utilization of skilled care by pregnant women. There is need to address themwenyefactor in an attempt to mitigate some of the barriers cited for nonutilization of skilled birth services.

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“…Most pregnancy and childbirth-related complications and deaths though unpredictable could be prevented with facility delivery where emergency obstetric and neonatal care is provided by skilled personnel (12,13). The three delays model explains the delays involved in women and newborns having access to emergency obstetric and neonatal care ( fig.1).…”

Section: Why Do Women Die? the Three Delays Modelmentioning

confidence: 99%

Pragmatic approach to halt preventable maternal and neonatal deaths in Nigeria

Komolafe¹,

Irinoye²

2019

Research Journal of Health Sciences

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The objective of the paper is to promote a pragmatic approach to stem high maternal and neonatal mortality in Nigeria as it is becoming increasingly evident that ending preventable maternal and neonatal deaths goes beyond counting the numbers. Methods: A literature search was performed of Pub Med, HINARI, Google scholar using keywords in the review to build a set of search terms. Reference lists of all the included studies were scanned to identify additional relevant studies. Results: Facility-based death review, review of near-miss and clinical audit are quality improvement methods and on their own are health care interventions. Conclusion: Though findings from reviews and audit provide actionable information, the commitment of health care providers to act on the information is key to achieving the purpose of reviews and audits. There is need to invest in health system researches that focus on quality improvements in maternal and neonatal care in Nigeria.

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Barriers to emergency obstetric care services: accounts of survivors of life threatening obstetric complications in Malindi District, Kenya

Cited by 30 publications

References 0 publications

Factors influencing time to diagnosis and treatment among pediatric oncology patients in Kenya

Factors influencing time to diagnosis and treatment among pediatric oncology patients in Kenya

Male Involvement in Maternal Health Planning Key to Utilization of Skilled Birth Services in Malindi Subcounty, Kenya

Pragmatic approach to halt preventable maternal and neonatal deaths in Nigeria

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