Factors contributing to maternal mortality in relatively resource-endowed urban contexts of developing countries: the case of Nairobi, Kenya

Obare, Francis; Liambila, Wilson; Okoro, Dan; Ayisi, Robert; Ochola, Samuel

doi:10.11564/30-3-922

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings resonate with another study in Kenya showing gaps in provision of parenteral anticonvulsant, where 75 percent and 52 percent of providers reported administering injectable diazepam and MgSO4, respectively22 . Other studies concur with low provider competence and confidence in MgSO4 use in PE/E management5,34,35 . Staff are either reluctant to use it or administer it inconsistently with current WHO recommendations6,36,37 .…”

mentioning

confidence: 71%

Addressing barriers to quality of underutilized commodities and services for prevention and management of pre-eclampsia and eclampsia in Kenya

Ndwiga¹,

Sripad²,

Warren³

2018

View full text Add to dashboard Cite

mentioning

confidence: 71%

Addressing barriers to quality of underutilized commodities and services for prevention and management of pre-eclampsia and eclampsia in Kenya

Ndwiga¹,

Sripad²,

Warren³

2018

View full text Add to dashboard Cite

“…Direct causes of these maternal deaths include obstetric hemorrhage, hypertensive disorders, and unsafe abortions. Indirect causes include anemia, HIV/AIDS, and cardiovascular conditions [24]. Other factors responsible for high maternal mortality in Kenya include poor health-seeking behaviors, delay in seeking care, poor referral mechanisms, poor provider attitudes, and strained human resources.…”

Section: Introductionmentioning

confidence: 99%

Utilization of Individual Birth Plan Among Women Attending Postnatal Clinic at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu Kenya

Nyang'au

Asweto

Ouma

et al. 2021

CU JGH

View full text Add to dashboard Cite

Background: Kenya has a maternal mortality rate (MMR) of 362 women per 100,000, partly attributed to inadequate or lack of birth and emergency preparedness, including the individual birth plan. Moreover, a paucity of data on determinants of individual birth plan use hampers its promotion and utility against MMR. This study assessed the determinants of individual birth plan use among women attending the postnatal clinic at Jaramogi Oginga Odinga Teaching and Referral Hospital in Kisumu, Kenya. Methods: Hospital-based survey was conducted among 354 expectant women between November 2018 and February 2019. Data were collected using questionnaires and a Focus Group Discussion guide. A Logistic regression model was also used to determine factors associated with IBP utilization, where only p-value's <0.05 were considered significant. Textual data were analyzed thematically using NVIVO. Results: Most mothers (68.6%) had an individual birth plan. Determinants for having birth plans included client factors such as education, OR 8.93, p<0.001, occupation, OR=2.40, p=0.020, and parity, AOR=3.29, p=<0.034; knowledge of danger signs, AOR 8.1, p=0.001. Health facility factors included birth plan counseling, OR=3.45, p=0.013, emergency preparedness, OR=2.06, p=0.034, access to motorized transport such as a car, OR=3.8, p=0.035 or motorcycle, OR=2.7, p=0.006 and attending a clinic in a referral hospital, OR=5.8, p=0.003 Conclusion: This study has demonstrated most women utilize individual birth plans. However, they were ill-prepared for an emergency. Determinants of IBP use included client factors such as education level, employment status, parity, knowledge of danger signs, maternal attitude; and facility factors including counseling, attending a clinic in a referral hospital, the use of an automobile to reach the hospital, and hostility by the health care providers. Therefore, we recommend that prenatal counseling should emphasize emergency preparedness among pregnant women. There is a need to empower women through education and employment to enhance IBP utilization.

show abstract

Factors contributing to maternal mortality in relatively resource-endowed urban contexts of developing countries: the case of Nairobi, Kenya

Cited by 2 publications

References 0 publications

Addressing barriers to quality of underutilized commodities and services for prevention and management of pre-eclampsia and eclampsia in Kenya

Addressing barriers to quality of underutilized commodities and services for prevention and management of pre-eclampsia and eclampsia in Kenya

Utilization of Individual Birth Plan Among Women Attending Postnatal Clinic at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu Kenya

Contact Info

Product

Resources

About