Factors influencing place of delivery for pastoralist women in Kenya: a qualitative study

Caulfield, Tanya; Onyo, Pamela; Byrne, Abbey; Nduba, John; Nyagero, Josephat; Morgan, Alison; Kermode, Michelle

doi:10.1186/s12905-016-0333-3

Cited by 46 publications

(53 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is a need for awareness creation in the community at large, to achieve the Ethiopia reproductive health programme goal by 2020. Our study is in line with the findings from other pastoral communities showing that pastoral women prefer traditional birth attendants and healers and only travel to health facilities for complicated cases . Lack of privacy is mentioned as one of the most underreported but most important reasons for not using skilled delivery service (27% (95%CI 22.8–31.1%).…”

Section: Discussionsupporting

confidence: 90%

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Umer

Zinsstag

Schelling

et al. 2019

Tropical Med Int Health

View full text Add to dashboard Cite

Objective To assess maternal health care service utilisation and associated factors in Somali pastoral communities of eastern Ethiopia. Methods Community‐based cross‐sectional study complemented by qualitative assessments in Adadle district, Somali region, eastern Ethiopia, among 450 women in six kebeles from August to September 2016. Logistic regression was used to assess factors associated with antenatal care use and skilled delivery care use, controlling for confounders. Results About 27% [95%CI 22.8–31.2%] of women used antenatal care, and 22.6% [95%CI 18.7–26.5%] received skilled delivery service. None of the respondents reported post‐natal care. About 43% reported that they had no knowledge of antenatal care, and 46% did not perceive delivery at a health facility as important. Pastoral lifestyle, husband’s educational status, women’s attitude towards health care service and financial support from the husband were significantly associated with antenatal care utilisation. Health professionals’ attitudes, perceptions of institutional delivery, antenatal care utilisation and information about exemptions from maternal health care fees were associated with skilled delivery service utilisation. Conclusion Improving community awareness of antenatal care, employing female health professionals and culturally adapted guidelines could improve skilled delivery utilisation. In a patriarchal society, involving male partners in all maternal health issues is essential to increase use of maternal health services and to decrease maternal mortality.

show abstract

Section: Discussionsupporting

confidence: 90%

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Umer

Zinsstag

Schelling

et al. 2019

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…Studies have found that agro-pastoralist communities in remote areas have difficulty accessing FHFs resulting in the communities patronizing informal health facilities (IHFs) (Duba et al, 2001;Caulfield et al, 2016). However, Cheikhyoussef et al (2011) argue that traditional knowledge of plant species as medicines and traditional views on causes of diseases compel agro-pastoralists to rely more on traditional treatments.…”

Section: Introductionmentioning

confidence: 99%

Access and Challenges of Health Facilities amongst Agro-pastoralist Communities in Handeni District, Tanzania

Ringo

Bengesi

Mbago

2017

JPSS

View full text Add to dashboard Cite

This study examines high incidence of under-five mortality among agro-pastoralists resulting from lack of access to healthcare facilities. A proportional sampling method was adopted, and descriptive statistics and binary logistic regression were used in data analysis. The results revealed low dependence of agro-pastoralists on formal healthcare facilities, which could be explained by prevalence of informal healthcare facilities in villages where they reside. Education, income, accessibility, and duration of stay in a particular area accounted for the choice of healthcare facilities. Level of education and income determined preference for formal health facilities, possibly due to influence of education on understanding benefits of treatment in formal health facilities and income to meet associated costs. Accessibility of health facility influenced the decision to patronize formal health facilities. This was evident in villages which were connected to reliable road networks. Additionally, the length of time one resides in a particular area played a role in adhering to traditional values influencing the choice of informal healthcare facilities. The government and private sector should invest in rural road networks and promote education among agro-pastoralists on importance of using formal healthcare facilities and rational use of household income to improve accessibility to formal health facilities.

show abstract

“…The Naivasha sub-County study setting included women who hailed from pastoralist backgrounds, and the distances to a health facility were vast. Pastoralist women in Kenya continue to face long distances to care, posing a significant barrier and a threat related to obstetric emergencies, as seen in other studies (Caulfield et al, 2016); (Byrne et al, 2016). Some studies suggest construction of maternity waiting homes as a solution to distance, especially in pastoralist communities, but cultural resistance continues to be a challenge to the uptake of such interventions (Karanja et al, 2018).…”

Section: Discussionmentioning

confidence: 96%

“…This facility has all that is Required for Safe Baby Delivery in Case of An Emergency There is a Theater…” Exploring Experiences and Perceptions of Quality of Maternity Care in a Rural Sub-County. A Qualitative Study

Oluoch-Aridi

Wafula

Kokwaro

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Maternal mortality still remains a big health system challenge in Kenya. Free maternity policy resulted in an increase in Facility-based delivery. However, this has not been accompanied with a reduction in maternal mortality. This research aims at establishing women’s experiences and perceptions with regard to the quality of maternal health services received at health facilities during delivery. This contextual knowledge will assist policy makers to better understand patterns of health system utilization critical for forging strategies for reducing inequities and providing high quality maternal care.Methods Women aged between 18 and 49 who had recently delivered and were attending six-week immunization clinics were purposively selected at six different health facilities and focus group discussions were conducted with the women. The data was analyzed using thematic content analysis. Verbatim excerpts from the women were provided to illustrate the themes identified. The WHO vision for quality of care was used to assess the themes on experiences of care described by the womenResults Six themes were identified as facilitators to access maternal health services 1) Perceived quality of delivery services 2) Financial access to delivery services 3) Referrals to public tertiary health facilities 4) Social influence 5) operation times at public primary health facilities 6) Distance to the health facility. A few barriers were identified under the perceived quality of services most prominent been the mistreatment of women by night-shift nurses and the operation time at the primary health facilitiesConclusion The findings suggest that the rural women tend to prefer tertiary maternity health facility and there are a number of factors related to quality of care based on their experiences that predispose their choices. Most prominent was the availability of equipment such as theatres for obstetric complications. Another emerging issue was respectful care during maternity services. Auxiliary costs still present a challenge despite the free maternity services. Future studies need to focus on ensuring in depth contextual understanding of women’s perceptions of the experience of care with regard to patient-centered care. Understanding these aspects will help in forging strategies to reduce inequities that are leading to high maternal mortality

show abstract

Factors influencing place of delivery for pastoralist women in Kenya: a qualitative study

Cited by 46 publications

References 29 publications

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Access and Challenges of Health Facilities amongst Agro-pastoralist Communities in Handeni District, Tanzania

“…This facility has all that is Required for Safe Baby Delivery in Case of An Emergency There is a Theater…” Exploring Experiences and Perceptions of Quality of Maternity Care in a Rural Sub-County. A Qualitative Study

Contact Info

Product

Resources

About