Skilled Birth Attendance among Women in Tharaka-Nithi County, Kenya

Gitonga, Eliphas

doi:10.1155/2017/9740196

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Eighty percent of live births in the world and 59% of births in sub-Saharan Africa are attended by skilled health personnel [16]. This prevalence of SBA delivery in sub-Saharan Africa also varies across countries ranging from 13% in Nigeria to 77% in Kenya [17][18][19][20]. In Ethiopia, only 18.8 to 29.2% of births are attended by skilled health personnel [2,21,22].…”

Section: Introductionmentioning

confidence: 99%

Exploring spatial variations and factors associated with skilled birth attendant delivery in Ethiopia: geographically weighted regression and multilevel analysis

Teshale,

Alem,

Yeshaw

et al. 2020

BMC Public Health

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Background Skilled birth attendant (SBA) delivery is vital for the health of mothers and newborns, as most maternal and newborn deaths occur at the time of childbirth or immediately after birth. This problem becomes worsen in Ethiopia in which only 28% of women give birth with the help of SBA. Therefore, this study aimed to explore the spatial variations of SBA delivery and its associated factors in Ethiopia. Methods A secondary analysis was carried out using the 2016 Ethiopian Demographic and Health Survey. A total weighted sample of 11,023 women who had a live birth in the 5 years preceding the survey was included in the analysis. Arc-GIS software was used to explore the spatial distribution of SBA and a Bernoulli model was fitted using SaTScan software to identify significant clusters of non-SBA delivery. The Geographic Weighted Regression (GWR) was employed in modeling spatial relationships. Moreover, a multilevel binary logistic regression model was fitted to identify factors associated with SBA delivery. Results In this study, SBA delivery had spatial variations across the country. The SaTScan spatial analysis identified the primary clusters’ spatial window in southeastern Oromia and almost the entire Somalia. The GWR analysis identified different predictors of non- SBA delivery across regions of Ethiopia. In the multilevel analysis, mothers having primary and above educational status, health insurance coverage, and mothers from households with higher wealth status had higher odds of SBA delivery. Being multi and grand multiparous, perception of distance from the health facility as big problem, rural residence, women residing in communities with medium and higher poverty level, and women residing in communities with higher childcare burden had lower odds of SBA delivery. Conclusion Skilled birth attendant delivery had spatial variations across the country. Areas with non-skilled birth attendant delivery and mothers who had no formal education, not health insured, mothers from poor households and communities, Primiparous women, mothers from remote areas, and mothers from communities with higher childcare burden could get special attention in terms of allocation of resources including skilled human power, and improved access to health facilities.

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Section: Introductionmentioning

confidence: 99%

Exploring spatial variations and factors associated with skilled birth attendant delivery in Ethiopia: geographically weighted regression and multilevel analysis

Teshale,

Alem,

Yeshaw

et al. 2020

BMC Public Health

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“…Another well-known form of Online Child Sex Exploitation (OCSE) includes Child Sex Trafficking Pandemic of the 21st Century in Kenya DOI: http://dx.doi.org/10.5772/intechopen.110316 online grooming, live streaming of child sexual abuse, and the production and distribution of child sexual abuse materials for offenders overseas [25]. Despite the Kenya law that inhibits child trafficking, another distributing portion of trafficked children are newborn babies whose cases go unaddressed and unsolved by Kenyan authorities [26]. Babies are trafficked through connections between Kenyan and foreign, where the police do not take seriously this crime [27].…”

Section: Child Sex Trafficking In Kenya In Mombasamentioning

confidence: 99%

Child Sex Trafficking Pandemic of the 21st Century in Kenya

Kimathi

2024

Sustainable Development

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We have all seen films that portray the dark and lurid world of human trafficking defections that seem sensationalized and exaggerated for cinematic effects. Yet, it never occurs to our minds that this is happening in front of our doorsteps. Globally, children are estimated to account for 29% of human trafficking. Child trafficking involves the “recruitment, supply, transfer, harboring, illegal adoption, and receipt” of a child for commercial sex or forced labour exploitation. Child trafficking comprises the main category of trafficking cases in Kenya, and children have been known to be trafficked for sexual purposes, particularly along the coastal region. In Kenya, child trafficking happens inaudibly within the communities and families due to poverty, lack of access to education, unemployment, HIV & AIDS, and related orphans, and weak laws and policies for child protection. The coastal region’s financial dependence on tourism, which tends to attract individual travelers, may exacerbate the sexual exploitation of children. Addressing the phenomenon of child sex trafficking has proven difficult because of the presence of the use of private villas for sexual exploitation and the reluctance of law enforcement to inhibit effective child protection. The vital call to individuals, communities, and leaders is to promote a child-friendly environment that makes families move out of poverty and ignorance.

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“…Moreover, the coverage of SBA delivery in sub-Saharan Africa is not at the expected level with great disparity across different geographic regions ranging from 38.5% in Nigeria to 77% in Kenya [7][8][9][10]. Similarly, in Ethiopia, the national coverage of SBA delivery as of 2019 was 50% [4] and lower coverages are reported in different local level studies [11].…”

Section: Introductionmentioning

confidence: 99%

Individual and community-level determinants of skilled birth attendant delivery in Ethiopia; multilevel analysis

Ayalew,

Assefa,

Desalegn

et al. 2023

PLoS ONE

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Introduction Skilled birth attendant (SBA) delivery is defined as assisting birth by a trained healthcare provider, which is vital for the health of mothers and newborns. Improving maternal health is one of the world health organization’s (WHO) key priorities and skilled birth attendant delivery is one of the four pillars of the initiative for safe motherhood to reduce maternal mortality. Therefore, this study aimed to assess the individual and community-level factors associated with SBA delivery in Ethiopia. Method A secondary data analysis was conducted using the 2019 Mini Ethiopian demographic and health survey. A total of 5,527 (weighted) live births were included in the analysis. A multi-level logistic regression model was fitted using Stata 14.0 to identify individual and community-level factors associated with SBA delivery. Finally, AOR with 95% CI and random effects were reported. Result In this study after fitting a multilevel model, women with poor (AOR = 0.44 95%CI 0.32–0.61) and middle wealth index (AOR = 0.64;95% CI 0.46–0.87), multipara (AOR = 0.39;95% CI 0.28–0.55) and grand multipara (AOR = 0.46;95% CI 0.29–0.72), women from rural areas (AOR = 0.34;95% CI 0.16–0.72) and high community poverty level (AOR = 0.40;95% CI 0.21–0.76) had decreased odds of having SBA delivery. Whereas those who initiated Antenatal care (ANC) visits in the first trimester (AOR = 2.65; 95% CI 1.52–4.65) and second trimester (AOR = 1.87:95%CI 1.09–3.20) had increased odds of having SBA delivery in Ethiopia. Conclusion In this study socioeconomic factors like wealth index, parity, the timing of ANC visits, place of residency, and community poverty level were significantly associated with SBA delivery. Therefore, it is better to increase timely ANC initiation particularly for women with low levels of income to improve skilled birth attendant delivery.

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Skilled Birth Attendance among Women in Tharaka-Nithi County, Kenya

Cited by 4 publications

References 10 publications

Exploring spatial variations and factors associated with skilled birth attendant delivery in Ethiopia: geographically weighted regression and multilevel analysis

Exploring spatial variations and factors associated with skilled birth attendant delivery in Ethiopia: geographically weighted regression and multilevel analysis

Child Sex Trafficking Pandemic of the 21st Century in Kenya

Individual and community-level determinants of skilled birth attendant delivery in Ethiopia; multilevel analysis

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