The Roles of Infrastructure and Resources on Implementation of Free Maternal Healthcare Services in Machakos Level 5 Hospital, Machakos County, Kenya

Orare, Otundo Denis; Ann, Wangombe; Francis, Muchiri; Mwagambo, Chimbevo; Westley, Ooga

doi:10.11648/j.sjph.20170501.18

Cited by 2 publications

(1 citation statement)

References 7 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other experiences reported by beneficiaries of the free maternal healthcare policy include provision of a mosquito net (49.3%), provision of warm water for showering (52.8%), sharing of beds by mothers (43%), and sharing of incubators by newborns (26.8%) which point at low infrastructure and resource availability in the health facilities implementing the policy, a finding that has been reported by beneficiaries of the free maternal healthcare services at Machakos Level 5 hospital [61]. Following the abolishment of delivery fees in Kenya, beneficiaries reported a 13% dissatisfaction with the availability of beds at the Nakuru provincial hospital [48].…”

Section: Discussionmentioning

confidence: 93%

Satisfaction with Delivery Services Offered under the Free Maternal Healthcare Policy in Kenyan Public Health Facilities

Gitobu

Gichangi

Mwanda

2018

Journal of Environmental and Public Health

View full text Add to dashboard Cite

Background Patients' satisfaction is an individual's positive assessment regarding a distinct dimension of healthcare and the perception about the quality of services offered in that health facility. Patients who are not satisfied with healthcare services in a certain health facility will bypass the facility and are unlikely to seek treatment in that facility. Objective To determine satisfaction level of mothers with the free maternal services in selected Kenyan public health facilities after the implementation of the free maternal healthcare policy. Methods Data was collected through a quantitative exit survey questionnaire. The respondents were mothers who had delivered in the health facilities and were waiting to leave the health facilities after discharge. The sample included 2,216 mothers in 77 public health facilities across 14 counties in Kenya under tier 3 and tier 4 categories. The number of respondents to be interviewed was proportionately arrived at based on each health facility's bed capacity. Results The study established a satisfaction rate of 54.5% among the beneficiaries of the free maternal healthcare services in the country. Mothers benefiting from the free delivery services were satisfied with communication by the healthcare workers, staff availability in the delivery rooms, availability of staff in the wards, and drug and supplies availability (>56%) but unsatisfied with consultation time, cleanliness, and privacy in the wards (<56%). High education levels and lengthy stay in healthcare facilities were negatively associated with the satisfaction with the free delivery services (P < 0.05). Conclusion There is a high satisfaction with the free maternal healthcare services in Kenya. However, the implementation of the free maternal healthcare policy was associated with low privacy, poor hygiene, and low consultation time in the health facilities. Therefore there is need to address these service gaps so as to attract more mothers to deliver in public health facilities.

show abstract

Section: Discussionmentioning

confidence: 93%