Individual and contextual determinants of adequate maternal health care services in Kenya

Women & Health
Thomas N O Achia, Lillian E Mageto

Abstract

This study aimed to examine individual and community level factors associated with adequate use of maternal antenatal health services in Kenya. Individual and community level factors associated with adequate use of maternal health care (MHC) services were obtained from the 2008-09 Kenya Demographic and Health Survey data set. Multilevel partial-proportional odds logit models were fitted using STATA 13.0 to quantify the relations of the selected covariates to adequate MHC use, defined as a three-category ordinal variable. The sample consisted of 3,621 women who had at least one live birth in the five-year period preceding this survey. Only 18 percent of the women had adequate use of MHC services. Greater educational attainment by the woman or her partner, higher socioeconomic status, access to medical insurance coverage, and greater media exposure were the individual-level factors associated with adequate use of MHC services. Greater community ethnic diversity, higher community-level socioeconomic status, and greater community-level health facility deliveries were the contextual-level factors associated with adequate use of MHC. To improve the use of MHC services in Kenya, the government needs to design and implement programs th...Continue Reading

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Citations

May 24, 2016·Family & Community Health·Patrick Opiyo OwiliLi-Yin Chien
Dec 27, 2017·The International Journal of Health Planning and Management·Fatih SantasMehmet Ali Eryurt
Mar 19, 2020·BMC Health Services Research·Roger AntabeYvonne Galaa
Oct 9, 2019·BMJ Open·Ijeoma Nkem Okedo-AlexChigozie Jesse Uneke
Jan 22, 2020·BMC Pregnancy and Childbirth·Alfred Kwesi ManyehMargaret Gyapong
Oct 21, 2017·Health Care for Women International·Anna KurniatiSarni Maniar Berliana
Jul 2, 2017·Health Policy and Planning·Anna KurniatiSarni Maniar Berliana
Jan 9, 2021·BMC Health Services Research·Emmanuel DankwahMarwa Farag
Oct 9, 2021·BMC Pregnancy and Childbirth·Desire Habonimana, Neha Batura

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