Maternal mortality in Kenya: the state of health facilities in a rural district

East African Medical Journal
K O RogoJ Odera

Abstract

This study was formulated from the premise that the known causes of maternal mortality, namely haemorrhage, sepsis, obstructed labour and abortion belie the more fundamental development problems that influence it, such as the state of local medical services, quality of care and the facilities' ability to respond to reproductive health emergencies. To document some of the underlying problems and how they were found to influence maternal mortality in Kenya, with specific reference to a rural district. The researchers used the Prevention of Maternal Mortality Network (PMMN) methodology/study design to assess the current state of health facilities, their level of function, and factors influencing their utilisation. Both qualitative and quantitative methods of data collection tools were used. Siaya District in the western region of Kenya. Data were collected from thirty facilities, which provide obstetric care in the district. Data were collected by nurse/midwives, nursing school tutors and social scientists with experience in qualitative research methods. Respondents included health service providers and managers at the 30 health facilities. Qualitative data were obtained through focus group discussions with health facility staff a...Continue Reading

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