Quality of maternity care and its determinants along the continuum in Kenya: A structural equation modeling analysis

PloS One
Patrick Opiyo OwiliBradley Chen

Abstract

Improving access to delivery services does not guarantee access to quality obstetric care and better survival, and therefore, concerns for quality of maternal and newborn care in low- and middle-income countries have been raised. Our study explored characteristics associated with the quality of initial assessment, intrapartum, and immediate postpartum and newborn care, and further assessed the relationships along the continuum of care. The 2010 Service Provision Assessment data of Kenya for 627 routine deliveries of women aged 15-49 were used. Quality of care measures were assessed using recently validated quality of care measures during initial assessment, intrapartum, and postpartum periods. Data were analyzed with negative binomial regression and structural equation modeling technique. The negative binomial regression results identified a number of determinants of quality, such as the level of health facilities, managing authority, presence of delivery fee, central electricity supply and clinical guideline for maternal and neonatal care. Our structural equation modeling (SEM) further demonstrated that facility characteristics were important determinants of quality for initial assessment and postpartum care, while characteris...Continue Reading

References

Apr 1, 1997·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·A M SalinasM Zambrana
Apr 16, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Rüdiger PittrofVéronique G A Filippi
Jul 2, 2003·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S MillerM Nunez
Oct 30, 2004·Yonsei Medical Journal·Yoon Jung ChoiMin Jung Kwak
Jun 2, 2005·Journal of Advanced Nursing·Merry McBryde-Foster, Toni Allen
Oct 10, 2006·Lancet·Oona M R CampbellUNKNOWN Lancet Maternal Survival Series steering group
Oct 31, 2006·Lancet·Véronique FilippiDavid Osrin
Apr 21, 2009·Bulletin of the World Health Organization·Cynthia StantonDavid Sintasath
Sep 26, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·N R van den Broek, W J Graham
Apr 1, 2008·The Journal of Economic Perspectives : a Journal of the American Economic Association·Jishnu DasKenneth Leonard
Apr 9, 2011·Lancet·Wendy J Graham, Beena Varghese
Oct 25, 2011·Midwifery·Joanna H RavenNynke van den Broek
Aug 26, 2015·Journal of Health Economics·Timothy Powell-JacksonAnne Mills

❮ Previous
Next ❯

Software Mentioned

ASSESS
LISREL
SEM
INTRAPAR
SIMPLIS
Stata

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.