Demand For Caesarean Delivery In Kenya
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Date
2019Author
Kodhiambo, Maurice O
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
Background. Caesarean delivery is a method of child birth whereby an incision is made through
the abdominal muscles and uterine wall to remove the baby. Historically, it was done only if the
mother had died before delivery. However, today, it is conducted either in emergency cases or if
a mother chooses to. In 2013, the government of Kenya introduced a free maternal health policy
aimed at increasing access to maternal health services, delivery included. This was therefore
expected to increase the number of women delivering by Caesarean section in public hospitals in
the country. It is however not well understood whether abolition of delivery fees alone is
sufficient to cause such a policy outcome. This is the knowledge gap that this study seeks to fill.
Objectives. The general objective of this study is to compare trends and predictors of Caesarian
delivery between government owned and privately owned hospitals in Kenya. The specific
objectives were to analyze the comparative trends of recorded Caesarian deliveries between
public and private hospitals in Kenya since implementation of free maternal care policy, to
determine the association between sociodemographic characteristics and likelihood of Caesarean
delivery, to investigate the relationship between method of payment and choice of site for
Caesarean delivery, to establish the influence of health facility characteristics on choice of site of
Caesarean delivery and to determine contributors to Caesarean section deliveries in public
hospitals as compared to private hospitals in Kenya using the modified Robson criteria
Methodology. Mutivariable logistic regression analysis of secondary data from KDHS 2014 will
be analysed on stata version 13. The independent variables of Age of Mother at Birth, Parity,
Previous CS, Income, Mother’s level of education, Person assisting in the delivery, Distance to
the nearest public health facility, Number of ANC visits, Method of payment, Residence (Urban,
Rural), Region and Religion will be regressed in a logit model against the choice of site of
Caesarean delivery as the dependent variable. A logit model equation will then be developed
from the regression coefficients.
Publisher
University of Nairobi
Subject
Caesarean Delivery In KenyaRights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
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