"Socio-economic determinants of child survival in Upper Matasia Sub-location, Kajiado District,Kenya"
Omariba, Daniel W R
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The study covers Kajiado District with a special focus on Upper Matasia Sub-location of Ngong Division. It investigates the impact of socio-cultural, socio-economic, health and environmental factors on child survival. Two data sets are utilized - secondary data from the 1979 population census and primary data from a survey done at Upper Matasia sub-location. Chapter one presents background information on Kajiado district and the problem under study. Chapter two presents literature related to the study topic and the theoretical framework, while chapter three presents the methodologies that have been utilized. The Coale and Trussell indirect technique of estimating mortality has been utilized in the analysis of the census data. The q(2) value i.e. the probability of a child dying by exact age two, Infant Mortality Rate and eo i.e. life expectancy at birth have been used to depict mortal ity conditions in the district. The results of the analysis are presented in chapter four. In the anatysis of survey data, a method developed by Preston and Trussell in 1982 of calculating mortality index, has been utilized. This ratio of observed to expected deaths, is the dependent variable both in the cross-tabulation and multiple regression analyses. The results of the two analyses are presented in chapter five. The main finding of the census data analysis is that, rural areas have lower mortality levels and hence higher life expectancies than urban areas. Another important finding is that, whereas the other divisions Loitokitok and Central show a declining trend in mortality since 1976, Ngong division exhibits a steep increase in mortality from early 1977. The results of cross-tabulation and mUltiple regression analysis show that health, environmental and socio-economic factors have a close relationship with mortality. Health factors which include immunization, attendance of antenatal clinic, place of delivery, assistant at birth for home deliveries and treatment of umbilical cord wound signif icantly affect child survival. Environmental factors particularly type of toilet facility and source of water during wet season and the socio-economic factor, education, also significantly affect child survival. socio-cultural factors which include, age at supplementation, breast-feeding, length of breast-feeding, marital status, type of marriage, and age at first birth on the other hand, did not show any significant effect on child survival. On the basis of these findings, this study recommends that efforts should be made to increase the number of health facilities, coupled with training of medical personnel especially traditional birth attendants and family planning service providers and public education to sensitise people to the need to utilize health services and also importance of personal hygiene. Immunization programmes should also be expanded and more antenatal clinics established with ease of accessibility to the population as the priority.
CitationMasters of Arts Degree in Population Studies
University of NairobiDepartment of Arts Population Studies
This thesis has been submitted in partial fulfillment of the requirement for the Degree of Master of Arts in Population Studies, University of Nairobi