dc.contributor.author | Kihara, A-B | |
dc.contributor.author | Harries, A. D | |
dc.contributor.author | Bissell, K | |
dc.contributor.author | Kizito, W | |
dc.contributor.author | Berg, Van Den | |
dc.contributor.author | Mueke, S | |
dc.contributor.author | Mwangi, A | |
dc.contributor.author | Sitene, J. C | |
dc.contributor.author | Gathara, D. | |
dc.contributor.author | Kosgei, R J | |
dc.contributor.author | Kiarie, J | |
dc.contributor.author | Gichangi, P | |
dc.date.accessioned | 2015-04-07T07:10:58Z | |
dc.date.available | 2015-04-07T07:10:58Z | |
dc.date.issued | 2015 | |
dc.identifier.citation | Kihara, A. B., et al. "Antenatal care and pregnancy outcomes in a safe motherhood health voucher system in rural Kenya, 2007–2013." Public Health Action 5.1 (2015): 23-29. | en_US |
dc.identifier.uri | http://www.ingentaconnect.com/content/iuatld/pha/2015/00000005/00000001/art00005 | |
dc.identifier.uri | http://hdl.handle.net/11295/81902 | |
dc.description.abstract | Setting: A rural private health facility, Ruby Medical Centre (RMC), participating in a safe motherhood health voucher system for poor women in Kiambu County, Kenya.
Objectives: Between 2007 and 2013, to determine 1) the number of women who delivered at the RMC, their characteristics and pregnancy-related outcomes, and 2) the number of women who received an incomplete antenatal care (ANC) package and associated factors.
Design: Retrospective cross-sectional study using routine programme data.
Results: During the study period, 2635 women delivered at the RMC: 50% were aged 16–24 years, 60% transferred in from other facilities and 59% started ANC in the third trimester of pregnancy. Of the 2635 women, 1793 (68%) received an incomplete ANC package: 347 (13%) missed essential blood tests, 312 (12%) missed the tetanus toxoid immunisation and 1672 (65%) had fewer than four visits. Presenting late and starting ANC elsewhere were associated with an incomplete package. One pregnancy-related mortality occurred; the stillbirth rate was 10 per 1000 births.
Conclusion: This first assessment of the health voucher system in rural Kenya showed problems in ANC quality. Despite favourable pregnancy-related outcomes, increased efforts should be made to ensure earlier presentation of pregnant women, comprehensive ANC, and more consistent and accurate monitoring of reproductive indicators and interventions. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.subject | SORT IT; complete ANC package; operational research; output-based aid | en_US |
dc.title | Antenatal care and pregnancy outcomes in a safe motherhood health voucher system in rural Kenya, 2007–2013 | en_US |
dc.type | Article | en_US |
dc.type.material | en | en_US |