Factors Influencing Delivery of Maternal Healthcare Services in Public Healthcare Facilities in Nairobi County, Kenya: a Case of Kenyatta National Hospital.
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Date
2016Author
Muema, Caroline M
Type
ThesisLanguage
en_USMetadata
Show full item recordAbstract
According to World Health Organization (WHO) more than 585,000 women of reproductive
age (15-49 years) die each year from pregnancy related causes worldwide whereby 99 per
cent of these deaths occur in third world countries. There is a movement globally and
particularly in African regions to reduce maternal mortality rates through escalation of
maternal healthcare interventions. The focus of this study is on factors influencing delivery of
maternal healthcare services in public healthcare facilities in Nairobi County, Kenya with
emphasis on several objectives which include; to determine the patients’ background factors
influencing delivery of maternal healthcare services in public healthcare facilities, to establish
the healthcare facilities factors influencing delivery of maternal healthcare services in public
healthcare facilities, to examine the influence of medical devices in delivery of maternal
healthcare services in public healthcare facilities and to determine the influence of staffing in
delivery of maternal healthcare services in public healthcare facilities. The study was linked
to realism theory. The target population was drawn from KNH Maternity wing which include
340 mothers, 30 nurses, 10 doctors and 15 biomedical engineers. The main data collection
tools used for this particular study include: questionnaires and in-depth interviews. The
sample size was achieved using the Krejcie and Morgan, 1970 table from the target
population and a cross sectional descriptive research design was used. Validity of the
research instruments was determined by construct of the instruments while reliability of the
research instruments was determined through internal consistency method. Responses from
open ended questions in the questionnaire and in depth interviews was categorized based on
emerging themes which was used to supplement quantitative data and conclusion of the
study. The data collected was analysed using qualitative and quantitative methods while
SPSS was used for analysis of such data. Results of the quantitative data were presented
through tables. The study revealed that based on healthcare workers perspective, patients’
background factors especially cost influences delivery of maternal healthcare services in the
hospital. Both healthcare workers and mothers did not see travel time and cultural beliefs as
influencing delivery of maternal healthcare services in the hospital. The study also
established that in healthcare workers’ view, public healthcare facility factors especially
hospital management and financial resources influence delivery of maternal healthcare
services in the hospital. The mothers also viewed public healthcare facility factors as an
influencing factor to delivery of maternal healthcare services especially because hospital
management influences how maternal healthcare services are delivered to mothers in the
hospital. However, mothers did not see availability of maternal healthcare information to
mothers in the hospital and financial resources’ availability as influencing delivery of
maternal healthcare services. The findings of this study have shown that based on healthcare
workers perspective, maternal healthcare devices factors have a direct relationship to delivery
of maternal healthcare services. Mothers were in agreement with the healthcare workers on
the importance of maternal healthcare devices in maternal healthcare services delivery and
emphasized on availability of these devices in hospitals. Staffing factors according to both
healthcare workers and mothers play an important role on delivery of maternal healthcare
services delivery. The healthcare workers and mother emphasized the importance of good or
respectful relationship between mothers and healthcare providers in the hospital and
opportunities for career advancement for the staff.
Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Education (FEd) [5964]
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