dc.contributor.author | Nyangwaria, Everlyn R | |
dc.date.accessioned | 2013-05-23T13:19:16Z | |
dc.date.available | 2013-05-23T13:19:16Z | |
dc.date.issued | 2006 | |
dc.identifier.citation | M.Med (Midwifery) Thesis | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24941 | |
dc.description | Master of Science in Nursing | en |
dc.description.abstract | ABSTRACT
To establish the perspectives in women's reproductive health decision
making among mothers delivered in Kenyatta National Hospital and Pumwani Maternity
Hospital.The study adopted a descriptive cross sectional research design.
Three hundred and eighty four women presenting to the study facilities for delivery were
recruited. Mothers who had delivered were interviewed using a semi-structured
questionnaire that collected information on socio-demographic and cultural
characteristics, women's role in reproductive health decision making including
prevention of HIV/AIDS transmission, health care factors influencing women's
reproductive health decision making, and perception ofmen's role in women's
reproductive health decision making.
Systematic random sampling was used to select the study subjects. There being 20
deliveries in KNH and 60 deliveries in Pumwani per day, a ratio of 1:3 were obtained.
The sample for KNH was 96 mothers while that of Pumwani maternity hospital were
288. On the first day, all mothers who had been admitted were serialized using the
admission book and their numbers subjected to the table of random numbers to select the
first subject. Thereafter, every fourth consenting mother was administered to a
questionnaire till the required sample size was achieved.
Three focus group discussions were conducted one in KNH and two in Pumwani
maternity hospital to stimulate richer responses thus obtaining in-depth information. Data
obtained was processed and analyzed using SPSS. Chi-square was used to test the results
at 0.05 level of significance.
the study revealed that age, marital status, level of education and
employment status plays a major role in women reproductive health decision making.
Some cultural factors found to influence decision making include polygamy, FGM, wife
inheritance, sex of baby (preference for boys) and dowry. Female circumcision is a
practice that is done forcefully. Some women were in agreement with wife inheritance
because some widows do not have any source of income and the only way for her to earn
a living is through inheritance. Decision on sexual practice was influenced by many
factors. There was significant statistical association between age, marital status, and level
of education, income range and planning of pregnancy. Some women initiate sexual
intercourse at an early age. Women do not have a chance to choose a marriage partner
due to financial constraints. The choice of hospital for delivery depends on services
offered and financial capability. Decision on family size is done by the man on many
occasions even though some women left decision to super power. Family planning
utilization is still low among women. Health services entail service provision and
educating women thus influencing their reproductive health decision making. Male
partners were found to have a negative influence even though some men were already
participating positively in women reproductive health decision making. Women were
found not to be able to make decisions on mYI AIDS preventive measures.
There is evidence that women are
increasingly making decisions influencing their reproductive health, though much needs
to be done to empower them. There is need for policies favoring women to be put in
place and the government needs to put more effort in educating women on their rights | en |
dc.description.sponsorship | University of Nairobi | en |
dc.language.iso | en | en |
dc.title | Perspectives in women reproductive health decision making among mothers delivered in Kenyatta National Hospital and Pumwani Maternity Hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Medicine, University of Nairobi | en |