Determinants of successful maternal-child health care programmes implementation in Kilifi county, Kenya
Antenatal care (ANC) is the health care service provided to a pregnant woman during the course of pregnancy at the antenatal clinic. The aim of ANC is to minimize complications to the mother and her unborn baby. In Kenya, the demographic health survey of 2008/09 indicates a high maternal mortality ratio (MMR), attributed to the high proportion of home deliveries of 56%. The study’s purpose was to examine the determinants of successful maternal-child health care programmes implementation in Kilifi County, Kenya. The objectives were : To examine if availability of financial resources has an influence on implementation of maternal-child healthcare programmes;to establish the extent to which availability of technology influences the implementation of maternal-child healthcare programmes; to examine the influence of health infrastructure facilities on implementation of maternal-child healthcare programmes and lastly to examine how the level of education of mothers influences the implementation of maternal-child healthcare programmes. The population target in this study was top hospital managers in MCH programs and mid-wives in the 12 Hospitals, 4 Sub County Hospital, 24 Health Centers, and all the medical attendants in the 77 Dispensaries. The sample size for this study was 53 respondents. Data collection was by use of researcher administered questionnaire. Data was descriptive analysis using Statistical Package for Social Scientists (SPSS) version. Presentation is by use of frequency tables and narrative text. It was deduced from the research findings; that financial resources, IT and health infrastructure have a great influence in the implementation of MCH programmes in Kilifi County. More so 92 % of the respondents supported the idea that education levels of the mothers have a significant influence in the implementation of MCH programmes. The study recommended that the relevant bodies supporting healthcare in the county should increase funding to the MCH sector so that better buildings, expertise, technology and many more can be acquired and finally improve the success rate of MCH programmes. The government should highly invest in modern telephony, computers, and scanners. Finally, the researcher recommended that education should be availed to the mothers more specifically to the illiterate ones like the majority uneducated mothers in Kilifi through barazas and other adult education methods. Ethical approval was sought at University of Nairobi and department of Health, Kilifi county health research coordination team and informed consent from the participants.