SATISFACTION LEVELS OF FREE MATERNITY SERVICES AT KABARNET COUNTY HOSPITAL
Keywords:
Maternal mortality rate, Skilled assisted deliveries, Free Maternity ServicesAbstract
Background: Skilled attendance during delivery is known to reduce maternal mortality. However inequitable access to it in developing countries has lead to perpetual poor maternal health statistics. A high maternal mortality rate of 546 was recorded by World Health Organization in 2015 for countries in sub-Saharan Africa. Kenya was among countries with a high maternal mortality at 510. The government of Kenya implemented free maternity services in June 2013 to remove financial obstacles, enhance equity in access of maternity services and improve maternal outcomes during delivery. Its sustenance and quality was however not certain because of longstanding challenges in the health sector. The study sought to determine satisfaction levels of mothers regarding maternity services accorded to them.
Methodology: This was a cross sectional study conducted at Kabarnet County Hospital among women attending maternal child health clinic who had a birth within three years from the time of the study. A sample size of 379 was obtained using Cochran’s formula and systematic random sampling. Data was collected through structured questionnaires and analyzed using SPSS version 20. Chi square tests were done to determine associations between various variables in the study. Results are presented in form of tables, charts and percentage.
Findings: Majority of participants had socio demographic factors which promote skilled assisted deliveries. A good service was the main reason for choosing a place of delivery. Staff competency was noted to be the most satisfactory factor rated at 91.1% while insufficient materials and equipment was the most unsatisfactory by 30.2% cumulatively. Significant differences on the condition of mother and baby depending on delivery assistant was noted with Chi-Square test of 38.7 and 32.4, P value 0.029 and 0.020, respectively
Conclusion: Free maternity services were accessible and satisfactory hence the high proportion of skilled assisted deliveries.
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