Determinants of Utilization of Postnatal Services among Postnatal Women in Selected Hospitals in Kakamega County
Abstract
Postnatal care is the care provided to the mother
immediately after delivery of baby and placenta. The care is
spread across a minimum of four postnatal visits packaged as
focused postnatal care. During this period the health worker
takes the opportunity to provide essential services geared
towards offering promotive, preventive and curative services to
both mother and baby. Approximately 800 mothers die daily
globally due to pregnant related causes, some are direct and
others are indirect causes. This translates to about 600, 000
maternal deaths annually in the global arena.
Objective: We set to carry out a research to establish
determinants of utilization of postnatal services among postnatal
mothers in Kakamega County.
Study design: This was a descriptive cross-section study involving
215 participants recruited from three sub-county hospitals.
Sampling technique: We used a simple random sampling
followed by systematic sampling to select study subjects who
were consented. Data was collected using a questionnaire and
entered into a data base and analyzed using SPSS version 21.
Results: Variables that were significantly associated with
utilization of services included: occupation, health facility, time
taken to hospital, number of antenatal clinic attendance and
number of postnatal clinic attendance. There was a significant
association of services offered and utilization (p<0.05). We
concluded that majority of participants utilized postnatal
services with the number of ANC, PNC and occupation were
significantly associated with utilization of postnatal services. The
uptake of cancer of cervix screening was low compared to other
services and therefore the study recommends the county
government of Kakamega to introduce strategies that may
accelerate the uptake of this service.
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