Strategic factors influencing maternal healthcare services amongst mothers in Masaba district hospital in Nyamira county Kenya
Postnatal services are available in most of the hospitals in Kenya and mothers expected to go for postnatal services at any hospital of their choice after delivery vary by age, socio-economic backgrounds and educational levels. However, a small number of women turn up for postnatal services. The purpose of the study was to assess the strategic factors influencing maternal healthcare services amongst mothers attending postnatal clinic in Masaba District Hospital, Kenya. The specific objectives were: to assess the factors influencing the utilization of postnatal services among mothers in Masaba district hospital; to explore mothers’ awareness about postnatal services in Masaba district hospital and to determine the challenges facing health care providers in providing postnatal care to mothers in Masaba district hospital. This was a descriptive cross-sectional survey in which 142 post-natal mothers participated. Data was collected by use of questionnaire for the mothers and through Key Informant Interviews for the health care providers and hospital managers. The data was analyzed using frequencies, means and Chi-Square. The findings indicated that care provided to the clients during delivery had significant effect on attending post-natal services as compared to knowledge of post-natal services, equally, distance to the health facilities, occupation and ability to pay the cost of the post-natal services influenced attendance. Poor staff attitude, lack of awareness, lack of adequate supplies and infrastructure were challenges that affect provision and hence utilization of post-natal services in the hospital. Strategic efforts and planning needs to be directed towards provision of adequate, client friendly services in an environment that is both conducive to the health worker and to the client seeking the services.
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