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Volume 3
Journal of Nursing Research and Practice
Nursing & Pediatrics 2019
February 25-26, 2019
February 25-26, 2019 | London, UK
5
th
World Congress on
Neonatology and Pediatrics
World Congress on
Nursing Research and Evidence Based Practice
&
Uptake of skilled attendance along the continuum of care in rural Western Kenya: Selected analysis from
Global Health Initiative Survey-2012
Winfred Mwangi
Global health (IHCAR), Sweden
Background:
Examining skilled attendance throughout pregnancy, delivery and immediate postnatal period is proxy indicator on
the progress towards reduction of maternal and neonatal mortality in developing countries.
Methods:
We conducted a cross-sectional baseline survey of households of mothers with at least 1 child under- 5 years in 2012
within the KEMRI/CDC health and demographic surveillance system (HDSS) area in rural western Kenya.
Results:
Out of 8260 mother-child pairs, data on antenatal care (ANC) in the most recent pregnancy was obtained for 89% (n =
8260); 97% (n = 7387) reported attendance. Data on number of ANC visits was available for 89% (n = 7140); 52% (n = 6335) of
mothers reported ≥4 ANC visits. Data on gestation month at first ANC was available for 94% (n = 7140) of mothers; 14% (n = 6690)
reported first visit was in 1
st
trimester (0-12 weeks), 73% in 2nd trimester (14-28 weeks) and remaining 13% in third trimester. Forty
nine percent (n = 8259) of mothers delivered in a Health Facility (HF), 48% at home and 3% end route to HF. Forty percent (n = 7140)
and 63% (n = 4028) of mothers reportingANC attendance and HF delivery respectively also reported receiving postnatal care (PNC).
About 36% (n = 8259) of mothers reported new born assessment (NBA). Sixty eight percent (n = 3966) of mothers that delivered at
home reported taking new born for HF check-up, with only 5% (n = 2693) doing so within 48 h of delivery. Being ≤34 years (OR 1.8;
95% CI 1.4-2.4) and at least primary education (OR 5.3; 95% CI 1.8-15.3) were significantly associated withANC attendance. Being
≤34 years (OR 1.7;95% CI 1.5-2.0), post-secondary vs primary education (OR 10; 95% CI 4.4-23.4), ANC attendance (OR 4.5; 95%
CI 3.2-6.1), completing ≥4 ANC visits (OR 2.0; 95% CI 1.8-2.2), were strongly associated with HF delivery. The continuum of care
was such that 97% (n = 7387) mothers reported ANC attendance, 49% reported both ANC and HF delivery attendance, 34% reported
ANC, HF delivery and PNC attendance and only 18% reported ANC, HF delivery, PNC and NBA attendance.
Conclusion:
Uptake of services drastically declined from antenatal to postnatal period, along the continuum of care. Age and
education were key determinants of uptake.
drwinfred.mwangi@gmail.comJ Nursing Research and Practice
Volume 3