CULTURAL COMPETENCE OF HEALTH CARE WORKERS ON MATERNAL HEALTH CARE SERVICE UTILIZATION AMONG MOTHERS OF MOUNT ELGON CONSTITUENCY BUNGOMA, KENYA
DOI:
https://doi.org/10.47604/jhmn.1346Keywords:
Mt. Elgon, Health services utilization, Mother, cultural competenceAbstract
Purpose: To determine cultural competence of health care workers on maternal health care service utilization among mothers of Mt. Elgon Constituency in Bungoma County.
Methodology: A descriptive-analytical cross-sectional study design was adopted using mixed methods for data collection. Cultural competence tool was used to assess health care workers cultural competence. Qualitative data was collected using key informant interviews (KII) and focus group discussion (FGD). Data entry and analysis was done using SPSS Version 25 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and odds ratio used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistical significance threshold.
Findings: Unemployment (OR: 0.6; 95% CI: 0.4 - 0.9; p = 0.02); lack of mobile clinic (OR: 0.7; 95% CI: 0.4 - 1.0; p = 0.06 ); use of interpreter (OR: 0.2; 95% CI: 0.01 - 0.81; p = 0.02); service provided in public facilities (OR: 0.5; 95% CI: 0.3 - 0.8; p = 0.004); being too busy (OR: 0.5; 95% CI: 0.3 - 0.9; p = 0.02); consulting health care workers (OR: 0.5; 95% CI: 0.2 - 0.9; p = 0.03); not consulting elders (OR: 0.7; 95% CI: 0.4 - 1.0; p = 0.08) and culturally incompetent ( 100%) were significantly associated with utilization of maternal and child health services. The determinants of maternal health care service utilization in Mt. Elgon Sub-County are women who are employed (OR: 2.8; 95% CI: 1.1 - 7.3; p=0.03) and cultural incompetence of health care workers (100%).
A unique contribution to theory, practice, and policy: The study findings have identified cultural competence gaps among health care workers which need to be addressed by policy makers to increase utilization in the study area and other similar environment
Downloads
References
Achia, T. N., & Mageto, L. E. (2015). Individual and contextual determinants of adequate maternal health care services in Kenya. WOMEN /& HEALTH, 55, 203-226.
Assemi, M., Cullander, C., & Hudmon, k. s. (2004). Implementation and evaluation of cultural competency training for pharmacy students. Annals of Pharmacotherapy, 38, 781-786.
Aragaw, A., Yigzaw, T., & Tetemke, D. (2015). Cultural Competence among Maternal Healthcare Providers in Bahir Dar City Administration, Northwest Ethiopia: Cross sectional Study. BMC pregnancy and childbirth, 15, 227.
Buor, D., & Bream, K. (2004). An analysis of the determinants of maternal mortality in sub-Saharan Africa. Journal of Women's Health, 13(8), 926-938.
Bharti, P. K., Shukla, M. M., Ringwald, P., Krishna, S., Singh, P. P., Yadav, A. (2016). Therapeutic efficacy of artemether--lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria from three highly malarious states in India}. Malaria journal, 498
Chelimo, S. N. (2016). Influence Of Peace Building Strategies On Ethnic Cohesion Among Communities In Mount Elgon Sub-County, Kenya.
Cleland, J., Bernstein, S., Ezeh, A., Faundes, A., Glasier, A., & Innis, J. (2015). Family planning: The unfinished agenda. Geneva: World health organization (who), 2006. World Health Organization. WHO. Web, 9.
Coast, E., Eleri, J., & Lattof, S. R. (2016). Effectivenessof interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care:a systematic review. oxford.
Emelumadu, O. A., Emelumadu, O., Ukegbu, A., Ezeama, N., Kanu, O., Ifeadike, C., & Onyeonoro, U. (2014). Socio-demographic determinants of maternal health-care service utilization among rural women in Anambra State, southeast Nigeria. Annals of medical and health sciences research, 4, 374--382.
Furuta, M., & Salway, S. (2006). Women's position within the household as a determinant of maternal health care use in Nepal. International family planning perspectives, 17-27.
Islam, A. Z., Mondal, M. N., Islam, Khatun, M. L., Rahman, M. M., Islam, M. R., & Hoque, M. N. (2015). Prevalence and determinants of contraceptive use among employed and unemployed women in Bangladesh. International Journal of MCH and AIDS, 5, 92.
Kanya, l. A. (2015). Estimating willingness to pay for maternal health services: The Kenya reproductive health voucher program. Kanya2015estimating.
Kassile, T., Lokina, R., Mujinja, P., & Mmbando, B. P. (2014). Determinants of delay in care-seeking among children under five with fever in Dodoma region, central Tanzania: a cross-sectional study. Malaria journal, 13, 348.
Kaufert, J. M., & Putsch, R. W. (2006). Communication through Interpreters in Healthcare: Ethical Dilemmas Arising from Differences in Class, Culture, Language, and Power. clinical ethics, 8.
KDHS. (2014). Kenya National Bureau of Statistics. Retrieved from https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=KDHS+2014
Kinney, M. V., Kerber, K. J., Black, R. E., Cohen, B., Francis, & COOvadia, H. (2010). Sub-Saharan Africa's mothers, newborns, and children: where and why do they die? medicine, 7, e1000294.
Kish, L., & Frankel, M. R. (1974). Inference from complex samples. Journal of the Royal Statistical Society. Series B (Methodological), 1--37.
Lama, S., & Krishna, A. (2014). Barriers to the utilization of maternal health care services: Perceptions of rural women in Eastern Nepal. Kathmandu Univ Med J, 48, 253--58.
Mahapatro, S. R. (2012). Utilization of maternal and child health care services in India: Does women s autonomy matter?
Mason, J. L. (1995). Cultural Competence Self-Assessment Questionnaire: A Manual for Users. Mason, James L.
Ngari, W. E. (2010). Ethnomedicine of Ogiek of River Njoro watershed, Nakuru, Kenya. Ethnobotany Research and Applications, 135--152.
Pandey, V. C., Pandey, D. N., & Singh, N. (2015). Sustainable phytoremediation based on naturally colonizing and economically valuable plants. Journal of Cleaner Production, 86, 37--39.
Saad-Haddad, G., DeJong, J., Terreri, N., Restrepo-Mndez, M. C., Perin, J., Vaz, L., & Bryce, J. (2016). Patterns and determinants of antenatal care utilization: analysis of national survey data in seven countdown countries. Journal of global health, 6(1).
Sakeah, E.A., Sakeah, E., Doctor, H. V., McCloskey, L., Bernstein, J., Yeboah-Antwi, K., & Mills, S. (2014). Using community-based health planning and services program to promote skilled delivery in rural Ghana: socio-demographic factors that influence women utilization of skilled attendants at birth in Northern Ghana. BMC Public Health, 14, 344.
Schyve, P. M. (2007). Language differences as a barrier to quality and safety in health care: the Joint Commission perspective. Journal of general internal medicine, 360-361.
Tadesse, B., Mulat, A., & Gashaw, A. (2014). Previous early antenatal service utilization improves timely booking: a cross-sectional study at university of Gondar hospital, northwest Ethiopia. Journal of pregnancy, 2014.
Tarekegn, S. M., Lieberman, L. S., & Giedraitis, V. (2014). Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian Demographic and Health Survey. BMC pregnancy and childbirth, 14(1), 161.
Tey, N. (2013). Correlates of and barriers to the utilization of health services for delivery in South Asia and Sub-Saharan Africa. The Scientific World Journal, 2013.
UNFPA, WHO, & UNICEF (2010). The World Bank: Trends in maternal mortality: 1990 to 2010. Geneva: World Health Organization, 13. Retrieved from https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=UNFPA+2010&btnG=
Vilder, M., Ramadurg, U., Katageri, U., Charantimath, U., Karadiguddi, & Sawchuck. (2016). Utilization of maternal health care services and their determinants in Karnataka State, India.
Wachira, B., & Martin, I. B. (2011). The state of emergency care in the Republic of Kenya. African Journal of Emergency Medicine, 1(4), 160-165
World Health Organization. (2018). Antimicrobial resistance and primary health care: a brief (No. WHO/HIS/SDS/2018.57). World Health Organization.
World Health Organisation. (2017). The Partnership for Maternal, Newborn & Child Health 2016 annual report: coming of age in a time of transition. Retrieved from https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=WHO+20
World Health Organisation. (2015). Trends in maternal mortality: 1990-2015: estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division.
World Health Organisation. (2012). Fecha de consulta(World malaria report 2012. Geneva: WHO; 2012), 23, 247.
Yerramilli, S., & Fonseca, D. G. (2014). Assessing geographical inaccessibility to health care: Using GIS network based methods. Public Health Research, 4, 145--159.
Zelalem, A. D., Belayihun, B., Teji, K., & Admassu, A. D. (2014). Factors affecting utilization of maternal health Care Services in Kombolcha District, eastern Hararghe zone, Oromia regional state, eastern Ethiopia. International scholarly research notices, 2014.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Pascalia Okoiti Kisiangani, John Arudo, Gregory Sakwa, Florence Nekesa Okoit
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
