UTILIZATION OF PRECONCEPTION CARE SERVICES AMONG COUPLES IN BUNGOMA COUNTY, KENYA

Authors

  • Audrey Nasenya Mukhalisi Department of Population, Reproductive Health, and Community Resource Management Kenyatta University
  • Dr. Rosebella Iseme Department of Population, Reproductive Health, and Community Resource Management Kenyatta University
  • Dr. Bonface Musila Department of Obstetrics and Gynecology Kenyatta University

DOI:

https://doi.org/10.47604/jhmn.1478

Keywords:

Utilization, Preconception Care Services , Couples

Abstract

Purpose: The broad objective of the study was to assess the utilization of preconception care services among couples (18-49 years) in Kanduyi Sub-County, Bungoma County, Kenya.

Methodology: The study used a descriptive cross-sectional study design. Both qualitative and quantitative methodologies were employed. A pre-test study was carried out in one randomly selected ward in Webuye East sub-county. Four wards in Kanduyi Sub-County were purposively selected for the study, using the Lottery random sampling method. The study participants were sampled proportionately from each ward. Data collection instruments, used by the researcher were a semi-structured, interviewer-administered questionnaire and focused group discussions. The Statistical Package for Social Sciences, version 22 was used for the descriptive analysis of the quantitative data. The quantitative results were presented using bar graphs, tables, and pie charts.

Results: The findings from this study have; first helped to depict a low-level of knowledge on preconception care services among couples, whereby only 41% (159) of the couples had adequate knowledge on preconception care while the rest 59% (230) had inadequate knowledge. Secondly, the utilization of preconception care services among the couples in Kanduyi sub-county in Bungoma County is very low, especially on some services. For instance, the majority 65% (251) of the couples were not screened for any medical condition and a significant proportion 61% (238) were not in any family planning program prior to conception. The socio-demographic factors that were noted to influence the utilization of preconception care services among couples include; level of education (p=0.029), age (p=0.042), occupation (p=0.030), place of residence (p=0.002) and gravidity (p=0.001).  In contrast, the sociocultural factors were partners' support (65%), traditional beliefs (81%), and church attendance (85%).

Unique contribution to theory, practice and policy: The Study recommends that the ministry of health and Bungoma County government should scale up education and empowerment initiatives and programs targeting the men, with the overall aim of enhancing the utilization of preconception care services by the couples. The ministry of health should integrate the various preconception health care services in all the existing reproductive health care facilities to facilitate ease of access to health care services. The ministry of health, faith-based organizations, as well as the non-governmental organizations, should develop initiatives to empower and train the couples, especially the men, on the value of preconception care services despite the prevailing traditional and cultural beliefs

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References

Andersen, R. M., Davidson, P. L., & Baumeister, S. E. (2014). Improving access to care. Changing the US health care system: key issues in health services policy and management. San Francisco: Jossey-Bass, 36(3), 33-69.

Awosan, K. J., & Hassan, M. (2018). Perception and utilization of tetanus toxoid immunization among pregnant women attending a tertiary center in North-West, Nigeria. Journal of Drug Delivery and Therapeutics, 8(6), 119-124.

Collins. L.C. (2016). Knowledge, attitudes, and beliefs about Preconception care among American adolescent females.

Darroch, J.E., Ashford, L.S., Woog, V., & Bankole, A., (2016) Costs and benefits of meeting contraceptive needs of adolescents. Guttmacher Institute.

Gitaka, J., Abuya, T., Mwambeo, H, M., Githanga, D., Gatungu, D M., & Natecho, A. (2018). Evaluating quality neonatal care, call Centre service, tele-health and community engagement in reducing newborn morbidity and mortality in Bungoma county, Kenya. BMC health services research, 18(1), 1-9.

Imam, A. M., Lassi, Z. S., Dean, S. V., & Bhutta, Z. A. (2014). Preconception care: screening and management of chronic disease and promoting psychological health. Reproductive Health, 11(3), 1-20.

Lassi, Z. S., Kedzior, S. G., Das, J. K., & Bhutta, Z. A. (2019). PROTOCOL: Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low"and middle" income countries: A systematic review. Immunology, 15(1-2).

World Health Organization. (2013). Country cooperation strategy for WHO and Saudi Arabia 2012-2016 (No. WHO-EM/PME/003/E). World Health Organization. Regional Office for the Eastern Mediterranean.

World Health Organization. (2014). Nutrition-sensitive interventions and programs. The Lancet, 382(9891), 536-551.

World Health Organization. (2018). Vaccination Coverage Cluster Surveys: reference manual (No.WHO/IVB/18.09). World Health Organization.

World Health Organization. (2019). Protecting All Against Tetanus: a guide to sustaining maternal and neonatal tetanus elimination (MNTE) and broadening tetanus protection for all populations.

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Published

2022-03-04

How to Cite

Mukhalisi, A. ., Iseme, R., & Musila, B. (2022). UTILIZATION OF PRECONCEPTION CARE SERVICES AMONG COUPLES IN BUNGOMA COUNTY, KENYA. Journal of Health, Medicine and Nursing, 8(1), 1 – 26. https://doi.org/10.47604/jhmn.1478

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