Second Delay Factors Influencing Perinatal Mortality among Mothers in Lurambi and Butere Sub-Counties, Kakamega County, Kenya
DOI:
https://doi.org/10.47604/jhmn.2020Keywords:
Second Delay, Emergency Care, Newborn Care, Perinatal Mortality, Kakamega CountyAbstract
Purpose: To examine the association between maternal delay in reaching appropriate health facility and perinatal mortality in Lurambi and Butere sub-counties, Kakamega Kenya
Methodology: A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total of 520 respondents were randomly selected from 40 out 830 villages of Lurambi and Butere sub-counties using multistage cluster sampling. The respondents were interviewed from November 2017 to March 2018. 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 adjusted odds ratio was used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistically significant.
Findings: Mothers who were aware of the appropriate health facility were 90% less likely to experience perinatal deaths (AOR: 0.1; 95% CI: 0.1 - 0.4; p< 0.0001), mothers who visited appropriate health facility were 80% less likely to experience perinatal deaths (AOR=0.2; 95%CI: 0.1-0.6; p=0.002).
Unique Contribution to Theory, Practice, and Policy: Unique finding is that proximity to a health facility alone is not critical but proximity to the appropriate health facility that will be able to provide the needed maternal and newborn care is very important in reduction of perinatal mortality. In addition, interventions aimed at creating awareness on the appropriate facility to visit during maternal and newborn complication is critical to ensure perinatal survival.
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References
Akombi BJ and Renzaho A.M., (2019). Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys. Annals of Global Health.
Ayele, Chojenta, Abdulbasit, & Loxton, (2018). Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review. https://doi.org/10.1186/s13643-018-0842-2
Ayele E., Melku AT, Belda SS. (2019). Utilization of skilled birth attendant at birth and associated factors among women who gave birth in the last 24 months preceding the survey in Gura Dhamole Woreda, Bale zone, southeast Ethiopia. BMC Public Health
Black RE, Levin C, Walker N, Chou D, Liu L, & Temmerman M., (2016). Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities, Third Edition (Volume 2). The World Bank; Washington (DC) .
Black RE, Taylor CE, Arole S, Bang A, Bhutta ZA, Chowdhury AMR, et al., (2017). Comprehensive review of the evidence regarding the effectiveness of community-based primary health care in improving maternal, neonatal and child health: 8. Summary and recommendations of the expert panel. Glob Health journal.
Blencowe, H., Cousens, S., Bianchi, J.F., Say, L., Chou, D. & Mathers, C. (2016). National, regional, and worldwide estimates of stillbirth rates in 2015 with trendsince 1995: a systematic analysis. Lancet Global Health.
Carvalho O., Junior A., Augusto M., Leite Ã., Nobre R., Bessa O., de Castro E., Lopes F. & Carvalho F., (2020). Delays in obstetric care increase the risk of neonatal near-miss morbidity events and death: a case-control study. BMC Pregnancy Childbirth.
District Health Information System (2016). https://www.dhis2.org/inaction
Geleto, A., Chojenta, C., Musa, A., & Loxton, D. (2018). Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review of literature. Systems.
doi: 10.1186/s13643-018-0842-2
Health Newborn Network, (2012). Newborn Services Rapid Health Facility Assessment tool pdf. www.healthynewbornnetwork.org
Hutchinson, K. (2016). Identifying behavioral, demographic, and clinical risk factors for delayed access to emergency obstetrical care in preeclamptic women in Port au Prince, Haiti. Boston University Theses & Dissertations.
Karra M, Fink G, Canning D. (2017). Facility distance and child mortality: a multicountry study of health facility access, service utilization, and child health outcomes. International Epidemiology Journal
Kenya Demographic Health Survey, (2014). Kenya National Bureau of Statistics (KNBS) and ICF Macro.
Kumsa A, Tura G, Nigusse A, &Kebede G. (2016). Satisfaction with emergency Obstetric and new born care services among clients using public health facilities in Jimma zone, Oromia regional state. Ethiopia; a cross sectional study. BMC Pregnancy & Childbirth.
Maswanya, E., Muganyizi, P., Kilima, S., Mogella, D., & Massaga, J. (2018). Practice of emergency obstetric care signal functions and reasons for non-provision among health centers and hospitals in Lake and Western zones of Tanzania. BMC health services.
Mengesha S. & Dangisso M.H. (2020). Burden of stillbirths and associated factors in Yirgalem Hospital, Southern Ethiopia: A facility based cross-sectional study. BMC Pregnancy and Childbirth.
Mgawadere F, Unkels R, Kazembe A, &van den Broek N. (2017). Factors associated with maternal mortality in Malawi: application of the three delays model. BMC Pregnancy Childbirth.
Monk A, Harris K, Donnolley N, Hilder L, Humphrey M, Gordon A & Chambers GM. (2016). Perinatal deaths in Australia, 1993-2012. Perinatal deaths series no. 1. Cat. no. PER 86. Canberra: AIHW.
http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129557267
Ministry of Health, Kenya (2016). Kenya Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) Investment Framework. Nairobi, Kenya.
Moinuddin M, Christou A, Hoque D, Tahsina T, Salam S, & Billah S., Kuppens L, Matin M, Arifeen S., (2017). Birth preparedness and complication readiness (BPCR) among pregnant women in hard-to-reach areas in Bangladesh.
doi: 10.1371/journal.pone.0189365.
Musafili, A., Persson, L., Baribwira, C., PÃ¥fs, J., Mulindwa, P., &Essn, B. (2017). Case review of perinatal deaths at hospitals in Kigali, Rwanda: perinatal audit with application of a three-delays analysis. BMC Pregnancy and Childbirth
Niyitegeka, J., Nshimirimana, G., Silverstein, A., Odhiambo, J., Lin Y., & Nkurunziza, T, (2017). Longer travel time to district hospital worsened neonatal outcomes: a retrospective cross-sectional study of the effect of delays in receiving emergency cesarean section in Rwanda. BMC Pregnancy Childbirth Journal.
Onono MA, Wahome S., Wekesa P., Adhu CK., Waguma LW., Serem T., et al., (2018). Effects of an expanded Uber-like transport system on access to and use of maternal and newborn health services: findings of a prospective cohort study in Homa Bay, Kenya. BMJ Global Health
Suresh, K., & Chandrashekara, S. (2012). Sample size estimation and power analysis for clinical research studies. Journal of Human Reproductive Sciences, http://doi.org/10.4103/0974-1208.97779
Thaddeus, S. & Maine, D. (1994) Too Far to Walk: Maternal Mortality in Context. Social Science & Medicine journal
United Nations Children's Fund, (2015). Committing to Child Survival: A Promise Renewed progress report. Unicef, New York:
United Nations Children's Fund (2015). Levels and trends in child mortality: Report 2015, Estimates Developed by the UN Interagency Group for Child Mortality Estimation. New York:
United Nations (2015). Levels and Trends in Child Mortality Report. The Inter- Agency Group for Child Mortality Estimation. New York, USA.
Van Duinen, A. J., Adde, H. A., Fredin, O., Holmer, H., Hagander, L., Koroma, A. P., Koroma, M. M., Leat Onono MA, Wahome S, Wekesa P, et al., (2020). Effects of an expanded Uber-like transport system on access to and use of maternal and newborn health services: findings of a prospective cohort study in Homa Bay, Kenya. BMJ Global Health
Van Duinen, A. J., Adde, H. A., Fredin, O., Holmer, H., Hagander, L., Koroma, A. P., Koroma, M. M., Leather, A. J. M., Wibe, A., & Bolkan, H. A. (2020). Travel time and perinatal mortality after emergency caesarean sections: An evaluation of the 2-hour proximity indicator in Sierra Leone. BMJ Global Health
World Health Organization. (2018). Global reference list of 100 core health indicators. Geneva,Switzerland: https://www.who.int/healthinfo/indicators/2018/en/).
World Health Organization (2020) ¬. Progress report: reaching every newborn national 2020 milestones. Geneva: Switzerland
You, D., Hug, L., Ejdemyr, S., Beise, J. & Idele, P. (2015). Levels & Trends in Child Mortality Report. United Nations Children's Fund. New York, USA.
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Copyright (c) 2023 Catherine Mutonyi Simiyu, Mary Kipmerewo , John Arudo
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