Date of Award

11-2023

Degree Type

Thesis

Degree Name

Master of Science in Advanced Practice Midwifery (MSc-APM)

First Advisor

Dr Maureen Akolo

Second Advisor

Mrs. Mary Namuguzi

Third Advisor

Prof. Eunice Ndirangu

Department

School of Nursing and Midwifery, East Africa

Abstract

Owing to low (51.2%) hospital deliveries at Kajiado County, the study investigated, determinants of hospital deliveries among Masai women at Saikeri,village Kajiado County. Hospital deliveries are an indicator of improved outcomes of maternal and neonatal health. Maternal mortality is a worldwide public health problem, which reports over 300,000 maternal deaths annually, with about 810 deaths occurring daily. About 94% of global maternal deaths occur in developing countries, with Sub- Saharan Africa reporting 56% of the total global maternal deaths. Kenya reported 362 maternal deaths per 100,000 live births. Approval was sort from DRC, ISERC,NACOSTI,MoH and MoE. Descriptive cross-sectional study method, using quantitative approach was used. Purposive and simple random sampling of households with women who had given birth in the last five years prior to the study was done. Data was collected using self-administered questionnaires and analysis was done using descriptive statistics, Chi square and logistic regression. The study results were, respondents’ level of education (OR 1.072 at 95% CI, .549-2.093), husbands’ level of education (OR1.289 at 95% CI, .706-2.355), type of marriage (OR 1.522 at 95% CI .578-4.005), husbands’ occupation (OR .918 at 95 CI.651-1.296 and birthplace for the next baby (OR 15.643 at 95 % CI.5.023-48.714). The study concluded that, main determinants of hospital deliveries were the respondent’s level of education, husbands’ level of education, type of marriage, husbands’ occupation, the birth-place decision maker, preference of female maternity care providers. and the preferred birthplace for the next baby. Study limitations were respondents' absence from their homes, far apart homes, poor road networks and language barrier. Recommendations for promoting education, addressing cultural practices, promoting autonomy for women's decision making and health education promotion were made. Barriers to hospital deliveries were unfamiliar birthing positions, women's lack of autonomy in decision making and preference for female maternity care providers. Motivators were free maternity services in public hospitals.

First Page

1

Last Page

131

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