Birth Plan Utilization and Associated Factors among Post Natal Women Attending Maternal Child Health Services in Moyale Sub County, Kenya

Authors

  • Adan Hassan Mount Kenya University
  • Atei Kerochi Mount Kenya University
  • John Kariuki Mount Kenya University

DOI:

https://doi.org/10.47941/ijhmnp.1804
Abstract views: 40
PDF downloads: 53

Keywords:

Individual Birth Plan, Birth Preparedness, Focused ANC, Moyale

Abstract

Purpose: Maternal and neonatal mortalities continue to pose big public health concern in Kenya despite several interventions. These deaths are partly attributed to three delays; delay by the mother in deciding to seek timely care, delay in arriving at the point of health service delivery and delay in receiving adequate health care once at the health facility. Birth planning is important in addressing these delays. A birth plan serves to promote positive pregnancy outcome. There is however, a paucity of data showing level of birth plan utilization and factors associated to the utilization in many areas of Kenya. This hampers efforts in promoting its utilization in reducing maternal mortality ratio. This study sought to find out extent of utilization of individual birth plan and factors that are associated with it among post-natal women attending Maternal Child Health Services in Moyale Sub County, Kenya.

Methodology: The study was a health care facility based cross sectional study that employed multi stage sampling methods. A total of 548 post-natal women attending Maternal Child health services within Moyale Sub County were interviewed. Data was collected through a structured quantitative questionnaire and FGD guide between May 2021 and July 2021 and analyzed using binomial logistic regression in SPSS version 22. To address confounding, significant variables were put through multinomial regression analysis.

Findings: Overall, 42.3% of interviewed women had used a birth plan. Socio-demographic factors associated with utilization of a birth plan was secondary level of education (OR=1.214(1.1-2.4), p=0.000), Diploma and above level of education (OR=5.7(0.5-62.1), p=0.042). Maternal factors influencing utilization of birth plan included previous complications (OR=2.6(1.3-3.0), p=0.039), four or more ANC visits (OR=2.4(1.28-3.69, p=0.000), trimester of first ANC (OR=1.4(1.3-3.7), p=0.000), PNC visits (OR=2.3(1.4-3.8), p=0.001). Health system related factors influencing utilization included time of more than one hour in reaching health care (OR=0.999(0.9-1.0), p=0.048), availability of staff at health facility (OR=3.6(1.9-3.9), p=0.024). Treating women with respect at health facility (OR=1.049(1.16-6.5), p=0.034) and availability of drugs/supplies at health facility (OR=3.3(2.2-4.5), p=0.000).

Unique Contribution to Theory, Policy and Practice: The study showed that there is need to improve quality of ANC services given in health care facilities. Health care workers in health facilities offering ANC need to initiate timely IBP counselling for pregnant mothers. There is also a need for Community health volunteers under the community health strategy to offer counselling on IBP during routine household visitations. Health care providers and patient interactions also need to improve, health workers need to be trained/sensitized on good customer relations to build patient trust. Further research is also recommended to assess quality of ANC services offered in health facilities in the region. Quality of health education and counselling offered by CHV’s during home visits to pregnant mothers also needs to be examined.

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Author Biographies

Adan Hassan, Mount Kenya University

Department of Public Health

Atei Kerochi, Mount Kenya University

Department of Public Health

John Kariuki, Mount Kenya University

Department of Public Health

References

Ahmadpour, P., Mosavi, S., Mohammad-Alizadeh-Charandabi, S., Jahanfar, S., & Mirghafourvand, M. (2020). Evaluation of the birth plan implementation: A parallel convergent mixed study. Reproductive Health, 17(1), 1-9. https://doi.org/10.1186/s12978-020-00989-6

Barnes, C., Mignacca, E., Mabbott, K., Officer, K., Hauck, Y., & Bradfield, Z. (2023). Using a scheduled caesarean birth plan: A cross-sectional exploration of women’s perspectives. Women and Birth, 36(3), 264-270. https://doi.org/10.1016/j.wombi.2022.09.001

Beraki, G. G., Tesfamariam, E. H., Gebremichael, A., Yohannes, B., Haile, K., Tewelde, S., & Goitom, S. (2020). Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: a cross-sectional study. BMC Pregnancy and Childbirth, 20(1), 1–10. https://doi.org/10.1186/s12884-019-2694-8

Evans Kasmai, K. (2018). Birth Preparedness and Complication Readiness Among Pokot Nomadic Pastoralists’ Pregnant Women in East Pokot District, Midwest- Kenya. American Journal of Biomedical and Life Sciences, 6(1), 17. https://doi.org/10.11648/j.ajbls.20180601.13

Hidalgo-Lopezosa, P., Cubero-Luna, A. M., Jiménez-Ruz, A., Hidalgo-Maestre, M., Rodríguez-Borrego, M. A., & López-Soto, P. J. (2021). Association between birth plan use and maternal and neonatal outcomes in southern Spain: A case-control study. International Journal of Environmental Research and Public Health, 18(2), 1-8. https://doi.org/10.3390/ijerph18020456

Jones, E. L., & Leuthner, S. R. (2020). Interdisciplinary perinatal palliative care coordination, birth planning, and support of the team. Perinatal Palliative Care, 333-355. https://doi.org/10.1007/978-3-030-34751-2_15

Kenya Ministry of Health. (2006). Population Council Population Council Knowledge Commons Knowledge Commons. https://knowledgecommons.popcouncil.org/cgi/viewcontent.cgi?article=1100&context=departments_sbsr-rh

Kenya Health Information system, 2019.

https://hiskenya.org/

Marsabit County Integrated Development plan 2018-2021 https://repository.kippra.or.ke/bitstream/handle/123456789/90/2018-2022%20Marsabit%20County%20CIDP.pdf?sequence=2&isAllowed=y

Ministry of Health. (2017). Nutrition Portal | Human Nutrition and Dietetics Unit, Ministry of Health. http://www.nutritionhealth.or.ke

UNICEF. (2017). Situation Analysis of Children and Women in Kenya. https://www.unicef.org/kenya/media/136/file/SITAN-report-2017-pdf.pdf

Wako, B., Epiu, I., & Otor, S (2021). Maternal factors associated with stillbirth among women in Marsabit County, Kenya. https://doi.org/10.12968/ajmw.2019.0042

Wako. B, & Otor, S. (2019). Socio - Economic Factors Associated with Occurrence of Stillbirths among Women Delivering in Selected Hospitals of Marsabit County. Open Access Journal of Gynecology, 4(3), 1–8. https://doi.org/10.23880/oajg-16000184

World Health Organization. (2022, September 30). Making plans for childbirth when pregnant. World Health Organization (WHO). https://www.who.int/tools/your-life-your-health/life-phase/pregnancy--birth-and-after-childbirth/making-plans-for-childbirth-when-pregnant

Wudineh, K. G., Nigusie, A. A., Gesese, S. S., Tesfu, A. A., & Beyene, F. Y. (2020). Correction to: Postnatal care service utilization and associated factors among women who gave birth in Debretabour town, north west Ethiopia: a community- based cross-sectional study. BMC Pregnancy and Childbirth, 20(1), 1-9. https://doi.org/10.1186/s12884-020-03019-2

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Published

2024-04-16

How to Cite

Hassan, A. ., Kerochi, A. ., & Kariuki, J. . (2024). Birth Plan Utilization and Associated Factors among Post Natal Women Attending Maternal Child Health Services in Moyale Sub County, Kenya. International Journal of Health, Medicine and Nursing Practice, 6(3), 62–76. https://doi.org/10.47941/ijhmnp.1804

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