FACTORS INFLUENCING UTILIZATION OF MATERNAL HEALTHCARE SERVICES IN NYANZA, KENYA

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This study set to investigate factors that influence utilization of maternal healthcare
services in Nyanza region.The main objective of the study was to establish factors that
influence utilization of antenatal care, delivery care and postnatal care among women age 15-
49 years in Nyanza region. The study used data drawn from the 2011 Multiple Cluster
Indicator Survey (MICS4). The dependent variables were: antenatal care (number of antenatal
care visits and antenatal care provider), delivery care (place of delivery care and delivery care
provider) and postnatal care (time of first postnatal care for the mother and place of first
postnatal care). The independent variables included; mother’s age, marital status, the number
of children ever born, mother’s level of education, type of place of residence, household wealth
index and the usual county of residence.
The study sample size was 1844 women who had given birth two years prior to the
survey. This sample size was drawn from the entire study sample of 5908 women age 15-49
years. The study used descriptive statistics, bivariate analysis and logistic regression. The
results show that forty nine percent of women had made at least four antenatal care visits.
Ninety two percent had received antenatal care services from skilled attendants. Fifty three
percent of them had delivered at the health facility and fifty six percent were delivered by
skilled attendants.
The logistic regression resultsshow that marital status, mother’s level of education,
household wealth index and usual county residence had significant effect on number of
antenatal care visits made. Choice of skilled antenatal care provider was influenced by marital
status, the number of children ever born and usual county of residence. Both place of delivery
and delivery care provider were all influenced by the number of children ever born, mother’s
level of education, household wealth index, type of place of residence and the usual county of
residence. Mother’s level of education and county of residence had a significant effect on
seeking first postnatal care service within a day. Place where mother sought first postnatal care
was influenced by mother’s level of education, household wealth index, type of place of
residence and the usual county of residence.
Basing on the results of the study, there is a need to improve women’s education levels
and household incomes so that they can easily afford the transport and associated costs to the
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