Influence of Women Group Activities on Maternal Health Service Utilization in Owich Sub-location, Nyatike Sub-county of Kenya

Authors

  • Jacquiline Jerida Atieno Adwar Great Lake University of Kisumu
  • Dr. Charles Wafula Great Lake University of Kisumu
  • Prof. Margaret Kaseje Great Lake University of Kisumu

DOI:

https://doi.org/10.53819/81018102t3050

Abstract

Despite achievements in Millennium Development Goal (MDG) 4, Kenya made insufficient progress by 2015. Women group activities significantly influence access to maternal health service inequalities which continue to record increased mortality rates. Globally, maternal health service utilization remains a major challenge to public health systems. Kenya is considered among top 10 countries comprising 58% of global maternal deaths in 2013 and contributed to 2% of these deaths. In spite of benefits of births assisted by skilled birth attendants, Migori County is still under performing in skilled delivery (47%) with 21.9% and 44% home deliveries and community health services coverage respectively. The purpose of this study was to analyze the influence of women groups training, economic and social activities on maternal health service utilization in Owich Sub-location, Nyatike Sub-county of Kenya. Descriptive research design was adopted in the study. Data was collected using key informant interview guides and structured questionnaires. Descriptive and inferential statistics was used to analyze the data. To determine respondents to participate in the study, purposive, stratified and simple random sampling techniques was used. The formula Nf = n / 1+n/N was used to determine a sample size of 240 respondents out of a total population of 503 women involved in group activities within Owich Sub-location; Key findings indicated that women group economic, training and social activities significantly influence maternal health service utilization to a great extent 89.7%, agreed 84.5% and moderate extent 77.4% respectively. The study recommends adoption of women group activities to influence maternal health service utilization to inform the government policy formulation and development programs. The researcher recommends further studies on intervening variable; leadership and governance particularly in health systems and government policy.

Author Biographies

Jacquiline Jerida Atieno Adwar, Great Lake University of Kisumu

Master Student, Department of Community Health and Development, Great Lake University of Kisumu

Dr. Charles Wafula , Great Lake University of Kisumu

Lecturer, Department of Community Health and Development, Great Lake University of Kisumu

Prof. Margaret Kaseje, Great Lake University of Kisumu

Lecturer Department of Community Health and Development, Great Lake University of Kisumu

References

Bang, A., Bang, R., Baitule, S., Reddy, M., & Deshmukh, M. (1999). Effect of home based neonatal care and management of sepsis on neonatal mortality: field trial in rural India. The Lancet, 1955-1961.

County Government of Migori. (2018). Migori County: First county integrated development plan 2013-2017. Nairobi: Ministry of Devoluation and Planning.

Dahab, R., & Sakellariou, D. (2020). Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review. International Journal of Environmental Resesearch and Public Health. doi:10.3390/ijerph17124292

Esamai, F., Nangami, M., Tabu, J., Mwangi, A., Ayuku, D., & Were, E. (2017, August 29). A system approach to improving maternal and child health care delivery in Kenya: innovations at the community and primary care facilities (a protocol). Reproductive Health, 14(1). doi:https://doi.org/10.1186/s12978-017-0358-6

Gogia, S., & Sachdev, H. S. (2010). Home visits by community health workers to prevent neonatal deaths in developing countries: a systematic review. Bull World Health Organ. doi:10.2471/BLT.09.069369

KDHS. (2014). Kenya Demographic and Health Survey, 2014. Nairobi: Kenya National Bureau of Statistics. Retrieved from http://dhsprogram.com/pubs/pdf/FR308/FR308.pdf.

Kes, A., Ogwang, S., Pande, R. P., Douglas, Z., Karuga, R., Odhiambo, F. O., Laserson, K., & Schaffer, K. (2015). The economic burden of maternal mortality on households: Evidence from three sub-counties in rural western Kenya. Reproductive Health, 12(1), 1–10. https://doi.org/10.1186/1742-4755-12-S1-S3/TABLES/9

Kirkwood, B., & Bahl, R. (2013). Can women's groups reduce maternal and newborn deaths? Lancet, 12-14. doi:10.1016/S0140-6736(13)60985-X

KNBS. (2016). Kenya Integrated Household Budget Survey 2015-2016. Nairobi, Kenya: Kenya National Bureau of Statistics. Retrieved from http://statistics.knbs.or.ke/nada/index.php/catalog/88

Lassi , Z. S., Middleton, P. F., Bhutta, Z. A., & Crowther, C. (2016). Strategies for improving health care seeking for maternal and newborn illnesses in low- and middle-income countries: a systematic review and meta-analysis. doi:10.3402/gha.v9.31408

Maldonado, L. Y., Bone, J., Scanlon, M. L., Anusu, G., Chelagat, S., Jumah, A., . . . Ruhl, L. J. (2020). Improving maternal, newborn and child health outcomes through a community-based women’s health education program: a cluster randomised controlled trial in western Kenya. BMJ Journals, 5(12). doi:10.1136/bmjgh-2020-003370

Migori C-APR. (2018). Migori County Draft Annual Report 2017/2018. Nairobi: Budget and Economic planning department. Retrieved from https://www.google.com/search?q=MIGORI+COUNTY+DRAFT+ANNUAL+PROGRESS+REPORT&oq=mi&aq

Muller, N., McMahon, S. A., Neve, J.-W. D., Funke, A., Bärnighausen, T., Rajemison, E. N., . . . Knauss, S. (2020). Facilitators and barriers to the implementation of a Mobile Health Wallet for pregnancy-related health care: A qualitative study of stakeholders’ perceptions in Madagascar. PLoS ONE. doi:https://doi.org/10.1371/journal.pone.0228017

Nzinga, J., McKnight, J., Jepkosgei, J., & English , M. (2019). Exploring the space for task shifting to support nursing on neonatal wards in Kenyan public hospitals. Human Resources for Health. doi:https://doi.org/10.1186/s12960-019-0352-x

Orton, L., Pennington, A., Nayak, S., Sowden, A., White, M., & Whitehead, M. (2016). Group-based microfinance for collective empowerment: a systematic review of health impacts. England: WHO. doi:http://dx.doi.org/10.2471/BLT.15.168252

Owusu-Addo, E., Renzaho, A. M., & Smith, B. J. (2018). Cash transfers and the social determinants of health: a conceptual framework. Health Promotion International. doi:10.1093/heapro/day079

PLoS Medicine Editors. (2010). Materna Health: Time to Deliver. PubMed. doi:10.1371/journal.pmed.1000300.

Prost, A., Colbourn, T., Seward, N., Azad, K., Coomarasamy, A., Copas, A., . . . Costello, A. (2013). Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: A systematic review and meta-analysis. Lancet, DO - 10.1016/S0140-6736(13)60685-6, 1736-1746. doi:10.1016/S0140-6736(13)60685-6

Prost, A., Colbourn, T., Seward, N., Azad, K., Coomarasamy, A., Copas, A., . . . Costello, A. (2018). Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: a systematic review and meta-analysis. The Lancet Journal, 381(9879), 1736-1746. doi:https://doi.org/10.1016/S0140-6736(13)60685-6

Singh, R., Neogi, S. B., Hazra, A., Irani, L., Ruducha, J., Ahmad, D., . . . Mavalankar, D. (2019, May 27). Utilization of maternal health services and its determinants: a cross-sectional study among women in rural Uttar Pradesh, India. Journal of Health, Population and Nutrition, 38(1). doi:https://doi.org/10.1186/s41043-019-0173-5

Sondaal, A. E., Tumbahangphe, K. M., Neupane, R., Manandhar, D. S., Costello, A., & Morrison, J. (2019). Sustainability of community-based women’s groups: reflections from a participatory intervention for newborn and maternal health in Nepal. Community Development Journal, 54(4), 731–749. doi:https://doi.org/10.1093/cdj/bsy017

Tripathy, P., Nair, N., Sinha, R., Rath, S., Gope, R. K., Rath, S., . . . Prost, A. (2016). Effect of participatory women's groups facilitated by Accredited Social Health Activists on birth outcomes in rural eastern India: a cluster-randomised controlled trial. The Lancet Global Health, 4(2), 119-128. doi:https://doi.org/10.1016/S2214-109X(15)00287-9

UN IGME, & GBD. (2015). UN IGME (2015). Levels and Trends in Child Mortality Report 2015. Estimates Developed by the UN Interagency Group for Child Mortality Estimation. Accessed 9 Sept. 2015. http://www.unicef.org/media/files/IGME_report_2015_child_mortality_final.

UNFPA. (2014). A Universal Pathway. A Woman's Right to Health. The State of the World’s Midwifery, Pg, 2. Retrieved from https://www.google.com/search?

UNICEF. (2013). Child well-being in rich countries: A comparative overview. New York: UNICEF.

UNICEF. (2019). Maternal mortality fell by almost half between 1990 and 2015. Geneva: WHO. Retrieved from http://data.unicef.org/maternal-health /maternal-mortality.html

Wikipedia, T. F. (2020, October 29). Training. Retrieved from Wikipedia: https://en.wikipedia.org/w/index.php?title=Training&oldid=985993791

Zhao, P., Han, X., You, L., & Zhao, Y. (2020, April 15). Maternal health services utilization and maternal mortality in China: a longitudinal study from 2009 to 2016. BMC Pregnancy and Childbirth, 20(1). doi:https://doi.org/10.1186/s12884-020-02900-4.

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Published

2022-09-16

How to Cite

Adwar, J. J. A. ., Wafula , C. ., & Kaseje, M. . (2022). Influence of Women Group Activities on Maternal Health Service Utilization in Owich Sub-location, Nyatike Sub-county of Kenya. Journal of Medicine, Nursing & Public Health, 5(2), 52–71. https://doi.org/10.53819/81018102t3050

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