Electronic Thesis and Dissertation Repository

Degree

Master of Science

Program

Epidemiology and Biostatistics

Supervisor

Ryan, Bridget

2nd Supervisor

Thind, Amardeep

Co-Supervisor

Abstract

Maternal deaths have been one of the leading causes of deaths in sub-Saharan Africa. Delivering at an institution can prevent the majority of maternal deaths in developing countries. A national cross-sectional survey of Kenya was used to determine if the quality of antenatal care (ANC) provided to women is associated with their intention to deliver at the same facility. Multilevel mixed-effects logistic regression was used to examine this relationship. Quality of ANC variables assessed in this study were not significantly associated with women’s intention to deliver at the same facility. Mothers preferred to deliver at hospitals, rather than clinics/dispensaries. ANC facility being the closest facility from their home was also positively associated with their intention to deliver at the same facility. Findings from this study suggest that there is a need to increase Kenyan women’s perspective towards lower-level facilities and their access to healthcare facilities for delivery.

Available for download on Thursday, April 30, 2020

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