Health Facility Factors Associated with Low Birth Weight among Neonates at Thika Level Five Hospital in Kiambu County, Kenya.
DOI:
https://doi.org/10.47672/ejhs.1192Keywords:
Equipment and Supplies, Medical Personnel, Accessibility of a health facility. Low birth weightAbstract
Purpose: To assess the health facility factors associated with low birth weight at Thika Level Five Hospital in Kiambu County, Kenya.
Methodology: Cross sectional convergent design was employed. The target group composed of mothers who delivered in the hospital during the study period (July-August, 2019). A sample was obtained from all willing mothers. Sample size was determined using the Cochran formula assuming a proportion (p) of 16.4% of low birth weight. Desired sample size was 210 mothers which was adjusted to 215 participants. Independent variables included: medical equipment and supplies, medical personnel and accessibility of health facility. Dependent variable was LBW which was classified further as very LBW, extremely LBW. The primary focus was first to identify LBW which was then categorized according to the standard classification. Quantitative and qualitative data were collected and analyzed using logistic regression and NVivo respectively.
Findings: Accessibility to a health facility OR= 0.45, p=0.04, CL [0.21-0.97] was associated with very low birth weight. The mothers (FGDs) indicated that there were challenges at the laboratory; some health workers were not good; and ANC counselling sessions were inadequate. Health workers who were Key Informants (KI) reported inadequacy of resources and suggested campaigns to reach mothers in order to attend ANC early and a provision of a preconception centre at the Hospital.
Unique contribution to theory, practice and policy: Inaccessibility of a health facility by pregnant mothers is a risk factor for very low birth weight neonates. ANC guidelines to be revised to cater for the concerns of mothers. Preconception centres should be established in hospitals.
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References
Asp, G., Odberg Pettersson, K., Sandberg, J., Kabakyenga, J., & Agardh, A. (2014). Associations between mass media exposure and birth preparedness among women in southwestern Uganda: A community-based survey. Global Health Action, 7, 22904. doi:10.3402/gha. v7.22904
Banchani, E. &. (2014). Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis. BMC health services research, 14 (1), 1.
Barker, D. J. (2007). The origins of the developmental origins theory. Journal of Internal Medicine, 261(5), 412-417.
Basel PL, Singh S (2020) Low birth weight and its associated risk factors: Health facility-based case-control study. PLoS one 15(6): e0234907. http://doi.org/10.137/journal.pone.1234907
Blencore H, C. S. (2012). National, Regional and Worldwide Estimates of Preterm Birth. The Lancet, 9; 379 (9832);2162-72.
Bourbonnais, N. (2013). Implementing Free Maternal Health Care in Kenya: Challenges, Strategies, and Recommendations.
CDC. (2005). Guidelines for Growth and Gestational Age Adjustment for Low Birth Weight and Very Low Birth Infants. Retrieved September 17, 2018, from www.cdc.gov
Class, Q. A., Rickert, M. E., Oberg, A. S., Sujan, A. C., Almqvist, C., Larsson, H., & ... DʼOnofrio, B. M. (2017). Within-Family Analysis of Interpregnancy Interval and Adverse Birth Outcomes. Obstetrics & Gynecology, 130(6), 1304-1311. doi:10.1097/AOG.0000000000002358
Cochran, W. G. 1963. Sampling Techniques, 2nd Ed., New York: John Wiley and Sons, Inc.
Conn, V. S., Algase, D. L., Rawl, S. M., Zerwic, J. J., & Wyman, J. F. (2010). Publishing pilot intervention work. Western Journal of Nursing Research, 32(8), 994-1010.
Conrad, P. D. (2012). Antenatal Care Services in Rural Uganda: Missed Opportunities for Good-Quality Care. Qualitative Health Research, 22, 619-629.
Costello, E. J., Worthman, C., Erkanli, A., & Angold, A. (2007). Prediction from low birth weight to female adolescent depression: A test of competing hypotheses. Archives of General Psychiatry, 64(3), 338-344.
Cotter, K. H. (2006). Low Use of Skilled Attendants Delivery in Rural Kenya. Journal of Health and Population Nutrition, (24),20-26.
Ijadunola, K. T. (2010). New paradigm old thinking: The case for emergency obstetric care in the prevention of maternal mortality in Nigeria. BMC Women's Health, 10,6.
Isomaa, B. (2013). A major health hazard: The metabolic syndrome. Life Sciences, 73(19), 2395-2411.
Israel, G. (1992). Determining Sample Size. Fact Sheet POD 6.
Kenya Demographic Health Survey (KDHS) 2017: Central Bureau of Statistics, Ministry of Health.
Kim, D., & Saada, A. (2013). The social determinants of infant mortality and birth outcomes in Western developed nations: a cross-country systematic review. International journal of environmental research and public health, 10(6), 2296-2335.
Kleinman, A. (2010). Four social theories for global health. The Lancet, 375(9725), 1518-1519. doi:10.1016/S0140-6736(10)60646-0
Krueger, R. A., & Casey, M. A. (2015). Participants in a focus group. Focus Groups A Practical Guide for Applied Research, edited by Krueger, RA, and Casey, MA, Sage Publications, Inc, USA.
Lawrence, W. T., & Haslam, C. (2007). Smoking during pregnancy: Where next for stage-based interventions? Journal of Health Psychology, 12(1), 159-169.
Linsell, Malouf, Morris, Kurinczuk, & Marlow, 2015; Prognostic Factors for Poor Cognitive Development in Children Born Very Preterm or with Very Low Birth Weight: A Systematic Review JAMA Pediatr. 169(12): 1162-1172. doi: 10.1001/jamapediatrics.2015.2175
Magadi, M. (2000). The determinants of Delivery Care in Kenya. A journal of social biology fall.
Maloni, J. A. (2010). Preventing low birth weight: How smoking cessation counseling can help. Nursing for Women's Health, 5(1), 32-35.
Medical Officer of Health (2017) Kiambu County.
Migwi, P. (2014, June 17). Prevalence of low birth weight deliveries and associated factors in Narok District Hospital, Kenya: University of Nairobi. Retrieved July 23, 2018, from http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/7354
Ministry of Health [MoH]. (2013). Kenya Service Availability and Readiness Assessment Mapping (SARAM) Report.
Ministry of Health [MoH] (2014a). Health Sector Strategic and Investment Plan (2012-2018).
Ministry of Health [MoH]. (2014b). Public Expenditure Tracking and Survey Delivery indicator Survey 2013.
Ministry of Health [MoH]. (2015). Status of Implementation of Free Maternity Services Program in the devolved health system in Kenya. A Comprehensive Assessment Report.
Miranda, M. L., Edwards, S. E., Chang, H. H., & Auten, R. l. (2013). Proximity to roadways and pregnancy outcomes. Journal of Exposure Science and Environmental Epidemiology, 23, 32-38; doi:10.1038/jes.2012.78
NIS, (2015). Perfluoroalkyl and polyfluoroalkyl substances and human fetal growth: a systematic review. Critical reviews in toxicology, 45(1), 53-67.
Prata, N., Weidert, K., & Sreenivas, A. (2013). Meeting the need: Youth and family planning in sub-Saharan Africa. Contraception, 88(1), 83-90. https://doi.org/10.1016/j.contraception.2012.10.001
QSR International Pty Ltd. (2012). NVivo qualitative data analysis software. Version 10).
Raatikainen, K., Heiskanen, N., & Heinonen, S. (2015). Marriage still protects pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology, 112(10), 1411-1416.
Risnes, K. R., Vatten, L. J., Baker, J. L., Jameson, K., Sovio, U., Kajantie, E., Bracken, M. B. (2011). Birthweight and mortality in adulthood: A systematic review and metaanalysis. International Journal of Epidemiology, 40, 647-661. doi:10.1093/ije/dyq267
Saha, S. B. (2008). Patient-centeredness, cultural competence, and healthcare quality. Journal of the National Medical Association, 100, 1275-1285.
Sarker, M. S. (2010). Quality of antenatal care in rural southern Tanzania: A reality check. BMC Research Notes, 3, 209.
Sata, F. (2016). Developmental origins of health and disease (DOHaD) and epidemiology. Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene, 71(1), 41-46.
Tamir S., N. S. (2016). Intrauterine growth retardation - small events big consequences. Italian Journal of Pediatrics, 2-4.
UNICEF & WHO. (2004). Low Birthweight: Country, regional and global estimates. New York: UNICEF.
UNICEF. (2015). Levels and trends in Child Mortality. Report 2015. Estimates developed by the Inter-Agency Group for Child= Mortality Estimation. New York: United Nations Children's Fund
Webb, M. S. (2008). Focus groups as an intervention for low-income African American smokers to promote participation in subsequent intervention studies. Research in Nursing & Health, 31(2), 141-151.
W.G, C. (1963). Sampling Technique 2nd edition. New York.
Were. (1998). East African Medical Journal. Nairobi: Kenya Medical Association.
WHO. (2008). WHO report on the global tobacco epidemic, 2008: The MPOWER package. World Health Organization.
WHO. (2018). Guidance on ethical considerations in planning and reviewing research studies on sexual and reproductive health in adolescents.
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