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Factors influencing choice of skilled birth attendance at ANC: evidence from the Kenya demographic health survey
Authors: Caroline Nyongesa, Xiaoyue Xu, John J Hall, William M Macharia, Faith Yego, and Brigid Hall
Source: BMC Pregnancy and Childbirth , 18(1): 88; DOI: 10.1186/s12884-018-1727-z
Topic(s): Antenatal care
Delivery care
Maternal health
Country: Africa
Published: APR 2018
Abstract: BACKGROUND: In Kenya, skilled attendance at delivery is well below the international target of 90% and the maternal mortality ratio is high at 362 (CI 254-471) per 100,000 live births despite various interventions. The preventative role of skilled attendance at delivery makes it a benchmark indicator for safe motherhood. METHODS: Maternal health data from the Service Provision Assessment Survey, a subset of the 2010 Kenya Demographic Health Survey was analyzed. Logistic regression models were employed using likelihood ratio test to explore association between choice of skilled attendance and predictor variables. RESULTS: Overall, 94.8% of women are likely to seek skilled attendance at delivery. Cost, education level, number of antenatal visits and sex of provider were strongly associated with client's intention to deliver with a skilled birth attendant at delivery. Women who reported having enough money set aside for delivery were 4.34 (p?