Health system factors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya

Barriers to Utilization of Skilled Birth Attendance Among Post-Natal Women in North Horr Ward, Marsarbit County, Kenya

“…The preference for accessible TBAs stems from cultural familiarity with such service providers and norms that favour home deliveries, positioning TBAs as default caregivers even where hospitals are reachable (Bokayo Arero et al, 2021). Findings show that women are three times more likely to deliver at home when community norms promote traditional options (Mutea et al, 2020;Vincent Moshi et al, 2020).…”

“…Cultural reliance on UBAs for postpartum care persists due to their integration within the community (Turinawe et al, 2016;Muheirwe & Nuhu, 2018). Addressing language barriers and unfriendly healthcare worker attitudes at facilities is essential to motivate women to opt for hospital deliveries (Mutea et al, 2020;Bokayo Arero et al, 2021).…”

“…Limited nighttime access and harsh staff attitudes contribute to low facility usage, despite hospitals being cheap and accessible (Lang'at et al, 2019). Infrastructure coverage indicators reveal significant shortages, aligning with described themes of remoteness and infrastructural deficits, and pointing to the need for quality and capacity improvements (Ministry of Health, 2018;Bokayo Arero et al, 2021).…”

“…This exposes mothers and newborns to severe risks, including maternal and infant mortality and long-term health issues (Nyongesa et al, 2018). Factors contributing to the high rate of unskilled home deliveries include cultural preferences, inadequate health facilities, and logistical challenges (Bokayo Arero et al, 2021). The literature highlights various factors contributing to the persistent use of UBAs in Kenya, particularly in rural areas.…”