Anne Gitimu|Christine Herr|Happiness Oruko|Evalin Karijo|Richard Gichuki|Peter Ofware|Alice Lakati|Josephat Nyagero
Determinants of use of skilled birth attendant at delivery in Makueni, Kenya: a cross sectional study
Amref Health Africa|Amref Health Africa|Amref Health Africa|Amref Health Africa|Amref Health Africa|Amref Health Africa|Amref Health Africa|Amref Health Africa
kenya maternal mortality ratio 488 per 100000 live births preventing maternal deaths depends significantly presence skilled birth attendant delivery kenyan national statistics estimate proportion births attended skilled health professional remained 50 decade currently 44 according kenyas demographic health survey 200809 national target 65 study examines association mothers characteristics access reproductive health services use skilled birth attendants makueni county kenyawe carried secondary data analysis cross sectional cluster survey conducted august 2012 interviews conducted 1205 eligible female respondents 1549 years children less five years 059 months time study data analysed using spss version 17 multicollinearity independent variables assessed chisquare tests used results statistically significant pvalues p 025 included multivariable logistic regression model adjusted odds ratio aor 95 confidence intervals 95 calculated p value less 005 considered significantamong mothers interviewed 403 489 delivered skilled birth attendant 597 723 delivered unskilled birth attendants mothers tertiaryuniversity education likely use skilled birth attendant delivery adjusted 8657 95 ci 1445 51853 compared education woman whose partner secondary education 29 times likely seek skilled delivery adjusted odds ratio 2913 95 ci 1337 6348 attending anc equally significant adjusted 11938 95 ci 4086 3488 living within distance 1 5 kilometers facility increased likelihood skilled birth attendance adjusted 95 ci 1594 1071 2371the womans level education partners level education attending anc living within 5kms health facility associated assisted skilled birth attendants health education behaviour change communication strategies enhanced increase demand skilled delivery