Browsing by Author "Simel, Laban Lebahati"

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    An Analysis of Views on the Perspective of Staff Behaviour on Utilization of Skilled Delivery Services by Maasai Women in Kiekonyokie Sub Location of Kajiado County in Kenya. IOSR Journal of Nursing and Health Science
    (IOSR Journal of Nursing and Health Science, 2017) Simel, Laban Lebahati; Nanduri, Lakshmi; Juma, Pamela A.; Omuga, Blasio O.
    Maternal health is one of the eight Millennium Development Goals, is central to poverty reduction and overall development efforts and it increased international attention for monitoring progress on maternal health and improving access to skilled attendants at deliveries. In Kenya, 44 percent of births are delivered under the supervision of a health professional, mainly a nurse or midwife. Traditional birth attendants continue to play a vital role in delivery, assisting with 28 percent of births. This research paper aimed to study the role of views on staff behaviour on the utilization of skilled delivery services by Maasai women, the study population belonging to a community of nomadic life style in North of Kajiado County in Kenya population. The study design was a cross sectional descriptive study adopting both quantitative and qualitative methodologies. The sample size was 264 women of reproductive age obtained by using Fisher et al., formula when the population is more than 10,000.The quantitative data has been analyzed using (SPSS) version 17.0 while the qualitative data was analyzed by summarizing of the themes. Results show the role of health seeking behaviour in relation to the views on staff behaviour on utilization of skilled delivery services in Maasai women in Kiekonyokie area of Kajiado County of Kenya.57.2% in the Kajiado study went to the health facility for other illnesses. Mothers in laws played the least role when it came to illnesses compared to pregnancy. The women acknowledged that delivering in the hospital is good but it has no communal support. Over 60% of the women in the study rated the staff behaviour as good with less than 10% rating as unacceptable. This indicated clearly that the staff behaviour towards women during delivery did not have a negative effect nor serve as a hindrance to them. Involvement of the mothers in laws and husbands during antenatal care visits till delivery time is important to enhance skilled delivery services among the Maasai women in this study. Health education to the stake holders is also essential in ensuring the safety of the mother and the newborn.
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    An Evaluation of Economic and Education Determinants on Utilization of Skilled Delivery Services by Maasai Women in Kiekonyokie Sub location of Kajiado County in Kenya
    (International Journal of Community Medicine and Public Health, 2018) Simel, Laban Lebahati; Nanduri, Lakshmi; Juma, Pamela A.; Omuga, Blasio
    Background: Maternal health is one of the eight Millennium Development Goals, is central to poverty reduction and overall development efforts and it increased international attention for monitoring progress on maternal health and improving access to skilled attendants at deliveries. This research paper aimed to study economic and education determinants on the utilization of skilled delivery services by Maasai women, the study population belonging to a community of nomadic life style in North of Kajiado County in Kenya. Methods: The study design was a cross sectional descriptive study adopting both quantitative and qualitative methodologies. Results: Utilization of skilled delivery was higher among women who had a source of income (34%) compared to women who had no source of income (19%) indicating a statistical significance p=0.003. Women who had higher level of education were more likely to use skilled delivery 50% compared to 22% who had no education at all hence p=0.002. Education level had a statistical significance, (p-0.002). 69% of those who delivered in the hospital paid > 500 shillings compared to 8% of those who paid < 500 shillings. The amount paid for skilled delivery had a statistical significance, (p<0.001). 97.7% of the Maasai women in the Kajiado North study takes more than 1hour to reach to the nearest health facility while less than (1%) of them in this study takes less than 30minutes to reach to the health facility. Conclusions: In conclusion this study shows that high level of illiteracy, low economic status, distance away, cost to pay for skilled delivery hindered skilled delivery service utilization among the Maasai women.