School of Applied Human Sciences
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Browsing School of Applied Human Sciences by Subject "Access to quality maternal healthcare"
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Item Effectiveness of Results-Based Financing on The Provision of Maternal Care in Public Health Facilities: A Case of Sirisia Sub-County, Bungoma County, Kenya.(Daystar University, School of Applied Human Sciences, 2024) Mwashighadi, JimmysonThis study addresses the challenges associated with access to quality maternal healthcare in Sirisia Sub County, Bungoma County, Kenya, with high maternal morbidity and mortality rates. Regardless of various interventions improving maternal health outcomes, gaps persist, particularly in rural areas with limited healthcare resources. Some challenges include lack of transport, cultural practices, social beliefs supporting home deliveries, and inadequate health facilities. They have implications for low rates of facility-based deliveries and suboptimal maternal care, underlining the need for adequate solutions. Results-Based Financing (RBF) has emerged as a promising model to enhance maternal healthcare services in response to these challenges. There is a research gap on the application of RBF concerning maternal health in Kenya and its results for providers and recipients. This research addressed this gap by assessing medical staff's views on RBF's efficiency, its implementation to address access to maternal healthcare needs, and analysing beneficiary experiences per maternal healthcare services under the RBF framework. The Donabadian model and the Theory of Change were used in this study since the two share similar tenets that interest the researcher in this study. The study used a descriptive research design and structured and unstructured research instruments. A sample size of 47 health workers was selected through proportionate stratified sampling. To enhance the data collection exercise, focused group discussions and key informant interviews were conducted, enabling the view of how RBF has been implemented and its effects. Qualitative data was analysed using themes, quotations, and narratives, and quantitative data was analysed using Statistical Package for the Social Sciences (SPSS) software version 27.0. The descriptive statistics was presented in form of frequencies, percentages mean and standard deviation. The study revealed that RBF positively impacts maternal health care utilization in Sirisia Sub County. Revealing a 40% increase in facility-based deliveries post-RBF implementation. Quantitative feedback indicates that 75% of healthcare workers view RBF as a model that positively enhances motivation and quality of care. The targeted health workers expressed satisfaction with their financial incentives that would enable them to relate their remunerations to performance, thus enhancing the health services. This improvement led to increased facility-based delivery and quality of care offered to the women. Beneficiaries described satisfaction with the services received, enhanced knowledge of available maternal health services, and increased tendency to seek institutional delivery. Despite these positive outcomes, several challenges hinder the full realization of RBF's potential. Health facilities often need more resources and infrastructure for delivering quality maternal care. Continuous training for healthcare providers is essential to ensure they are equipped to meet the demands associated with increased service utilization. Community engagement remains crucial since most women still face barriers related to transportation and cultural beliefs that discourage facility-based deliveries. The study's findings underscore the importance of addressing these interconnected challenges to maximize the effectiveness of RBF as a strategy for improving access to quality maternal healthcare.