MPPM Theses and Dissertations (2016)

Permanent URI for this collection

http://hdl.handle.net/11071/4567

Browse

Browsing MPPM Theses and Dissertations (2016) by Subject "Healthcare"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    An assessment of male participation in maternal health care as a strategy to contribute to the deduction of maternal mortality rate in Ugenya Sub-County
    (Strathmore University, 2016) Musira, Lucy
    The Government of Kenya has shown commitment in delivering health facilities to the doorsteps of common people through, among others, innovative approaches such as Kenya’s First Lady-led Beyond Zero Campaign; free maternity services; devolving of health services; and facilitating the joint communiqué by 15 Governors whose counties were found to have the highest burden of maternal mortality rate. Despite this commitment, the high rate of maternal deaths in Kenya remains a concern. Cairo’s 1994 International Conference on Population and Development recommended that special efforts should be made to emphasize men’s shared responsibility in maternal health, among other areas. The Conference’s findings increased interest in male involvement in maternal health initiatives. It is therefore necessary to establish whether this recommendation is being implemented to contribute to the improvement of the formula for tackling the high maternal mortality rate globally, and what factors are influencing such adoption. This study covered Ugenya Sub-County, in Siaya County. The study observed that strategies to tackle the large number of maternal deaths in the Siaya County Health Policy, as well as in the Siaya County Integrated Development Plan did not include male participation in maternal health care. This study aimed to examine male participation in maternal health care as a strategy to contribute to the reduction of maternal mortality rate in Ugenya Sub-County. Specific objectives were to establish the effects of socio-economic; health facility; cultural; and perceptions/attitudes factors on male participation in maternal health care. The study adopted a descriptive cross-sectional research design. The population of interest included 48,105 households in Ugenya Sub-County’s four wards, West Ugenya; Ukwala; North Ugenya; and East Ugenya. A sample of 150 respondents from the population was selected, and the study used a self-administered questionnaire using face-to-face method. Quantitative data collected was analyzed through descriptive statistics using SPSS, and Qualitative data analyzed using content analysis. The study established that male respondents were aware of most pregnancy complications, though this awareness was from information shared within the community after death had occurred. The respondents’ level of knowledge on the importance and benefits of antenatal care, including the World Health Organization recommended number of visits for antenatal care, and importance of birth spacing was low. Most respondents cited Malaria as the highest cause of maternal deaths in the sub-county. The study found that pregnancy support was regarded as a female role; and it was a taboo for male to go into delivery rooms or labour wards. Negative attitude by healthcare workers and the community towards men who accompanied their partners to the clinics was found to impede male participation in maternal health care. Health care facilities were found to be not easily accessible, operating hours not conducive for men, and male friendly services and waiting areas lacking. Male participation was found to be generally low, and non-participation was not intentional, but influenced by these factors. The study recommends further studies in other Kenyan counties to establish the level of male participation, and what influences said participation. Also recommended for future research is whether male participation reduces maternal mortality rates. The findings of this study aim to contribute to the enhancement of health policies and strategies employed in tackling maternal deaths, and maternal health care. There is a need to undertake wider community sensitization on the importance of supporting men participating in their partners’ maternity care; addressing infrastructural health service issues; and improving comprehensive plans to overcome informational barriers by increasing men’s knowledge and awareness on the importance of their participation. This will entail planning and budgeting for such activities. Human Resources for Health also need to be looked into as this may influence health workers’ attitude toward their work and subsequently how they handle clients.
  • Thumbnail Image
    Item
    An investigation of healthcare systems and institutional performance vulnerability and variance to leadership and governance interventions : a case of the IPPF Ghana and Kenya chapters
    (Strathmore University, 2016) Kiragu, Esther M.
    There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems. Building leadership, management and governance capacities within the healthcare systems provides an opportunity to strengthen healthcare workforce, improve program performance, develop relationships with target populations and enhance the ability of the health system to respond quickly and effectively to change. The objective of this study was to investigate healthcare systems and institutional performance vulnerability and variance to leadership and governance interventions in IPPF Ghana and Kenya Chapters. In order to achieve this main objective, the following specific objectives were laid down; to identify health leadership and governance vulnerability and variance facing the IPPF Ghana and Kenya chapters, to describe the variations in the implementation process in IPPF Ghana and Kenya Chapters and to describe potential contributors to the disparity in performance between the Ghanaian and Kenyan chapters of IPPF.. The study used a survey research design (survey monkey) to target 90 participants, 57 senior management staff and 33 national governing board members in IPPF Ghana and Kenya Chapters. Data was collected from 67 respondents (74.5%) out of a total of 90 participants in both IPPF Ghana and Kenyan Chapters using the administration of a questionnaire which had closed and open ended questions. An analysis of the data was conducted using descriptive method and the coding was drawn from the USAID/MSH/IPPF methodology (Yes=2), (No=1) and (N/A=0). Particular attention focusing on strong management systems as highlighted in the USAID/MSH leading, managing and governing for results conceptual framework and further, an exploration on how these interactions contributed towards strong healthcare systems was brought to light.