HEALTH SYSTEMS FACTORS INFLUENCING UTILIZATION OF POST NATAL CARE SERVICES IN NGARA HEALTH CENTRE, STAREHE SUB-COUNTY, NAIROBI COUNTY

Mary Wanjiru Kamau, Dr. Rosemary Okava, Mr Daniel Muya

Abstract


The post-natal period starts within 1 hour after delivery and up to six months after delivery. Post Natal Care (PNC) has proven to decrease the number of infants and maternal morbidities and also the mortalities; though the utilization has been low. In Kenya, it’s only around 51% of mothers receive these services from skilled healthcare workers. Minimal research of the factors that are linked with the use of post-natal services has been done. The study sought to determine the health system factors influencing utilization of postnatal care services in Ngara Health Centre, Nairobi County were the objectives of this research. The target population was mothers seeking maternal neonatal child health from the MNCH clinics including the immunization and family planning rooms. The research utilized a descriptive cross-sectional study design. A semi-structured questionnaire was used to gather information on institution-related factors influencing postnatal care.155 mothers out of 212 responded which was 73% response rate. Turnaround time, the reason for seeing PNC services, client satisfaction and health education of the mother after babies’ immunization significantly influenced the utilization of PNC services. The government should ensure that by use of qualified and experienced personnel that they educate the communities on the importance of PNC, health care providers should be time conscious when handling clients at the clinic to reduce the overall turnaround time, to avoid missed opportunities, health care providers should emphasize the need for checking maternal health status so that mothers would come for PNC services, even if the baby does not have any health need or pending immunizations.

Keywords: Health Systems Factors, Utilization of Post Natal Care Services

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