Birth Preparedness and Complication Readiness Among Pokot Nomadic Pastoralists’ Pregnant Women in East Pokot District, Midwest- Kenya
American Journal of Biomedical and Life Sciences
Volume 6, Issue 1, February 2018, Pages: 17-23
Received: Mar. 1, 2018;
Accepted: Mar. 14, 2018;
Published: Apr. 8, 2018
Views 431 Downloads 14
Kiptulon Evans Kasmai, Department of Obstetric and Gynaecology, Pan Africa University Institute for Life and Earth Sciences, University of Ibadan, Ibadan, Nigeria
Onoja Mathew Akpa, Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
Oladapo Olayemi, Department of Obstetrics and Gynaecology, University of Ibadan, Ibadan, Nigeria
Birth Preparedness and Complication Readiness (BPCR) is a strategy to promote the timely use of skilled maternal and neonatal care, especially during childbirth, based on the theory that preparing for childbirth and being ready for complications reduces delays in seeking health care and averts serious complications that women face during child birth. However, information on BPCR among Pokot nomadic pastoralists have not been well documented in literatures. The purpose of this research was to determine factors affecting BPCR among Pokot nomadic pastoralists’ pregnant women living in East Pokot District of Kenya. A cross-sectional facility based study was conducted among 275 Pokot pregnant women, above 18 years of age who were on their second and third trimesters and attending various Antenatal Clinics (ANCs) in East Pokot district. This was response rate of 90.1%. A multi-stage sampling technique was used and data was collected from those who met the inclusion criteria between August-October, 2017, using a pretested researcher administered questionnaire. The data collected was analyzed using (SPSS) version 21. Chi-square was used to test the hypothesis. A p-value of <0.05 was considered significant. The results showed that practice of BPCR was low (28%) among the respondents. Being educated (OR=18, CI=3.83-85.16) and having high household income (OR=2.53, CI=1.37-4.66) increased practice of BPC R. Ethnic affiliation to Pokot (OR=4.85, CI=1.38-17.07), practicing African Traditional Religion (OR=2.48, CI=1.44-4.26), practicing pastoralism (OR=2, CI=1.17-3.42) were found to significantly reduce the level of BPCR. In conclusion, birth preparedness and complication readiness was low among Pokot nomadic pastoralist’s pregnant women. There is a need for more BPCR awareness programmes targeting pastoralists’ women and other vulnerable groups in the region.
Kiptulon Evans Kasmai,
Onoja Mathew Akpa,
Birth Preparedness and Complication Readiness Among Pokot Nomadic Pastoralists’ Pregnant Women in East Pokot District, Midwest- Kenya, American Journal of Biomedical and Life Sciences.
Vol. 6, No. 1,
2018, pp. 17-23.
WHO (2015). Guide for measuring maternal mortality PRB, (December), 1–6. Retrieved from http://r4d.dfid.gov.uk/PDF/Outputs/Immpact/ImmpactMeasurementFactSheet.pdf
Kenya Demographic Health Survey(2014).
UNFPA(2014). Kenya.unfpa.org/en/news/un-bestows-honours-kenyas-first-lady Newsletter, (September), 1–16.
JHPIEGO.(2004). Birth preparednessand complicationreadiness, 1–338. https://doi.org/10.5588/pha.13.0025
Ajibola, I., Deji, S. A., Olatayo, Ayodele Aremu, ;, Bojuwoye, O. M., & Akinyemi, D. O. (2015). Birth Preparedness and Complication Readiness among Women Attending Antenatal Clinics in Ogbomoso, South-west Nigeria. International Journal for MCH and AIDS, 4(1), 47–56.
WHO. (2006). Birth and emergency preparedness in antenatal care. Intergrated Management of Pregnancy and Childbirth. Retrieved from http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Birth+and+emergency+preparedness+in+antenatal+care#3
Kaye-Zwiebel, E., & King, E. (2014). Kenyan pastoralist societies in transition: Varying perceptions of the value of ecosystem services. Ecology and Society, 19(3). https://doi.org/10.5751/ES-06753-190317
Homewood, K. (2006). As Pastoralists Settle: Social, Health and Economic Consequences of Pastoral Sedentarization in Marsabit District, Kenya. Human Ecology, 34(2), 297–299. https://doi.org/10.1007/s10745-006-9018-0
Kiprotich Chebunet, P., & Cherono Laboso Abonyo, J. (2013). Cultural Beliefs as a Source of Ethnic Conflicts: A Study of the Turkana and Pokot Pastoralists of Kenya. Journal of Global Peace and Conflict, 1(11), 1–14.
Ochieng, J., Protection, C., Manager, P., Lilah, J., & Officer, P. (2010). East pokot District,, Kenya humanitarian assessment 14 th – 16 th january 2010 Assessment team :, (January).
Mutsotso, B. M., & Kimaiyo, David, Gaicuki, P. (2014). the Centrality of Cattle in the Social Organization of the East Pokot Pastoralists of North Western Kenya. European Scientific Journal, 10(8), 491–507.
Debelew, G. T., Afework, F., & Yalew, A. W. (2014). Factors affecting birth preparedness and complication readiness in Jimma Zone, Southwest Ethiopia: A multilevel analysis. Pan African Medical Journal, 19, 1–14. https://doi.org/10.11604/pamj.2014.19.272.4244.
Mutiso, S. M., Qureshi, Z., & Kinuthia, J. (2008). Birth preparedness among antenatal clients. East African Medical Journal, 85(6), 275–283. https://doi.org/10.4314/eamj.v85i6.9625.
Omari, P. K., Afrane, Y. A., & Ouma, P. (2016). Birth Preparedness and Complication Readiness among Women Attending Antenatal Care Clinic in Health Facilities within Bureti Sub County of Kericho County, 6(4), 123–128.https://doi.org/10.5923/j.ajmms.20160604.01
KNBS. (2010). The 2009 Kenya Population and Housing Census - Population Distribution by Age, Sex and Administrative Units., IC, 546.
Schrepfer, N., & Caterina, M. (2014). On the margin: Kenya’s pastoralists From displacement to solutions, a conceptual study on the internal displacement of pastoralists, (3), 1–40. Retrieved from http://www.internal-displacement.org/assets/publications/2014/201403-af-kenya-on-the-margin-en.pdf
Huho, J. M. (2012). Conflict Resolution Among Pastoral Communities in West Pokot County, Kenya: a Missing Link. Academic Research International, 3(3), 2223–9553. Retrieved from www.savap.org.pk
Rodriguez, L., & International, T. (2008). A Global Perspective on the total economic value of pastoralism : Global synthesis report based on six country valuations, 1–24.