ArticlePloS one2016
Pregnant Women's Intentions and Subsequent Behaviors Regarding Maternal and Neonatal Service Utilization: Results from a Cohort Study in Nyanza Province, Kenya.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How women's experiences and perceptions of care influence uptake of postnatal care across sub-Saharan Africa: a qualitative systematic review.BMC pregnancy and childbirth · 2021Pooled it
- Article
- Impact of health literacy on pregnancy outcomes in socioeconomically disadvantaged and ethnic minority populations: A scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Current Approaches to Following Up Women and Newborns After Discharge From Childbirth Facilities: A Scoping Review.Global health, science and practice · 2024Article
- The intentions of pregnant women to give birth at a health facility and associated factors in the Aleta-Wondo rural District, Ethiopia: A community based cross-sectional study.PLOS global public health · 2024Article
- Examining socioeconomic status disparities in facility-based childbirth in Kenya: role of perceived need, accessibility, and quality of care.BMC pregnancy and childbirth · 2022Article
- Intention to use maternal health services and associated factors among women who gave birth at home in rural Sehala Seyemit district: a community-based cross-sectional study.BMC pregnancy and childbirth · 2022Article
- Article
- Women's traditional birth attendant utilization at birth and its associated factors in Angolella Tara, Ethiopia.PloS one · 2022Article
- Intention to Use and Its Predictors Towards Preconception Care Use Among Reproductive Age Women in Southwest Ethiopia, 2020: Application of Theory of Planned Behavior (TPB).International journal of general medicine · 2021Article
- Intentions to use maternity waiting homes and associated factors in Northwest Ethiopia.BMC pregnancy and childbirth · 2020Article
- Using the theory of planned behavior to explain birth in health facility intention among expecting couples in a rural setting Rukwa Tanzania: a cross-sectional survey.Reproductive health · 2020Article
- Correlates of facility-based delivery among women of reproductive age from the Digo community residing in Kwale, Kenya.BMC research notes · 2018Article
- Factors affecting home delivery among women living in remote areas of rural Zambia: a cross-sectional, mixed-methods analysis.International journal of women's health · 2018Article
- Listening to the community: Using formative research to strengthen maternity waiting homes in Zambia.PloS one · 2018Article
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8 authors.
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Abstract
Higher use of maternal and neonatal health (MNH) services may reduce maternal and neonatal mortality in Kenya. This study aims to: 1) prospectively explore women's intentions to use MNH services (antenatal care, delivery in a facility, postnatal care, neonatal care) at <20 and 30-35 weeks' gestation and their actual use of these services; 2) identify predictors of intention-behavior discordance among women with positive service use intentions; 3) examine associations between place of delivery, women's reasons for choosing it, and birthing experiences. We used data from a 2012-2013 population-based cohort of pregnant women in the Demographic Surveillance Site in Nyanza province, Kenya. Of 1,056 women completing the study (89.1% response rate), 948 had live-births and 22 stillbirths, and they represent our analytic sample. Logistic regression analysis identified predictors of intention-behavior discordance regarding delivery in a facility and use of postnatal and neonatal care. At <20 and 30-35 weeks' gestation, most women intended to seek MNH services (≥93.9% and ≥87.5%, respectively, for all services assessed). Actual service use was high for antenatal (98.1%) and neonatal (88.5%) care, but lower for delivery in a facility (76.9%) and postnatal care (51.8%). Woman's age >35 and high-school education were significant predictors of intention-behavior discordance regarding delivery in a facility; several delivery-related factors were significantly associated with intention-behavior discordance regarding use of postnatal and neonatal care. Delivery facilities were chosen based on proximity to women's residence, affordability, and service quality; among women who delivered outside a health facility, 16.3% could not afford going to a facility. Good/very good birth experiences were reported by 93.6% of women who delivered in a facility and 32.6% of women who did not. We found higher MNH service utilization than previously documented in Nyanza province. Further increasing the number of facility deliveries and use of postnatal care may improve MNH in Kenya.
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