Browsing by Author "Kivuva, Elizabeth Muthoki"

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    Influence of Access Determinants on Self-Referrals Among Pregnant Women Seeking Delivery Service in Coast General Referral and Teaching Hospital Mombasa, Kenya
    (Global Journal of Health Sciences, 2021) Kivuva, Elizabeth Muthoki; Njoroge, Kezia Muthoni; Tenambergen, Mwaura Wanja
    Purpose: The purpose of this study was to establish influence of access determinants on self-referrals among pregnant women seeking delivery service in Coast General Referral and Teaching Hospital (CGTRH). Methodology: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables. Results: The findings revealed a significant relationship between the operating hours of CGTRH and self-referrals to the facility. The results indicated that pregnant women who indicated the 24 hours operating nature of CGTRH as their reason for seeking services at the facility were 2 times more likely to make self-referrals compared to those who disagreed that they sought services at the facility because the facility is open 24 hours in a day. A multivariable logistic regression analysis at a significance level of 0.05 further indicated that the operating hours of CGTRH had a significant influence on self-referrals pregnant women seeking delivery services at the facility. Unique contribution to theory, practice and policy: The study recommended that The Mombasa county department of health should find ways of ensuring that primary health facilities in the county are open for 24 hours in a day to attract more pregnant women seeking delivery services at the facilities and thus minimize the number of pregnant women seeking delivery services directly from the Coast General Teaching and Referral Hospital.
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    Influence of Individual Determinants on Self-Referrals Among Pregnant Women Seeking Delivery Services in Coast General Referral and Teaching Hospital Mombasa, Kenya (CGTRH)
    (Journal of Health, Medicine and Nursing, 2021) Kivuva, Elizabeth Muthoki; Njoroge, Kezia Muthoni; Tenambergen, Mwaura Wanja
    Purpose: The purpose of this study was to establish the influence of individual determinants on self-referrals among pregnant women seeking delivery services in CGTRH Materials and Methods: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables. Results: The findings indicated a significant relationship between education status and self-referrals whereby, the more educated the pregnant women were the more likely they were to make self-referrals at the referral facility. In particular, pregnant women with tertiary level of education were 4.2 times more likely to make self-referrals compared to those with no education. Further analysis using multivariable logistic regression at a significance level of 0.05 established that there was a significant difference between pregnant women with no education and those with tertiary education, with the latter being 4.4 times more likely to make self-referrals compared to the former. Unique contribution to theory, practice and policy: The study recommends that hospitals ought to enhance their CRM policies so as to deliver quality services that satisfy Information technology infrastructure can revolutionize healthcare with the right policy choices. IT can foster new human connectivity thresholds and is a powerful tool of global convergence through the cross-border provision of services and can as well provide new opportunities for the production of knowledge and skills.