Startseite Utilisation of maternal health services by adolescent mothers in Kenya: analysis of the demographic health survey 2008–2009
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Utilisation of maternal health services by adolescent mothers in Kenya: analysis of the demographic health survey 2008–2009

  • Oluwasola Banke-Thomas EMAIL logo , Aduragbemi Banke-Thomas und Charles Anawo Ameh
Veröffentlicht/Copyright: 12. Oktober 2016
International Journal of Adolescent Medicine and Health
Aus der Zeitschrift International Journal of Adolescent Medicine and Health Band 30 Heft 2

Abstract

Background:

Many Kenyan adolescents die following pregnancy and childbirth complications. Maternal health services (MHS) utilisation is key to averting such poor outcomes. Our objectives were to understand the characteristics of adolescent mothers in Kenya, describe their MHS utilisation pattern and explore factors that influence this pattern.

Methods:

We collected demographic and MHS utilisation data of all 301 adolescent mothers aged 15–19 years included in the Kenya Demographic Health Survey 2008/2009 (KDHS). Descriptive statistics were used to characterise them and their MHS utilisation patterns. Bivariate and multivariate analyses were used to test associations between selected predictor variables and MHS utilisation.

Findings:

Eighty-six percent, 48% and 86% of adolescent mothers used ante-natal care (ANC), skilled birth attendance (SBA) and post-natal care (PNC), respectively. Adolescent mothers from the richest quintile were nine (CI=2.00–81.24, p=0.001) and seven (CI=3.22–16.22, p<0.001) times more likely to use ANC and SBA, respectively, compared to those from the poorest. Those with primary education were four (CI=1.68–9.64, p<0.001) and two (CI=0.97–4.81, p=0.043) times more likely to receive ANC and SBA, respectively, compared to uneducated mothers, with similar significant findings amongst their partners. Urban adolescent mothers were six (CI=1.89–32.45, p=0.001) and four (CI=2.00–6.20, p<0.001) times more likely to use ANC and SBA, respectively, compared to their rural counterparts. The odds of Maasai adolescent mothers using ANC was 90% (CI=0.02–0.93, p=0.010) lower than that of Kalenjin mothers.

Conclusions:

Adolescent MHS utilisation in Kenya is an inequality issue. To address this, focus should be on the poorest, least educated, rural-dwelling adolescent mothers living in the most disadvantaged communities.

Keywords: adolescent health; adolescents; ante-natal care (ANC); delivery; Kenya; maternal health; maternal health services (MHS); post-natal care (PNC); utilisation of health services

Acknowledgements

We thank Measure Demographic Health Survey for granting access to the dataset used for this research.

  1. Conflict of interest statement: The authors declare that they have no conflict of interest.

  2. Author’s contributions: Oluwasola Banke-Thomas and Charles Anawo Ameh conceived and designed the study. Oluwasola Banke-Thomas and Aduragbemi Banke-Thomas collected the data and created sub-set data for analysis. All authors were involved in data analysis and interpretation. All authors contributed to manuscript preparation, read and approved the final version.

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Received: 2016-5-3
Accepted: 2016-8-14
Published Online: 2016-10-12

©2018 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

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  2. Sibling abuse: a Cadmean victory for societal indifference!
  3. Original Articles
  4. Effectiveness of a modified dialectical behaviour therapy for adolescents within a stepped-care model
  5. The parental role in adolescent screen related sedentary behavior
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  11. Using photovoice in adolescent health research: a case-study of the Well-being of Adolescents in Vulnerable Environments (WAVE) Study in Ibadan, Nigeria
  12. Utilisation of maternal health services by adolescent mothers in Kenya: analysis of the demographic health survey 2008–2009
  13. Parents as partners in adolescent HIV prevention in Eastern and Southern Africa: an evaluation of the current United Nations’ approach
  14. Eating habits and presence of cardiovascular risks in children
  15. Ignorance could hurt: an assessment of fertility awareness, childbirth intentions and parenting attitudes among university students
  16. Influenza vaccination challenges in an at-risk student population: considerations for health services
  17. Case Report
  18. From oliguria to urinary incontinence: a case of Munchausen’s syndrome in an adolescent boy
  19. Short Communications
  20. Both high and low testosterone levels may play a role in suicidal behavior in adolescent, young, middle-age, and older men: a hypothesis
  21. Obesity and facial dysmorphism in an adolescent patient with a 16p11.2 microdeletion
https://doi.org/10.1515/ijamh-2016-0042
Schlagwörter für diesen Artikel
adolescent health; adolescents; ante-natal care (ANC); delivery; Kenya; maternal health; maternal health services (MHS); post-natal care (PNC); utilisation of health services

Artikel in diesem Heft

  1. Editorial
  2. Sibling abuse: a Cadmean victory for societal indifference!
  3. Original Articles
  4. Effectiveness of a modified dialectical behaviour therapy for adolescents within a stepped-care model
  5. The parental role in adolescent screen related sedentary behavior
  6. Parental support for human papilloma virus vaccination by adolescents in Ibadan North Local Government Area, Ibadan, Nigeria
  7. Evaluation of social anxiety, self-esteem, life quality in adolescents with acne vulgaris
  8. A retrospective chart review: adolescents with borderline personality disorder, borderline personality traits, and controls
  9. Orofacial pain and quality of life in early adolescents in India
  10. Immune status of representative infectious diseases among Japanese female university students
  11. Using photovoice in adolescent health research: a case-study of the Well-being of Adolescents in Vulnerable Environments (WAVE) Study in Ibadan, Nigeria
  12. Utilisation of maternal health services by adolescent mothers in Kenya: analysis of the demographic health survey 2008–2009
  13. Parents as partners in adolescent HIV prevention in Eastern and Southern Africa: an evaluation of the current United Nations’ approach
  14. Eating habits and presence of cardiovascular risks in children
  15. Ignorance could hurt: an assessment of fertility awareness, childbirth intentions and parenting attitudes among university students
  16. Influenza vaccination challenges in an at-risk student population: considerations for health services
  17. Case Report
  18. From oliguria to urinary incontinence: a case of Munchausen’s syndrome in an adolescent boy
  19. Short Communications
  20. Both high and low testosterone levels may play a role in suicidal behavior in adolescent, young, middle-age, and older men: a hypothesis
  21. Obesity and facial dysmorphism in an adolescent patient with a 16p11.2 microdeletion
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