Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements

The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household-survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we...

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Main Authors: Bazant, Eva S., Koenig, Michael A., Fotso, Jean-Christophe, Mills, Samuel
Format: Journal Article
Language:EN
Published: 2012
Subjects:
Online Access:http://hdl.handle.net/10986/5246
id okr-10986-5246
recordtype oai_dc
spelling okr-10986-52462021-04-23T14:02:21Z Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements Bazant, Eva S. Koenig, Michael A. Fotso, Jean-Christophe Mills, Samuel Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Fertility Family Planning Child Care INTERDISCIPLINARY RESEARCH AREAS :: Children Youth J130 Economics of Gender Non-labor Discrimination J160 Economic Development: Human Resources Human Development Income Distribution Migration O150 The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household-survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we describe and examine the factors associated with women's use of private and government health facilities for childbirth. More women gave birth at private facilities located in the settlements than at government facilities, and one-third of the women gave birth at home or with the assistance of a traditional birth attendant. In multivariate models, women's education, ethnic group, and household wealth were associated with institutional deliveries, especially in government hospitals. Residents in the more disadvantaged settlement were more likely than those in the better-off settlement to give birth in private facilities. In urban areas, maternal health services in both the government and private sectors should be strengthened, and efforts made to reach out to women who give birth at home. 2012-03-30T07:31:58Z 2012-03-30T07:31:58Z 2009 Journal Article Studies in Family Planning 00393665 http://hdl.handle.net/10986/5246 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Kenya
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language EN
topic Analysis of Health Care Markets I110
Health: Government Policy
Regulation
Public Health I180
Fertility
Family Planning
Child Care
INTERDISCIPLINARY RESEARCH AREAS :: Children
Youth J130
Economics of Gender
Non-labor Discrimination J160
Economic Development: Human Resources
Human Development
Income Distribution
Migration O150
spellingShingle Analysis of Health Care Markets I110
Health: Government Policy
Regulation
Public Health I180
Fertility
Family Planning
Child Care
INTERDISCIPLINARY RESEARCH AREAS :: Children
Youth J130
Economics of Gender
Non-labor Discrimination J160
Economic Development: Human Resources
Human Development
Income Distribution
Migration O150
Bazant, Eva S.
Koenig, Michael A.
Fotso, Jean-Christophe
Mills, Samuel
Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements
geographic_facet Kenya
relation http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household-survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we describe and examine the factors associated with women's use of private and government health facilities for childbirth. More women gave birth at private facilities located in the settlements than at government facilities, and one-third of the women gave birth at home or with the assistance of a traditional birth attendant. In multivariate models, women's education, ethnic group, and household wealth were associated with institutional deliveries, especially in government hospitals. Residents in the more disadvantaged settlement were more likely than those in the better-off settlement to give birth in private facilities. In urban areas, maternal health services in both the government and private sectors should be strengthened, and efforts made to reach out to women who give birth at home.
format Journal Article
author Bazant, Eva S.
Koenig, Michael A.
Fotso, Jean-Christophe
Mills, Samuel
author_facet Bazant, Eva S.
Koenig, Michael A.
Fotso, Jean-Christophe
Mills, Samuel
author_sort Bazant, Eva S.
title Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements
title_short Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements
title_full Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements
title_fullStr Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements
title_full_unstemmed Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's Informal Settlements
title_sort women's use of private and government health facilities for childbirth in nairobi's informal settlements
publishDate 2012
url http://hdl.handle.net/10986/5246
_version_ 1764394444440731648