Reproduction and maternal health care among young women in Kenya: geographic and socio-economic determinants

Pezzulo, Carla (2012) Reproduction and maternal health care among young women in Kenya: geographic and socio-economic determinants , [Dissertation thesis], Alma Mater Studiorum Università di Bologna. Dottorato di ricerca in Cooperazione internazionale e politiche per lo sviluppo sostenibile, 24 Ciclo. DOI 10.6092/unibo/amsdottorato/5039.
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Many factors influence the propensity of young women to seek appropriate maternal healthcare, and they need to be considered when analyzing these women’s reproductive behavior. This study aimed to contribute to the analysis concerning Kenyan young women’s determinants on maternal healthcare-seeking behavior for the 5 years preceding the 2008/9 Kenya Demographic and Health Survey. The specific objectives were to: investigate the individual and contextual variables that may explain maternal healthcare habits; measure the individual, household and community effect on maternal healthcare attitudes in young women; assess the link between young women’s characteristics and the use of facilities for maternal healthcare; find a relationship between young women’s behavior and the community where they live; examine how the role of the local presence of healthcare facilities influences reproductive behavior, and if the specificity of services offered by healthcare facilities affects their inclination to use healthcare facilities, and measure the geographic differences that influence the propensity to seek appropriate maternal healthcare. The analysis of factors associated with maternal healthcare-seeking behavior for young women in Kenya was investigated using multilevel models. We performed three major analyses, which concerned the individual and contextual determinants influencing antenatal care (discussed in Part 6), delivery care (Part 7), and postnatal care (Part 8). Our results show that there is a significant variation in antenatal, delivery and postnatal care between communities, even if the majority of variability is explained by individual characteristics. There are differences at the women’s level on the probability of receiving antenatal care and delivering in a healthcare facility instead of at home. Moreover, community factors and availability of healthcare facilities on the territory are also crucial in influencing young women’s behavior. Therefore, policies addressed to youth’s reproductive health should also consider geographic inequalities and different types of barriers in access to healthcare facilities.

Tipologia del documento
Tesi di dottorato
Pezzulo, Carla
Dottorato di ricerca
Scuola di dottorato
Scienze politiche e sociali
Settore disciplinare
Settore concorsuale
Parole chiave
Kenya, youth, maternal healthcare, reproduction, multilevel modeling, community level factors, geographic determinants, geographic information system, inequalities, multidimensional poverty index, demographic and health survey, health facilities.
Data di discussione
17 Settembre 2012

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