Show simple item record

dc.contributor.advisorBaker, Lisa
dc.contributor.authorDamoiseaux, Jolene
dc.date.accessioned2013-05-24T20:14:37Z
dc.date.available2013-05-24T20:14:37Z
dc.date.copyright2013-05-01
dc.date.issued2013-05-24
dc.identifier.urihttp://hdl.handle.net/2104/8674
dc.description.abstractMaternal health services play a vital role in optimizing pregnancy outcomes, especially for high-risk women in developing countries. In order to understand why few women utilize such services, extensive interviews were conducted on the Nyakach Plateau in rural western Kenya. Within a sample of 90 native Luo women (43 pregnant and 47 non-pregnant), 97.87% of the pregnant women intended to deliver at a health center, but only 45.00% of previously pregnant mothers actually did. Within the larger context of liberation theology, Paul Farmer MD PhD contrasts “structural” barriers with “cognitivist-personalistic” barriers and recommends that studies elucidate which of these problems is primary. His own work has shown that knowledge and values are irrelevant if “structural violence” prevents people from taking advantage of services. This study similarly identified and categorized the major determinants of health center deliveries into accessibility versus knowledge and values. When weighing their relative contributions, it becomes clear that the women in this sample desired to deliver in a health center but faced significant accessibility barriers. That these problems are crucial is emphasized by the fact that 38.30% of the previously pregnant mothers have other serious problems impacting or resulting from pregnancy, including HIV/AIDS, death of a child, delivering a sick baby, or having chronic physical consequences from a difficult delivery. Of the entire sample, 92.22% reported a transportation barrier. Women in labor must hike across rough terrain for an average of 3 miles to seek appropriate medical care. The other two most commonly identified barriers were financial issues (75.56%) and a lack of services (64.44%). In spite of knowledge and values, these conclusions direct significant intervention efforts toward accessibility barriers, particularly transportation aid, to increase the number of health center deliveries. Although specific to the Nyakach Plateau, these findings can be generalized to similar impoverished communities in the developing world.en_US
dc.language.isoen_USen_US
dc.rightsBaylor University projects are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. Contact libraryquestions@baylor.edu for inquiries about permission.en_US
dc.subjectHealth center delivery.en_US
dc.subjectTransportation.en_US
dc.subjectBarriers.en_US
dc.subjectMaternal health services.en_US
dc.subjectClinic delivery.en_US
dc.subjectLiberation theology.en_US
dc.subjectCognitivist-personalistic pole.en_US
dc.subjectAccessibility pole.en_US
dc.subjectCognitivist-personalistic barriers.en_US
dc.subjectAccessibility barriers.en_US
dc.subjectMaternal health.en_US
dc.subjectMaternal mortality.en_US
dc.subjectRural western Kenya.en_US
dc.subjectWestern Kenya.en_US
dc.subjectNyanza province.en_US
dc.subjectLuo.en_US
dc.subjectNyakach plateau.en_US
dc.subjectAfrica.en_US
dc.subjectPaul Farmer.en_US
dc.subjectCommunity-based needs assessment.en_US
dc.subjectTraditional birth attendant.en_US
dc.subjectSkilled birth attendance.en_US
dc.subjectSkilled attendance.en_US
dc.subjectHome delivery.en_US
dc.subjectPoverty.en_US
dc.subjectHealth care as a universal human right.en_US
dc.subjectKnowledge.en_US
dc.subjectValues.en_US
dc.subjectFinancial barriers.en_US
dc.subjectTransportation barriers.en_US
dc.subjectLack of services.en_US
dc.subjectPoor health centers.en_US
dc.subjectSigoti Health Center.en_US
dc.subjectPrenatal care.en_US
dc.subjectPrenatal care visit.en_US
dc.subjectObstetric complications.en_US
dc.subjectMillennium Development Goal.en_US
dc.subjectMillennium Development Goal 5.en_US
dc.subjectMDG 5.en_US
dc.subjectDelivery location.en_US
dc.subjectLocation of delivery.en_US
dc.subjectAssistance during delivery.en_US
dc.subjectPostnatal care.en_US
dc.subjectPredominant barriers.en_US
dc.subjectCross-sectional study.en_US
dc.subjectFundamental barrier.en_US
dc.subjectPregnant women.en_US
dc.subjectNon-pregnant mothers.en_US
dc.subjectMaternal health.en_US
dc.subjectRural Kenyan community.en_US
dc.subjectDistance to health center.en_US
dc.subjectDistance to traditional birth attendant.en_US
dc.subjectLack of health center services.en_US
dc.subjectRough terrain.en_US
dc.subjectGeography.en_US
dc.subjectPlateau.en_US
dc.subjectStraw-to-Bread.en_US
dc.subjectStraw to Bread.en_US
dc.subjectEast Kadianga.en_US
dc.subjectEast Koguta.en_US
dc.subjectRamogi.en_US
dc.subjectNdori.en_US
dc.subjectBethlehem home.en_US
dc.subjectCommunity health assessment profile.en_US
dc.subjectPrenatal questionnaire.en_US
dc.subjectNon-pregnant profile.en_US
dc.subjectPregnant profile.en_US
dc.subjectKnowledge about pregnancy.en_US
dc.subjectMother’s prenatal care value.en_US
dc.subjectFather’s prenatal care value.en_US
dc.subjectCommunity’s prenatal care value.en_US
dc.subjectFather’s delivery location choice.en_US
dc.subjectFear.en_US
dc.subjectAge.en_US
dc.subjectMarital status.en_US
dc.subjectEducation level.en_US
dc.subjectNumber of pregnancies.en_US
dc.subjectParity.en_US
dc.subjectHIV status.en_US
dc.subjectPrior bad outcomes.en_US
dc.subjectBad outcomes.en_US
dc.subjectUnfavorable birth outcomes.en_US
dc.subjectKnowledge assessment.en_US
dc.subjectKnowledge score.en_US
dc.subjectBad score.en_US
dc.subjectMaternal health services value.en_US
dc.subjectValue of maternal health services.en_US
dc.subjectCannot afford prenatal care.en_US
dc.subjectNo income.en_US
dc.subjectSole provider.en_US
dc.subjectWalk to prenatal care.en_US
dc.subjectWalk.en_US
dc.subjectWalk while in labor.en_US
dc.subjectWalk to health center.en_US
dc.subjectFear of health center.en_US
dc.subjectSuffering.en_US
dc.subjectNative Luo women.en_US
dc.subjectChildbirth.en_US
dc.subjectInterventions.en_US
dc.subjectCommunity-based participatory intervention.en_US
dc.subjectCommunity-based participatory needs assessment.en_US
dc.subjectNyakach district.en_US
dc.titleApproaching Barriers to Health Center Deliveries in Rural Western Kenya from a Liberation Theology Perspective: A Community-Based Needs Assessmenten_US
dc.typeThesisen_US
dc.rights.accessrightsWorldwide access.en_US
dc.rights.accessrightsAccess changed 8/25/15.
dc.contributor.departmentBiology.en_US
dc.contributor.schoolsHonors College.en_US


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record