ABSTRACT
Strong preferences are revealed when patients fail to utilize their nearby facilities and
seek health care services at another facility. Bypassing rates for childbirth has been
documented in literature and it ranges between 30% and 70 %. At Moi Teaching and
Referral Hospital similar observation is made with majority of the women delivering at
the facility having bypassed their nearby county health facilities. Thus, the current study
sought to identify the individual and health facility factors that inform a woman’s decision
to bypass county public health care facilities and seek childbirth services at Moi Teaching
and Referral Hospital. A health facility based cross sectional study was conducted using
quantitative approach of data collection. A total of 399 respondents were incorporated in
the study. The independent variables studied were maternal age, marital status, level of
education, occupation, parity, and previous pregnancy history, level of care at the public
health facility, functionality of health facilities and ease of access of the nearest health
facility. The dependent variable was bypassing health facilities. Descriptive statistics,
bivariate and multivariate logistic regressions were used in data analysis. A p value less
than 0.05 was considered statistically significant at 95% confidence interval. Results
obtained showed that out of the 399 study participants, 76.7% of the women who
delivered at Moi Teaching and Referral Hospital bypassed their nearby health facilities.
Among the individual characteristics that significantly influenced bypassing were home
county of residence (OR: 4.9; 95% CI: 2.2-11.1; p= 0.0001), having received ANC at
MTRH (OR: 9.6; 95% CI: 8.1-14.6; p=
, J (2021). Determinants Of Bypassing County Public Health Facilities Among Women Seeking Childbirth Services At The Moi Teaching And Referral Hospital, Eldoret. Afribary. Retrieved from https://afribary.com/works/determinants-of-bypassing-county-public-health-facilities-among-women-seeking-childbirth-services-at-the-moi-teaching-and-referral-hospital-eldoret
, Jepkosgei "Determinants Of Bypassing County Public Health Facilities Among Women Seeking Childbirth Services At The Moi Teaching And Referral Hospital, Eldoret" Afribary. Afribary, 07 May. 2021, https://afribary.com/works/determinants-of-bypassing-county-public-health-facilities-among-women-seeking-childbirth-services-at-the-moi-teaching-and-referral-hospital-eldoret. Accessed 22 Nov. 2024.
, Jepkosgei . "Determinants Of Bypassing County Public Health Facilities Among Women Seeking Childbirth Services At The Moi Teaching And Referral Hospital, Eldoret". Afribary, Afribary, 07 May. 2021. Web. 22 Nov. 2024. < https://afribary.com/works/determinants-of-bypassing-county-public-health-facilities-among-women-seeking-childbirth-services-at-the-moi-teaching-and-referral-hospital-eldoret >.
, Jepkosgei . "Determinants Of Bypassing County Public Health Facilities Among Women Seeking Childbirth Services At The Moi Teaching And Referral Hospital, Eldoret" Afribary (2021). Accessed November 22, 2024. https://afribary.com/works/determinants-of-bypassing-county-public-health-facilities-among-women-seeking-childbirth-services-at-the-moi-teaching-and-referral-hospital-eldoret