FACTORS INFLUENCING DELIVERY OF POSTNATAL CARE EDUCATION TO MOTHERS PRE-DISCHARGE IN HEALTH FACILITIES IN NAIROBI COUNTY, KENYA

Abstract

Kamau, I.W & Mwanza, J.N

Appropriate care during postnatal period is vital to preventing complications and deaths that occur during or immediately after child birth. This study sought to investigate factors influencing delivery of postnatal education provided by health workers to postpartum mothers prior to discharge in various health facilities in Nairobi County. A descriptive cross-sectional study design was used. A sample 422 mothers was systematically selected from 18 health facilities. Semi-structured questionnaires, in-depth interviews and key informant interviews were used for data collection. Factors found to affect delivery of postnatal care education included: lack of standard guidelines, language barrier, lack of individualised postnatal care, poor communication, inadequately trained or hostile attendants, workload versus staffing, health facility culture e.g. some faith based facilities do not encourage family planning, and duration of hospital stay among others.

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