Factors Influencing Utilization of Maternal Health Services by Adolescent Young Mothers Aged 15-19 Years in Kiryandongo General Hospital

  • Authors

    • Isaac Isaac Ocheng V. O. Uganda Martyrs University, Faculty of Health Sciences
    • Eddy Ika Uganda Martyrs University, Faculty of Health Sciences
    • Kizito Omona [PhD] Uganda Martyrs Hospital, Rubaga
    2021-03-28
    https://doi.org/10.14419/ijm.v9i1.31389
  • Adolescent Young Mothers, Maternal Health Services (MHS), Utilization, Health System Factors, Kiryandongo General Hospital (KGH).
  • Background: In Uganda, 25 % of adolescents age 15-19 have already begun childbearing, 19 % have already given birth and another 5 % pregnant with their first child. Utilization of maternal health services is, therefore, an effective approach to reducing the risk of maternal morbidity and mortality. Low utilization of Maternal Health Services (MHS) has been registered in many parts of Uganda.

    Objective: To identify the key factors that influenced the utilization of MHS by adolescent young mothers aged 15-19years in Kiryandongo general Hospital

    Methods: A Cross Sectional analytical design, both quantitative and qualitative was used. A total of 98 adolescent young mothers were randomly selected. Data was collected using semi-structure questionnaires and analyzed using SPSS version 19.

    Results: Level of utilization of MHS was 44.9%. The socio-demographic (personal) factors that significantly influenced MHS utilization were; maternal age (COR= 0.29; 95% CI: 0.13-0.67, p = 0.003), husband’s education level (COR= 0.19; 95% CI: 0.08-0.47, p =0.000) and husband’s monthly income (COR= 0.35; 95% CI: 0.15-0.80, p = 0.012). Health System factors that influenced MHS utilization included; Time for travelling to reach health facility (COR=2.39; 95% CI: 1.03-5.52, p = 0.040) and Cost of the health services (COR= 2.68; 95% CI: 1.17-6.15, p =0.019).

    Conclusion: Strategies in addressing decision-making norms, engaging in massive community dialogue and designing appropriate communication strategies may help improve MHS utilization.

     

     

     
  • References

    1. [1] Chimankar, D. A. & Sahoo, H. (2017). Factors influencing the Utilization of Maternal Health Care Services in Uttarakhand. Studies on Ethno-medicine, 5 (3). pp. 209-216. DOI: https://doi.org/10.1080/09735070.2011.11886411.

      [2] Edmonds, J. K., Paul, M., Sibley, L. (2012). Determinants of place of birth decisions in Bangladesh: evidence from a longitudinal study.Health& Social Care in the Community Midwifery, 2012:28: 554–560.https://doi.org/10.1016/j.midw.2011.12.004.

      [3] Gabrysch, S. and Campbell, O. (2009). Still too far to walk: Literature review of the determinants of delivery service use.BMC Pregnancy Childbirth, 2009; 9-34. https://doi.org/10.1186/1471-2393-9-34.

      [4] Godha, D., Hotchkiss, D. R., Gage, A. J. (2013). Association between child marriage and reproductive health outcomes and service utilization: a multi-country study from South Asia. J Adolesc Health, 52: 552–558.https://doi.org/10.1016/j.jadohealth.2013.01.021.

      [5] Gore, F. M., Bloem, P. J. N., Patton, G. C., Ferguson, J., Joseph, V., Coffey, C. and Mathers, C. D. (2011). Global burden of disease in young people aged 10–24 years: a systematic analysis. The Lancet. https://doi.org/10.1016/S0140-6736(11)60512-6.

      [6] Haque, M. (2008). Individual’s characteristics affecting maternal health services utilization: married adolescents and their use of maternal health services in Bangladesh. Internet J Health 2008:8. https://doi.org/10.5580/1d27.

      [7] Joshi, C., Torvaldsen, S., Hodgson, R., Hayen, A. (2014). Factors associated with the use and quality of antenatal care in Nepal: a population-based study using the demographic and health survey. https://doi.org/10.1186/1471-2393-14-94.

      [8] Kamal, S. M. (2013). Preference for institutional delivery and caesarean sections in Bangladesh. J Health PopulNutr 2013:31:96–109. https://doi.org/10.3329/jhpn.v31i1.14754.

      [9] Masters, S. H., Burstein, R., Amofah, G., Abaogye, P., Kumar, S., Hanlon, M. (2013). Travel time to maternity care and its effect on utilization in rural Ghana: a multilevel analysis.Social Science & Medicine 93:147–154. https://doi.org/10.1016/j.socscimed.2013.06.012.

      [10] Roy, S., Sahoo, A. & Sarangi, L. (2017). Factors Affecting Utilization of Maternal Health Care Services in Urban area of Bhubnaneswar, India. Journal of Pharmacy Practice and Community Medicine, 3(3): 138-144.https://doi.org/10.5530/jppcm.2017.3.30.

      [11] Rutaremwa, G.,2012. Under-five mortality differentials in urban East Africa: a study of three capital cities. J African Popul Stud. 2012;26.https://doi.org/10.11564/26-1-218.

      [12] Save the Children. (2013). Surviving the first day: state of World’s Mothers, 2013: London. International Family Planning Perspectives 32(1):6–16.

      [13] Uganda Bureau of Statistics [UBOS]. (2016). Uganda Demographic and Health Survey, 2016: key indicators report. Kampala: Author.

      [14] United Nation [UN]. (2016). Definition of youth. http://www.un.org/esa/socdev/documents/youth/fact-sheets/youth-definition.pdf. Accessed 17 Jan 2016

      [15] United Nations [UN]. (2000). UN Millennium Declarations, Resolutions A/RES/55/2.

      [16] UNPFA. (2013). Adolescent pregnancy: A review of the evidence. New York: Author. http://www.unfpa.org/sites/default/files/pub-pdf/ADOLESCENT%20PREGNANCY_UNFPA.pdf (accessed 19/7/2015)

      [17] Wilson, K., Damle, L. F., Huang, C. C., Landy, H. L. and Gomez-Lobo, V. (2012). Are adolescent pregnancies associated with adverse outcomes? Journal of Pediatric and Adolescent Gynecology 25 (2): e51–e52. https://doi.org/10.1016/j.jpag.2011.12.009.

      [18] World Health Organization [WHO]. (2007). Adolescent pregnancy—unmet needs and undone deeds. Geneva: Author.

      [19] World Health Organization [WHO]. (2014). Health for the World’s Adolescents: a second chance in the second decade. Geneva: Author]. http://apps.who.int/adolescent/second-decade/.

      [20] World Health Organization [WHO]. (2006). Reproductive health indicators: guidelines for their generation, interpretation and analysis for global monitoring. Geneva: Author.

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    Isaac Ocheng V. O., I., Ika, E., & Omona [PhD], K. (2021). Factors Influencing Utilization of Maternal Health Services by Adolescent Young Mothers Aged 15-19 Years in Kiryandongo General Hospital. International Journal of Medicine, 9(1), 31-39. https://doi.org/10.14419/ijm.v9i1.31389