A Study on Assistance During Delivery of Maasai Women in Kiekonyokie Sub Location of Kajiado County in Kenya

Abstract

Maternal health is one of the eight Millennium Development Goals, is central to poverty reduction and overall development efforts and it increased international attention for monitoring progress on maternal health and improving access to skilled attendants at deliveries. In Kenya, 44 percent of births are delivered under the supervision of a health professional, mainly a nurse or midwife. Traditional birth attendants continue to play a vital role in delivery, assisting with 28 percent of births. This research paper aimed to study the assistance during delivery in relation to utilization of skilled delivery services by Maasai women, the study population belonging to a community of nomadic life style in North of Kajiado County in Kenya population.The study design was a cross sectional descriptive study
adopting both quantitative and qualitative methodologies. The sample size was 264 women of
reproductive age obtained by using Fisher et al., formula when the population is more than 10,000.The quantitative data has been analyzed using (SPSS) version 17.0 while the qualitative data was analyzed by summarizing of the themes. Results show that 7.6% of Maasai women consulted their mother in law., husbands make most of the decisions (40.2%) on the place of delivery of the expectant mothers whereas as the relatives make the least decisions 5.7%. Preparation of the expectant mother for delivery did not have a statistical significant p-0.046.The traditional rite of passage practices had no statistical significance p0.190. 72% of women could mention at least one correct danger sign for pregnancy out of the posssible four. 97.7% of the Maasai women take more than 1hour to reach to the nearest health facility and less than 1% of them take less than 30minutes to reach to the health
facility. 69% of those who delivered in the hospital paid > 500 Kenyan shillings compared to 8% of those who paid < 500 shillings. Amount paid for skilled delivery had a statistical significance, (p<0.001)., 56.1%, of the women had delivered at home while 11.4% were assisted by health personnel at the facility and most of the women who visited a health facility felt that the staff behaviour was good.