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Erschienen in: International Journal of Public Health 1/2014

01.02.2014 | Brief Report

Overcoming the perceived barriers to health care access among single mothers in coastal Kenya

verfasst von: J. J. Cohen, M. Blevins, A. Mapenzi, L. Reppart, J. Reppart, R. Mainthia, C. W. Wester

Erschienen in: International Journal of Public Health | Ausgabe 1/2014

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Abstract

Objectives

This study assesses the effects of a comprehensive empowerment intervention on barriers to health care access for single mothers in coastal Kenya.

Methods

We surveyed 41 single mothers who completed a pilot empowerment program and 60 single mothers who had not yet initiated the program. Comparisons were made using bivariate tests of association and logistic regression.

Results

Women in the pilot program were less likely to report transportation costs (OR = 0.26; 95 % CI [0.11–0.59], p = 0.001) and hospital fees (OR = 0.22 [0.10–0.49], p < 0.001) as barriers. Pilot program mothers were more likely to visit a public hospital for their children (OR = 4.38; [1.58–12.1], p = 0.004) and self (OR = 4.70; [1.54–14.4], p = 0.007) when ill.

Conclusions

Empowerment programs can alleviate perceived barriers to health care among vulnerable populations.
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Literatur
Zurück zum Zitat Biritwum RB, Welbeck J, Barnish G (2000) Incidence and management of malaria in two communities of different socioeconomic level in Accra, Ghana. Ann Trop Med Parasitol 94:771–778PubMedCrossRef Biritwum RB, Welbeck J, Barnish G (2000) Incidence and management of malaria in two communities of different socioeconomic level in Accra, Ghana. Ann Trop Med Parasitol 94:771–778PubMedCrossRef
Zurück zum Zitat Bloom SS, Wypij D, Das Gupta M (2001) Dimensions of women’s autonomy and the influences on maternal health care utilization in a North Indian City. Demography 38(1):67–78PubMedCrossRef Bloom SS, Wypij D, Das Gupta M (2001) Dimensions of women’s autonomy and the influences on maternal health care utilization in a North Indian City. Demography 38(1):67–78PubMedCrossRef
Zurück zum Zitat Chuma Jane, Gilson Lucy, Molyneux Catherine (2007) Treatment-seeking behaviour, cost burdens and coping strategies among rural and urban households in Coastal Kenya: an equity analysis. Tropical Med Int Health 12(5):673–686CrossRef Chuma Jane, Gilson Lucy, Molyneux Catherine (2007) Treatment-seeking behaviour, cost burdens and coping strategies among rural and urban households in Coastal Kenya: an equity analysis. Tropical Med Int Health 12(5):673–686CrossRef
Zurück zum Zitat Feikin DR, Nguyen LM, Adazu K, Ombok M, Audi A, Slutsker L, Lindblade KA (2009) The impact of distance of residence from a peripheral health facility on pediatric health utilisation in rural western Kenya. Trop Med Int Health 14(1):54–61PubMedCrossRef Feikin DR, Nguyen LM, Adazu K, Ombok M, Audi A, Slutsker L, Lindblade KA (2009) The impact of distance of residence from a peripheral health facility on pediatric health utilisation in rural western Kenya. Trop Med Int Health 14(1):54–61PubMedCrossRef
Zurück zum Zitat Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381PubMedCentralPubMedCrossRef Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381PubMedCentralPubMedCrossRef
Zurück zum Zitat Ityavyar D (1998) Health Inequalities in Nigeria Lagos:Pergamon Press Plc Ityavyar D (1998) Health Inequalities in Nigeria Lagos:Pergamon Press Plc
Zurück zum Zitat Kisia et al (2012) Factors associated with utilization of community health workers in improving access to malaria treatment among children in Kenya. Malaria Journal 11:248PubMedCentralPubMedCrossRef Kisia et al (2012) Factors associated with utilization of community health workers in improving access to malaria treatment among children in Kenya. Malaria Journal 11:248PubMedCentralPubMedCrossRef
Zurück zum Zitat Montgomery MR, Hewett PC (2005) Urban poverty and health in developing countries: household and neighborhood effects. Demography 42(3):397–425PubMedCrossRef Montgomery MR, Hewett PC (2005) Urban poverty and health in developing countries: household and neighborhood effects. Demography 42(3):397–425PubMedCrossRef
Zurück zum Zitat Schellenberg AJ, Victora CG, Mushi A (2003) Inequities among the very poor: healthcare for children in rural Tanzania. Lancet 361:561–566PubMedCrossRef Schellenberg AJ, Victora CG, Mushi A (2003) Inequities among the very poor: healthcare for children in rural Tanzania. Lancet 361:561–566PubMedCrossRef
Zurück zum Zitat Smith M, Solanki G, Kimmie Z (1999) The second Kaiser Family Foundation survey of health care in South Africa. The Hendry J Kaiser Family Foundation, Washington Smith M, Solanki G, Kimmie Z (1999) The second Kaiser Family Foundation survey of health care in South Africa. The Hendry J Kaiser Family Foundation, Washington
Zurück zum Zitat Smith K, Dmytraczenko T, Mensah B, Sidibe O (2004) Knowledge, attitudes, and practices related to maternal health in Bla, Mali: Results of a baseline survey. Partners for Health Reform Plus, Bethesda Smith K, Dmytraczenko T, Mensah B, Sidibe O (2004) Knowledge, attitudes, and practices related to maternal health in Bla, Mali: Results of a baseline survey. Partners for Health Reform Plus, Bethesda
Zurück zum Zitat Valdivia M (2002) Public health infrastructure and equity in the utilization of outpatient healthcare services in Peru. Health Policy Plan 17(Suppl):12–19PubMedCrossRef Valdivia M (2002) Public health infrastructure and equity in the utilization of outpatient healthcare services in Peru. Health Policy Plan 17(Suppl):12–19PubMedCrossRef
Zurück zum Zitat van den Broek NR, White SA, Ntonya C, Ngwale M, Cullinan TR, Molyneux ME et al (2003) Reproductive health in rural Malawi: a population-based survey. British J Gynaecol 110(10):902–908CrossRef van den Broek NR, White SA, Ntonya C, Ngwale M, Cullinan TR, Molyneux ME et al (2003) Reproductive health in rural Malawi: a population-based survey. British J Gynaecol 110(10):902–908CrossRef
Zurück zum Zitat Willis CY, Leighton C (1995) Protecting the poor under cost recovery: the role of means testing. Health Policy Plann 10:241–256CrossRef Willis CY, Leighton C (1995) Protecting the poor under cost recovery: the role of means testing. Health Policy Plann 10:241–256CrossRef
Zurück zum Zitat World Bank (1999) Health care in Mali: Building on community involvement, Précis No. 188. World Bank Operations Evaluation Department, Washington World Bank (1999) Health care in Mali: Building on community involvement, Précis No. 188. World Bank Operations Evaluation Department, Washington
Metadaten
Titel
Overcoming the perceived barriers to health care access among single mothers in coastal Kenya
verfasst von
J. J. Cohen
M. Blevins
A. Mapenzi
L. Reppart
J. Reppart
R. Mainthia
C. W. Wester
Publikationsdatum
01.02.2014
Verlag
Springer Basel
Erschienen in
International Journal of Public Health / Ausgabe 1/2014
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-013-0511-0

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