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What does access to maternal care mean among the urban poor? Factors associated with use of appropriate maternal health services in the slum settlements of Nairobi, Kenya

Jean-Christophe Fotso, African Population and Health Research Center (APHRC)
Alex C. Ezeh, African Population and Health Research Center (APHRC)
Nyovani Madise, University of Southampton
Abdhalah K Ziraba, African Population and Health Research Center (APHRC)
Reuben Ogollah, African Population and Health Research Center (APHRC)

This study uses unique data from a maternal health project conducted in the slums of Nairobi, Kenya, to: 1) identify the factors which influence the choice of place of delivery; and 2) formulate recommendations aimed at improving maternal health among the urban poor. The dependent variable is a three-category ordinal variable; and ordered logit models are used to quantify the effects of selected covariates. Although 70% of women reported health facility delivery, only 48% delivered in a facility with skilled provider. This suggests that health indicators for the slum populations may be misleading if the quality of service is not taken into consideration. Besides education and wealth, the main factors influencing the choice of place of delivery included being advised during antenatal, pregnancy wantedness, and parity. To improve maternal heath at the national level, a close attention should be paid to the growing urban poor populations.

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Presented in Session 88: Inequalities in access to maternal health services