Quality of Antenatal Care and Associated Factors in Western Kenya: An Assessment of Service Provision and Experience Dimensions

Patience Afulani , University of California, San Francisco
Laura Buback, University of California, San Francisco
Joyceline Kinyua, Kenya Medical Research Institute
Leah Kirumbi, Kenya Medical Research Institute
Craig R. Cohen, University of California, San Francisco

Despite increasing attention on the contribution of poor quality care to maternal mortality, few studies have examined the levels and predictors of quality of antenatal care (ANC). In this paper we describe quality of ANC women received, including service provision and experience dimensions, as well as factors associated with each dimension in a rural county in Western Kenya. We use survey data from 1,031 women aged 15-49 who attended ANC at least once in their most recent pregnancy. ANC quality is measured by several questions related to receipt of recommended ANC services and communication and dignified care, which are summed to create service provision and experience of care indices. We find suboptimal ANC quality in both the service provision and experience dimensions. Controlling for other factors, the most disadvantaged and disempowered women receive the lowest quality ANC. ANC quality also differs by facility type with differences by dimension.

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 Presented in Session 1. Fertility, Family Planning, Sexual Behavior, & Reproductive Health 1