Preventive Health Service Coverage Among Infants and Children at Six Maternal-Child Health Clinics in Western Kenya: A Cross-Sectional Assessment.

Autor: Deathe AR; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Oyungu E; Department of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya., Ayaya SO; Department of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya., Ombitsa AR; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya., McAteer CI; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Vreeman RC; Department of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., McHenry MS; Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya. msuhl@iu.edu.; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA. msuhl@iu.edu.; Division of Pediatric Infectious Diseases and Global Health, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 5853, Indianapolis, IN, 46202, USA. msuhl@iu.edu.
Jazyk: angličtina
Zdroj: Maternal and child health journal [Matern Child Health J] 2022 Mar; Vol. 26 (3), pp. 522-529. Date of Electronic Publication: 2021 Oct 29.
DOI: 10.1007/s10995-021-03271-8
Abstrakt: Objectives: Despite the substantial reduction of child mortality in recent decades, Kenya still strives to provide universal healthcare access and to meet other international benchmarks for child health. This study aimed to describe child health service coverage among children visiting six maternal and child health (MCH) clinics in western Kenya.
Methods: In a cross-sectional study of Kenyan children who are under the age of 5 years presenting to MCH clinics, child health records were reviewed to determine coverage of immunizations, growth monitoring, vitamin A supplementation, and deworming. Among 78 children and their caregivers, nearly 70% of children were fully vaccinated for their age.
Results: We found a significant disparity in full vaccination coverage by gender (p = 0.017), as males had 3.5 × higher odds of being fully vaccinated compared to females. Further, full vaccination coverage also varied across MCH clinic sites ranging from 43.8 to 92.9%.
Conclusions for Practice: Health service coverage for Kenyan children in this study is consistent with national and sub-national findings; however, our study found a significant gender equity gap in coverage at these six clinics that warrants further investigation to ensure that all children receive critical preventative services.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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