Chapter 3: Factors Affecting Access to Maternal Services in Saku Sub-County, Marsabit County
Introduction
Access to maternal services is crucial for improving maternal and child health outcomes. However, in Saku Sub-County, Marsabit County, access to these services remains limited, leading to high maternal mortality rates. This chapter explores the factors influencing access to maternal services in the sub-county.
Socioeconomic Factors
Poverty and Lack of Education:
"Poverty and lack of education prevent women from seeking healthcare during pregnancy and delivery. They cannot afford transportation or medical expenses, and they may be unaware of the importance of antenatal care and skilled birth attendance." - Community Health Worker
Cultural Beliefs and Practices:
Traditional Beliefs and Practices:
"Traditional beliefs discourage women from seeking modern healthcare, especially during childbirth. They believe that giving birth at home is safer and more natural." - Traditional Birth Attendant
Female Genital Mutilation (FGM):
"FGM can cause complications during pregnancy and delivery, deterring women from seeking skilled care." - Midwife
Geographic Factors
Remote and Inaccessible Areas:
"The vast and rugged terrain makes it difficult for women in remote areas to reach health facilities. Transportation options are limited, and long distances can delay or prevent timely access to care." - Village Elder
Lack of Infrastructure and Equipment:
"Health facilities often lack essential equipment and infrastructure, such as electricity, water, and adequate staffing. This compromises the quality of care and makes it challenging for women to receive timely and appropriate interventions." - Health Center In-Charge
Health System Factors
Inadequate Human Resources:
"There is a shortage of qualified healthcare providers, especially midwives and obstetricians. This results in long waiting times, poor quality of care, and delayed referrals." - County Health Director
Limited Maternal and Reproductive Health Services:
"Maternal and reproductive health services are not widely available in the sub-county. Many health facilities do not offer antenatal care, skilled birth attendance, or postnatal care." - Community Leader
Limited Health Education and Awareness:
"Women lack adequate knowledge about maternal health issues, including the importance of antenatal care, skilled birth attendance, and safe motherhood practices." - Community Mobilizer
Conclusion
Access to maternal services in Saku Sub-County, Marsabit County, is influenced by a complex interplay of socioeconomic, geographic, and health system factors. Poverty, cultural beliefs, remote locations, inadequate infrastructure, lack of qualified providers, and limited services hinder women's ability to receive timely and appropriate care. Addressing these barriers is essential for improving maternal and child health outcomes in the sub-county.