An analysis of health seeking behaviour on utilization of skilled delivery services by Maasai womenin kiekonyokie sub location of kajiado county in Kenya

Laban Lebahati Simel, Lakshmi Nanduri, Pamela A. Juma, Blasio O. Omuga


Introduction: Maternal health is one of the eight Millennium Development Goals, is central to poverty reduction and overall development, and it increased international attention for monitoring progress on maternal health and improving access to skilled attendants at deliveries. In Kenya, 44 percent of births are delivered under the supervision of a health professional, mainly a nurse or midwife. Traditional birth attendants continue to play a vital role in delivery, assisting with 28 percent of births. Objectives: This research paper aimed to analysetherole of Health Seeking Behaviour onthe utilization of skilled delivery services by Maasai women, the study population belonging to a community of nomadic life style in North of Kajiado County inKenya. Methodology: The study design was a cross sectional descriptive study adopting both quantitative and qualitative methodologies. The sample size was 264 women of reproductive age obtained by using formula given by Fisher et al., when the population is more than 10,000. The quantitative data has been analyzed using (SPSS) version 17.0 while the qualitative data was analyzed by summarizing of the themes. Results: Results show that 57.2% Maasai women go to the health facility in case of illnesses, while 7.6% consulted their mother in law., husbands make most of the decisions (40.2%) on the place of delivery of the expectant mothers whereas as the relatives make the least decisions 5.7%.Preparation of the expectant mother for delivery did not have a statistical significant p-0.046. The traditional rite of passage practices had no statistical significance p-0.190. 72% of womencould mention  at least one correct danger sign for pregnancy out of the posssible four. 97.7% of the Maasai women take more than 1hour to reach to the nearest health facility and less than 1%  of them  take  less than 30minutes to reach to the health facility, 56.1%, of the women had delivered at home while 11.4% were assisted by health personnel at the facility, 69% of those who delivered in the hospital paid > 500 shillings   compared to 8% of those who paid < 500 shillings. A mount paid for skilled delivery had a statistical significance, (p<0.001).

Full Text:



Högberg U. The World Health Report 2005: "make every mother and child count" - including Africans. Scand J Public Health. 2005;33(6):409-11.

Télesphore D Some, Issiaka Sombie and Nicolas Meda. Licensee BioMed Central Ltd, Women's perceptions of homebirths in two rural medical Districts in Burkina Faso: a qualitative study 2011.

The Cairo International Conference on Population and Development (ICPD, 1994)

Lale S. Rosalind R., A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context. WHO 2010.

Campbell OM, Graham WJ.LancetMaternal Survival Series steering group.Strategies for reducingmaternal mortality: getting on with what works. Lancet. 2006 Oct 7; 368 (9543):1284-99.

Kenya Demographic Health Survey 2008-2009.

Kahuthu,Thomas et al. Kajiado District Strategic Plan 2005-2010.

Kaseje, D., Githagui, N., Masbayi, A. And Mulobi, B. An Evaluation Report of AMREF’s Ground Mobile Unit in Kajiado District, Kenya Nairobi: A publication of Assessing 50 Years Of Amref’s Intervention In Kajiado District, Kenya 2005 – 2010.

Mpembeni RN, Killewo JZ, Leshabari MT, Massawe SN, Jahn A, Mushi D, Mwakipa H. Use pattern of maternal health services and determinants of skilledcare during delivery in SouthernTanzania: implications for achievement of MDG- 5 targets. BMC Pregnancy Child birth. 2007 Dec 6;7:29.

Ankunda.R, Arinaitwe. M, Ekirapa K, Bakeera. S, Mutebi. A, Kiwanuka S, Okui.O, Pariyo G. W 2009 Women’s perceptions of ANC and Delivery Care Services; A Community Perspective.Future Health Systems Study, 2009.


  • There are currently no refbacks.