The effect of socioeconomic factors on severe maternal morbidity among postnatal women at Kenyatta National Hospital: a cross-sectional study

Abstract

Background Maternal mortality is an area of particular concern in public health especially in Africa where maternal deaths are the highest in the world. Despite the high maternal deaths, studies have been difficult since at the facilities maternal deaths are far between and proper vital registrations are still poor in Africa. This has led to a different perspective in addressing this issue hence the emphasis on maternal morbidity. The major objective of this study was to determine the effect of socioeconomic factors on severe maternal morbidity. Materials and methods This was a descriptive cross-sectional quantitative study carried out in the maternity wards at Kenyatta National Hospital using a structured questionnaire. 162 respondents were selected through systematic sampling with an additional 18 respondents also included in case there were missing records. Univariate, bivariate and multivariate analysis was carried out at 95% confidence interval and p value of less than 0.05. Results The respondents’ husband’s education level (p<0.009) and marital status (p<0.004) were statistically significantly associated with severe maternal morbidity while respondents' education, age and monthly income were not. Conclusion A woman’s husband having at least a secondary school education is protective against experiencing a severe maternal morbidity.