{"id":2263,"date":"2025-07-02T08:19:52","date_gmt":"2025-07-02T08:19:52","guid":{"rendered":"https:\/\/son.kibu.ac.ke\/?p=2263"},"modified":"2025-12-26T15:50:21","modified_gmt":"2025-12-26T15:50:21","slug":"relationship-between-the-delay-in-making-a-timely-decision-to-seek-medical-assistance-and-perinatal-mortality-in-lurambi-and-butere-sub-counties-kakamega-county-kenya","status":"publish","type":"post","link":"https:\/\/kibu.ac.ke\/son\/relationship-between-the-delay-in-making-a-timely-decision-to-seek-medical-assistance-and-perinatal-mortality-in-lurambi-and-butere-sub-counties-kakamega-county-kenya\/","title":{"rendered":"RELATIONSHIP BETWEEN THE DELAY IN MAKING A TIMELY DECISION TO SEEK MEDICAL ASSISTANCE AND PERINATAL MORTALITY IN LURAMBI AND BUTERE SUB-COUNTIES, KAKAMEGA COUNTY, KENYA"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2263\" class=\"elementor elementor-2263\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-10c3370a elementor-section-full_width elementor-section-height-min-height elementor-section-items-stretch elementor-section-height-default\" data-id=\"10c3370a\" data-element_type=\"section\" id=\"ourgoal\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-57f85eb3\" data-id=\"57f85eb3\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70e5e2e8 elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"70e5e2e8\" data-element_type=\"widget\" data-widget_type=\"theme-post-title.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">RELATIONSHIP BETWEEN THE DELAY IN MAKING A TIMELY DECISION TO SEEK MEDICAL ASSISTANCE AND PERINATAL MORTALITY IN LURAMBI AND BUTERE SUB-COUNTIES, KAKAMEGA COUNTY, KENYA<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4f9a983 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"4f9a983\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-40f4a5ef\" data-id=\"40f4a5ef\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-bae6ceb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bae6ceb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-175040b0 elementor-invisible\" data-id=\"175040b0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;,&quot;animation_mobile&quot;:&quot;none&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7f8a6501 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"7f8a6501\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2021<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-6dcce0a5 elementor-invisible\" data-id=\"6dcce0a5\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;,&quot;animation_mobile&quot;:&quot;none&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6d12dfca elementor-widget elementor-widget-heading\" data-id=\"6d12dfca\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">KIBU Authors<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b17a80d elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"b17a80d\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Catherine Mutonyi Simiyu<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5d653a5b elementor-invisible\" data-id=\"5d653a5b\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;,&quot;animation_mobile&quot;:&quot;none&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-575c88ac elementor-tablet-align-left elementor-invisible elementor-widget elementor-widget-button\" data-id=\"575c88ac\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeft&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-shrink\" href=\"https:\/\/www.iprjb.org\/journals\/index.php\/GJHS\/article\/view\/1256\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">VIEW ON PUBLISHER SITE<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-29b2a89d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"29b2a89d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-ac89ef0 elementor-invisible\" data-id=\"ac89ef0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;,&quot;animation_mobile&quot;:&quot;none&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-335043ea elementor-widget elementor-widget-heading\" data-id=\"335043ea\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Abstract<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38275989 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"38275989\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong><em>Purpose:<\/em><\/strong>\u00a0To determine the relationship between the delays in making a timely decision to seek medical assistance and perinatal mortality in Lurambi and Butere sub-counties, Kakamega County, Kenya.<\/p><p><strong><em>Methodology:<\/em><\/strong>\u00a0A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total of 520 respondents were randomly selected from 40 out 830 villages of Lurambi and Butere sub-counties using multistage cluster sampling. The respondents were interviewed from November 2017 to March 2018. Data entry and analysis was done using SPSS Version 21 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and adjusted odds ratio was used to determine the strength of association. A p-value of \u00e2\u2030\u00a4 0.05 was considered as statistically significant.<\/p><p><strong><em>Findings<\/em><\/strong><em>:<\/em>\u00a0Education level (p&lt;0.02) and employment status (p&lt;0.03) of mothers influenced perinatal mortality. Wrong action taken during an experience of antenatal complication (AOR= 0.6; 95% CI: 0.1 &#8211; 0.9; p = 0.03), emergency unpreparedness (AOR=0.1; 95%CI: 0.04-0.42; p=0.0007) and, lack of recognition of newborn danger signs (AOR=01; 95%CI: 01-0.4; p&lt;0.0001) were significantly associated with perinatal mortality. Birth preparedness and complication readiness during pregnancy and childbirth, based on the study findings reduce delay in obtaining care. Strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival.<\/p><p><strong><em>Unique Contribution to Theory, Practice, and Policy<\/em><\/strong><strong>:\u00a0<\/strong>Unique factors are that apart from medical interventions, strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival in Lurambi and Butere sub counties. Interventions to promote informed decisions regarding maternal and newborn care with a strong social support system are critical. These results contribute to maternal and newborn health care practice and policy change that if implemented could result in a reduction of perinatal mortalities.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>2021 KIBU Authors Catherine Mutonyi Simiyu VIEW ON PUBLISHER SITE Abstract Purpose:\u00a0To determine the relationship between the delays in making a timely decision to seek medical assistance and perinatal mortality in Lurambi and Butere sub-counties, Kakamega County, Kenya. Methodology:\u00a0A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-2263","post","type-post","status-publish","format-standard","hentry","category-research-list"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>RELATIONSHIP BETWEEN THE DELAY IN MAKING A TIMELY DECISION TO SEEK MEDICAL ASSISTANCE AND PERINATAL MORTALITY IN LURAMBI AND BUTERE SUB-COUNTIES, KAKAMEGA COUNTY, KENYA - School of Nursing<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kibu.ac.ke\/son\/relationship-between-the-delay-in-making-a-timely-decision-to-seek-medical-assistance-and-perinatal-mortality-in-lurambi-and-butere-sub-counties-kakamega-county-kenya\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"RELATIONSHIP BETWEEN THE DELAY IN MAKING A TIMELY DECISION TO SEEK MEDICAL ASSISTANCE AND PERINATAL MORTALITY IN LURAMBI AND BUTERE SUB-COUNTIES, KAKAMEGA COUNTY, KENYA - School of Nursing\" \/>\n<meta property=\"og:description\" content=\"2021 KIBU Authors Catherine Mutonyi Simiyu VIEW ON PUBLISHER SITE Abstract Purpose:\u00a0To determine the relationship between the delays in making a timely decision to seek medical assistance and perinatal mortality in Lurambi and Butere sub-counties, Kakamega County, Kenya. 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Methodology:\u00a0A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. 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