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|Title: ||Factors Affecting Time of Access of In-Patient Care at Webuye District Hospital, Kenya|
|Authors: ||Lodenyo, Maxwell M.|
Otsyula, Barasa K.
|Issue Date: ||2016|
|Publisher: ||African Journal of Primary Health Care & Family Medicine|
|Citation: ||Lodenyo MM, Otsyula BK, Downing R, Yakubu K, Miima M, Ifeyinwa O. Factors affecting time of access of in-patient care at Webuye District hospital, Kenya. Afr J Prm Health Care Fam Med. 2016;8(1), a898. http://dx. doi.org/10.4102/phcfm. v8i1.898|
|Series/Report no.: ||Vol.8;Iss.1: Pp 1-9|
|Abstract: ||Background: Among many Kenyan rural communities, access to in-patient healthcare services
is seriously constrained. It is important to understand who has ready access to the facilities
and services offered and what factors prevent those who do not from doing so.
Aim: To identify factors affecting time of access of in-patient healthcare services at a rural
district hospital in Kenya.
Setting: Webuye District hospital in Western Kenya.
Methods: A cross-sectional, comparative, hospital-based survey among 398 in-patients using
an interviewer-administered questionnaire. Results were analysed using SPSS V.12.01.
Results: The median age of the respondents, majority of whom were female respondents
(55%), was 24 years. Median time of presentation to the hospital after onset of illness was
12.5 days. Two hundred and forty seven patients (62%) presented to the hospital within
2 weeks of onset of illness, while 151 (38%) presented after 2 weeks or more. Ten-year increase
in age, perception of a supernatural cause of illness, having an illness that was considered
bearable and belief in the effectiveness of treatment offered in-hospital were significant
predictors for waiting more than 2 weeks to present at the hospital.
Conclusion: Ten-year increment in age, perception of a supernatural cause of illness
(predisposing factors), having an illness that is considered bearable and belief in the
effectiveness of treatment offered in hospital (need factors) affect time of access of in-patient
healthcare services in the community served by Webuye District hospital and should inform
interventions geared towards improving access.|
|Appears in Collections:||Family Medicine|
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