Health Econ. 1996 Jul-Aug; 5(4): 333-40.

Household characteristics affecting where mothers deliver in rural Kenya.

Hodgkin D.

Institute for Health Policy, Heller Graduate School, Brandeis University, Waltham, MA 02254, USA. hodgkin@binah.cc.brandeis.edu

Data from a household survey were used to analyse the distribution of newborn deliveries in a rural area of Kenya. It was found that 52% of deliveries occurred at home or with traditional birth attendants. Using regression techniques, the most significant predictors of choosing an informal delivery setting are the household's distance from the nearest maternity bed and whether a household member has insurance. The results suggest that travel time is an important barrier to access. Therefore, quality improvements at existing facilities may not result in greater use of modern sector delivery, particularly if improvements are partially offset by user fees.