Persistent Barriers to MNCH Services in Garissa Sub-County: Kenya

Isaac Kisiangani, African Population and Health Research Center (APHRC)
Abdhalah K. Ziraba, African Population and Health Research Center (APHRC)
Lyangamula Kisia, African Population and Health Research Center (APHRC)
Peter Kibe , African Population and Health Research Center (APHRC)

Background: Garissa County has persistently had poor levels of maternal new-born and child health indicators, an innovation study was launched to support the provision of accessible, affordable and quality maternal newborn and child health (MNCH) care in the underserved communities. Methods: A qualitative study was undertaken as part of impact evaluation of an innovation project in three sites. Focus group discussions were conducted among wider community members and key informant interviews among health managers and other stakeholders. Results: Majority of participants reported that they were satisfied with services offered in the health facilities and would use them again. However, despite the improvements, there still exist barriers to MNCH. The persistent barriers identified were insecurity, poverty, lack of transport, distance from health facilities, lack of information, absence of staff especially at night-time and quality of maternity care. Conclusion: Financial and non-financial barriers constitute significant constraints to accessing MNCH services.