ASSESSMENT OF CONTEXTUALISED DETERMINANT OF ANTENATAL CARE SEEKING TRENDS IN JOWHAR DISTRICT OF SOMALIA (Research Proposal Sample)

AN ASSESSMENT OF CONTEXTUALISED DETERMINANT OF ANTENATAL CARE SEEKING TRENDS IN JOWHAR DISTRICT OF SOMALIA
BY
MOHAMED AHMED HUSSEIN
A RESEARCH PROJECT PROPOSAL SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE AWARD OF DEGREE OF MASTER OF ARTS IN MONITORING AND EVALUATION OF THE MOUNT KENYA UNIVERSITY
May 2019.
DECLARATION:
Declaration by the student:
This research project proposal is my original work and has not been presented to any other examination body. No part of this work should be reproduced without my consent or that of Mount Kenya University.
Signature______________ Date: 20th May 2019.
Mohamed Ahmed Hussein
Student ID / Reg. Number: MAME/2015/28132.
Declaration by the Supervisor
This project proposal will be submitted for defence with my approval as The Mount Kenya University supervisor.
Name________________________ Signature: ________________Date: ___________________
Supervisor: MKU, Nairobi.
For and on behalf of The Mount Kenya University.
Name_________________________ Signature: _______________ Date: _________________
HOD-Management, Mount Kenya University.
DEDICATION:
I dedicate this work to my parents Ahmed Hussein & Hawa Ahmed and my wife for their moral support and all those whose inspiration has given me courage to complete this work.
ACKNOWLEDGEMENT:
First I give thanks to God al mighty for giving me strength and divine wisdom throughout my time of study. I wish to express my gratitude to my supervisor, Dr. Keffa Nyandoro for his valuable and tireless guidance, assistance and suggestions during the period of formulating research proposal. Special thanks to Dr. Ruth Thinguri for her lectures on research thesis/project writing which helped and guided me throughout my proposal write up. I give thanks to the Mount Kenya University, head of department, Social and Development Studies, Wanjiru Ngunyi and lecturers for according me such an opportunity to train and develop much needed skills with them. Last but not least, i would like to thank my wives, parents, brothers and sisters for without their encouragement and support, I would not have completed this study. Finally, i thank the entire management and staff of International Medical Corps especially Mr. Ernes Midega for his encouragement, contribution and support to the development of my research topic.
ABSTRACT:
Neonatal and Maternal Mortality rates in Somalia are amongst the highest in the world, one out of every 12 women dies due to pregnancy related causes (Maternal Mortality Rate is 732 deaths of mothers for 100,000 live births). Poor ANC seeking trends and high defaulter among the few who attend was observed in Somalia more so in Jowhar district. The timing of the first antenatal care visit is paramount for ensuring optional health outcomes for women and children and it is recommended that all pregnant women initiate antenatal care in the first trimester of pregnancy. It is against this above back ground and problem that the researcher set out to assess contextualized determinants of antenatal care seeking trends in Jowhar district of Somalia. The determinants to be explored include, level of awareness of ANC services and it is significance, socio-economic factors, health facility level factors, and obstetric history factors. The study might be significant to several stake holders including women of child bearing age, health care agencies and ministry of Health Somalia. The study will be carried out in Jowhar district of Somalia amid limitations, delimitations and assumptions. Several literatures on contextualized determinants reviewed and research gaps identified. Conceptual frame work is tabulated showing relationship between independent and dependent variables. The research methodology will be qualitative and design will be community based cross sectional case study which will be qualitative and interactive. The target population will be pregnant and lactating women (PLW) and health care providers and management in Jowhar town and sample size of 366 individuals (357 mothers and 9 Key informants). This study will combine both probability (two stage cluster sampling and simple random sampling for PLWs) and non-probability (purposive sampling for key informant). The research instruments will be structured interview. The study will be tested for validity and reliability. Approval permit from all concerned stake holders and consent from participants will be sourced prior to the study. Data will be analysed using descriptive statistics or narrative descriptions according to the theme of the study. The research will be done in ethical manner and with integrity including consideration of participant’s privacy, respect and confidentiality.
LIST OF TABLES:
Table 2.1. Conceptual frame work……………………………………...…...……….25.
Table 2.2 Summery of gaps identified in literature review………………….……….26.
Table 3.1 Sample size calculation…………,,,,,,,,,,,,………………………….………33.
LIST OF FIGURES:
Figure 3.1 Maps showing Jowhar sections……………………...………………...…….36.
LIST OF ABBREVIATIONS:
ANC

Antenatal care.

EPHS

Essential Packages of Health services.

EDHS

Ethiopia Demographic and Health Survey