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Pathways of the determinants of unfavourable birth outcomes in Kenya

Diamond, Ian; Madise, Nyovani; Smith, Peter; Magadi, Monica

Authors

Ian Diamond

Nyovani Madise

Peter Smith



Abstract

This paper explores the pathways of the determinants of unfavourable birth outcomes, such as premature birth, the size of the baby at birth, and Caesarean section deliveries, in Kenya using graphical log-linear chain models. The results show that a number of factors that do not have direct associations with unfavourable birth outcomes contribute to these outcomes indirectly through intermediate factors. Marital status, the desirability of a pregnancy, the use of family planning and access to health facilities have no direct associations with poor birth outcomes, such as premature births and the small size of the baby at birth, but are linked to these outcomes through antenatal care. Antenatal care is identified as a central link between various sociodemographic or reproductive factors and birth outcomes.

Journal Article Type Article
Publication Date Mar 1, 2004
Journal JOURNAL OF BIOSOCIAL SCIENCE
Print ISSN 0021-9320
Publisher Cambridge University Press (CUP)
Peer Reviewed Peer Reviewed
Volume 36
Issue 2
Pages 153-176
APA6 Citation Diamond, I., Madise, N., Smith, P., & Magadi, M. (2004). Pathways of the determinants of unfavourable birth outcomes in Kenya. Journal of biosocial science, 36(2), (153-176). doi:10.1017/s0021932003006163. ISSN 0021-9320
DOI https://doi.org/10.1017/s0021932003006163
Keywords Public Health, Environmental and Occupational Health; General Social Sciences
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