Maternal Factors Associated with Timely Referral and Safe Transport of Neonates in Makueni County Referral Hospital

Authors

  • Francisca Nduku Iluka Kenyatta University
  • Winfred Nyambura Kariuki Catholic University of Eastern Africa, Kenya

DOI:

https://doi.org/10.70619/vol6iss3pp1-9751

Keywords:

Maternal factors, timely referral, safe transport, neonates

Abstract

The study sought to determine maternal factors associated with timely referral and safe transport of neonates in Makueni County Referral Hospital. The study employed a cross-sectional study design. The researcher collected data from 50 neonates through consecutive sampling. The researcher used a self-administered questionnaire, patient file reviews, and a structured data checklist. Patients condition on admission was obtained from the health record. The researcher analyzed the data quantitatively using the Statistical Package for the Social Sciences (SPSS) version 26. The data obtained was summarized using frequency tables. Inferential statistics, such as Chi-square tests, Fisher's Exact Tests, and bivariate and multivariate analyses, were used to test for associations. In total, 50 admitted neonates were recruited to the study, and results were analyzed. Maternal characteristics encompassing age, education level, parity, marital status, ANC visits, residence, and knowledge of high-risk pregnancies did not have a statistically significant relationship with the occurrence of timely referral and safe transport of neonates. Availability of enough and qualified health care providers to aid in vital signs monitoring, pre-referral, and en-route stabilization of neonates.

Author Biographies

Francisca Nduku Iluka, Kenyatta University

Paediatric Nursing

Winfred Nyambura Kariuki, Catholic University of Eastern Africa, Kenya

Medical Surgical Nursing

References

Ashokcoomar, P., & Bhagwan, R. (2021). Towards a safer and more efficient neonatal transfer system in South Africa: A qualitative inquiry with advanced life support paramedics. Australasian Journal of Paramedicine, 18. https://doi.org/10.33151/ajp.18.951

Bose A. Transfer of the sick neonate: What is needed? J Trop Pediatr. 2017; 63 (3):165–6

Irimu G, Aluvaala J, Malla L, et al. Neonatal mortality in Kenyan hospitals: a multisite, retrospective, cohort study. BMJ Global Health 2021; 6: e004475. https://doi:10.1136/ bmjgh 2020-004475

Ministry of Health: Kenya Health Sector Referral Implementation Guidelines 1st Edition, 2014.

Moxon, Lawn, Dickson, Kapeu, Gupta, Deorari, Singhal, Kenner, Kumar, Molynex & Blencowe. Inpatient care of small and sick newborns: a multi-country analysis of health system bottlenecks and potential solutions. BMC Pregnancy Childbirth 15, S7 (2015). https://doi.org/10.1186/1471-2393-15-S2-S7

Muhydeen.AA, Olukemi. O, Adebola E O,Olukayode FA(2016), Neonatal Transport practices in Ibadan, Nigeria, Pan African Medical Journal.;24:216 doi:10.11604/pamj.2016.24.216.8651

Negi, Rudresh & Agrawal, Renu & Kaushal, Sunil & Misra, Sunil. (2019). Timely referral and safe transport of neonates admitted to neonatal intensive care unit of tertiary care government hospital of Agra district: a cross-sectional study. International Journal of Community Medicine and Public Health. 6. 2163. 10.18203/2394-6040.ijcmph20191838.

Rutherford, Spencer & Naman, Maryan & Zaka, Nabila & Michaux, Kathryn & Cupp, Meghan & Hafezi, Hannah & Sami, Samira & Alexander, Emma & Lakhanpaul, Monica & Manikam, Logan. (2023). Building referral mechanisms for neonatal care in humanitarian emergency settings: A systematic review. The International journal of health planning and management. 38. 10.1002/hpm.3655.

Singh J, Dalal P, Gathwala G, et al. Transport characteristics and predictors of mortality among neonates referred to a tertiary care center in North India: a prospective observational study. BMJ Open 2021; 11:e044625. https://doi: 10.1136/ bmjopen-2020-044625

Teklu, A.M., Litch, J.A., Tesfahun, Wolker, Tuamay, Gidey, Cheru, Senturia, Gezahegn. Referral systems for preterm, low birth weight, and sick newborns in Ethiopia: a qualitative assessment. BMC Pediatr 20, 409 (2020). https://doi.org/10.1186/s12887-020-02311-6

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Published

2026-03-05

How to Cite

Iluka, F. N. ., & Kariuki, W. N. . (2026). Maternal Factors Associated with Timely Referral and Safe Transport of Neonates in Makueni County Referral Hospital. Journal of Medicine, Nursing and Public Health, 6(3), 1–9. https://doi.org/10.70619/vol6iss3pp1-9751

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Articles