Understanding what women want: eliciting preference for delivery health facility in a rural sub-County in Kenya, a discrete choice experiment

Objective: To identify what women want in a delivery health facility and how they rank the attributes that influence the choice of a place of delivery.

Design: A Discrete Choice Experiment was conducted to elicit rural women’s preferences for choice of delivery health facility. Data were analyzed using both a conditional logit model to evaluate relative importance of the selected attributes. A mixed multinomial model evaluated how interactions with sociodemographic variables influence the choice of the selected attributes.

Setting: Six health facilities in a rural sub-County.

Participants: Women aged 18-49 years who had delivered within six weeks.

Primary outcome: The DCE required women to select from hypothetical health facility A or B or opt-out alternative.

Results: A total of 474 participants were sampled, 466 participants completed the survey (response rate 98%).The attribute with the strongest association with health facility preference was having a kind and support...