Factors Influencing the Choice of Interpersonal Communication Forms Utilized In Promoting Maternal and Child Survival in West Pokot County, Kenya (Published)
Interpersonal communication is one of the most common methods used in campaigns to reduce high maternal and child mortality rate in West Pokot County, Kenya. The study sought to identify the factors that affect the choice of each form of interpersonal communication used in promoting maternal and child survival. The study employed a descriptive cross-sectional survey research design. It also utilized a mixed research approach. The research sampled four hundred (400) respondents from the County. Cluster sampling, and purposive sampling techniques were used to identify respondents. Qualitative data was collected using four key informant interviews and focus group discussions and analysed thematically and then presented narratively. On the other hand, quantitative data from questionnaires were analysed using descriptive statistics, then presented using a combination of narrative explanations, tables and graphs. From the study findings, government policies, indicators, national campaigns and routine of the health workers were identified as the major factors that influenced the choice of interpersonal communication forms used. Based on the findings, it was recommended that the views of the all the stakeholders should be sought and incorporated into programmes aimed at enhancing maternal and child survival. Cultural aspects that encourage the upholding of proper upkeep of children and pregnant mothers should be identified and used during maternal and child survival campaigns.
Interpersonal Communication Forms Used To Convey Messages for Reducing Maternal and Child Mortality in West Pokot County, Kenya (Published)
The study investigated the use of interpersonal communication in promoting maternal and child survival in West Pokot County, Kenya. The level of success of this intervention approach has been much lower than in many Counties in Kenya. Based on the study, this paper examines the different forms of interpersonal communication used to convey messages aimed at reducing maternal and child mortality rate. The study adopted a mixed method research approach. A sample of four hundred (400) respondents was selected from the County. Cluster sampling and purposive sampling techniques were used to select respondents. Qualitative data were collected using four key informant interviews and focus group discussions. The qualitative data was analysed thematically and then presented narratively. On the other hand, quantitative data was analysed using descriptive statistics, then presented using a combination of narrative explanations, tables and graphs. The results from the research revealed that face-to-face interpersonal communication was the most popularly used form of interpersonal communication at 82%, while the use of mobile telephone was the least used with only 15%. The study recommends that the government should formulate a policy that incorporates software-based programs with mobile phone platforms to be used by Community Health Workers in prevention, management and monitoring of maternal and child health. This approach has proved successful in other developing countries to improve maternal and child survival.
Education for the Realization of the Preferential Option for the Poor: Catholic Church Activities in Uasin-Gishu County, Kenya (Published)
The present world is largely characterized by people who live in two opposite extremes; the extremely poor and the extremely rich. The challenge of poverty remains a major concern to governments and non-governmental organizations alike. Faith communities respond to poverty by looking to the teachings of Scripture to establish structures and actions that can liberate and empower the poor. The Roman Catholic Church’s commitment to empowering the poor is expressed in its social teaching and practices. Social amenities offered by the church range from provision of food, clothing, shelter, medical care and affordable quality education. Despite such initiatives on the part of the church, poverty is rife. Therefore, based on a study conducted in Uasin-Gishu County in Kenya, this paper examines the activities of the Catholic Diocese of Eldoret in the realization of preferential option for poor students in secondary schools. The study adopted descriptive mixed methods cross-sectional design comprising qualitative and quantitative methodologies. The target population comprised pupils in all the fourteen Catholic-sponsored schools in the Diocese, their head teachers, as well as teachers offering guidance and counselling. A sample of 351 students, 9 head teachers, and 28 teachers were drawn from those schools. Purposive sampling was employed in selecting 24 key informants, 12 from Catholic Diocesan secretariat, 4 priests, 4 officials from the Ministry of Education in the County and 4 members of the management at Catholic University of Eastern Africa (Gaba Campus). Schools were selected using simple random sampling technique while teachers and diocesan education officials were purposively sampled. Kathuri and Pals formula was employed in sampling student population. Questionnaire and interview schedule were the main tools of data collection. Analysed data was presented using cumulative frequency tables, percentages and pie charts. The study established that there are activities that are organised from within the church. The Catholic Diocese of Eldoret manages five key programmes that support poor children in its sponsored schools. Most of them are donor-funded although efforts have been initiated to involve parishes in raising money to sustain them. Based on the findings, it was recommended that the Diocese should explore ways through which continuity is seen in terms of funding. The study found that some projects that were supported by missionaries experience great challenges when the same donors leave. The findings of the study highlight practical strategies that the Catholic Church uses to assist poor children get education.
Contributions of Various Kenyan Personalities in Communicating Change For Transformative Community (Published)
In spite of relatively stable governance and a hard working population, Kenya is rated among the countries with wide income disparities. Extreme and chronic poverty has not been eliminated even after fifty years of development efforts, that is, since the country gained its independence in 1963. In mitigating the adverse effects of these inequalities, communication is considered an essential tool for transformation through which essential thoughts in the minds of the people aimed at transformation are nurtured and shared. The purpose of this study was to identify the contributions made by various Kenyan personalities whose life experiences are shared in this paper, in communication change for a transformative society. The study displays how the select Kenyans engaged with the people and got them involved in transforming their community. A qualitative research design was adopted to select ten Kenyans to share their life experiences through in-depth interviews that were used by the author to gather data. Data analysis focused on the participants’ narratives on the aspect of their personal contributions and how they got the community working towards sustainable change. The study also recommends development of an African Communication Theory on what motivates communicative acts that lead to societal transformation.
Influence of Employee Welfare Facilities on Their Performance at the Kenya Judiciary Systems in North Rift Kenya (Published)
The study examined the relationship between motivational factors and employee performance in the judiciary systems located in the North Rift Region of Kenya. Based on the study, this paper discusses the relationship between employee welfare practices and employee performance. The study employed a correlational survey design. The target population was all the 309 employees attached to the courts located in North Rift Region. Stratified random sampling was used to select 179 employees. A pilot test was done at the neighbouring Hamisi Law Courts to assess the reliability of the research instruments. The pilot study tested the face validity of the instrument which was found to be valid. Cronbach’s coefficient alpha was used to determine internal reliability of the research instruments. The Cronbach’s alpha value for the research instruments was 0.842. Both descriptive and inferential statistics were used to analyse data. Statistical significance of relationships among selected variables was determined using linear regression analysis. The study established that the motivational factors of employee welfare facilities influenced the performance of the judiciary employees. Evidence of improved performance included a reduction of case backlogs and expeditious determination of cases. Based on the findings from the study, it was recommended that the administration of the judiciary to design effective employee welfare facilities that are likely to stimulate employee efforts towards performance.
A Descriptive Analysis of the Influence of Entrepreneurial Orientation Dimensions On the Performance of SMEs in Kenya (Published)
Small and medium-sized enterprises (SMEs) play an important role in the world economy. They contribute substantially to income output and employment. Indeed, they dominate the world business. In spite of this, studies have failed to identify and assess the corporate entrepreneurship dimensions that lead to good performance, especially in Kenya. As such, based on a study of SMEs in Kenya, this paper examines the relationships that obtain between Entrepreneurial Orientation (EO) and firm performance among SMEs. Specifically, the study sought to find out the effect of entrepreneurial innovativeness, risk-taking and proactiveness on firm performance. The study was guided by the resource based view (RBV), contingency theory, theories of entrepreneurship and the marketing theory. It adopted explanatory research design using a census sample with the target population being all the top 536 medium sized firms between 2006 and 2013. Data was collected using a questionnaire and analyzed using descriptive statistics, Pearson’s bivariate correlation, multiple regression and moderated regression analysis. Results revealed that entrepreneurial innovativeness, risk taking and proactiveness have a direct positive relationship with performance of SMEs. From the findings, the study recommended the need to intensify initiatives that encourage a better understanding of EO dimensions in boosting firms’ competitive positions and superior performance; firms should be more entrepreneurial in order to attain superior performance and survive the intensively competitive market environment. They should continuously innovate, especially through new product development, being first to enter the market with new products and in the use of creative new solutions that lead them to be recognized by competitors as leaders in innovation. SME owners/managers also need to enhance their risk-taking behaviour by encouraging staff to take risks with new ideas, make effective changes to their products and be willing to accept at least moderate levels of risk, engage in risky investments and have the courage to seize new opportunities, even if this may involve great financial risks
The Influence of Entrepreneurial Innovativeness on Firm Performance among Small and Medium-Sized Enterprises in Kenya (Published)
Small and medium-sized enterprises (SMEs) play an important role in the world economy. They contribute substantially to income, output and employment. They dominate the world business stage. Empirical studies have identified the effects of Market Orientation (MO) and entrepreneurial orientation (EO) on firm performance; also on the moderating effect of MO on single EO constructs, yet studies have failed to identify the influence of Entrepreneurial Innovativeness on the relationship between corporate entrepreneurship dimensions and firm performance, especially in Kenya. Therefore, based on a study conducted to determine the moderating effect of MO on this relationship among mid-sized enterprises in Kenya this paper examines the effect of entrepreneurial innovativeness on firm performance and the moderating effect of MO in the relationship between entrepreneurial innovativeness and firm performance. The study was guided by the Resource Based View (RBV), Contingency Theory, theories of entrepreneurship and the marketing concept. It adopted explanatory research design using a survey of all the top 600 med-sized firms in Kenya between 2006 and 2013. Actual participating firms were 536 with responses obtained from 394 firms. Data was collected using a questionnaire and analyzed using descriptive statistics, Pearson’s bivariate correlation, multiple regression, and moderated regression analysis. Results revealed that entrepreneurial innovativeness has a direct positive relationship with performance of mid-sized firms. In addition, market orientation had no significant moderating effect on the relationship between entrepreneurial innovativeness and firm performance. From these results, the study recommends that firms should intensify initiatives to encourage better understanding of EO and MO in boosting firms’ competitive positions and superior performance.
Effect of Instructional Strategies on the Teaching and Acquisition of Listening Skills in Kiswahili Language (Published)
The research investigated the influence of the instructional process on the teaching and acquisition of listening skills in Kiswahili language. Informed by the study, this paper explores how the instructional strategies used influence the teaching and acquisition of listening skills in Kiswahili language in Kenyan secondary schools. The study used a sample of 13 secondary schools purposively selected from a total of 41 secondary schools in Wareng’ District, Kenya. Thirteen (13) teachers of Kiswahili and 130 Form Two learners of Kiswahili formed the respondents. The research was a descriptive survey since it set out to discover, describe and interpret existing conditions focusing on secondary school teachers of Kiswahili and Form Two learners. To collect data an interview schedule and an observation schedule were used. The 13 teachers were interviewed, the 130 learners participated in a Focus Group Discussion while 13 Kiswahili lessons were observed and tape-recorded. Analysed data was presented using frequency tables, percentages, graphs and charts. The study found that poor teaching strategies used in the teaching of listening in Kiswahili language is one of the main causes of the poor levels of language acquisition. In view of the findings, this study recommends that teachers of Kiswahili should build into their classrooms listening activities that have as much of the characteristics of real life listening as possible. One of the research implication of this study is that a study should be conducted in teacher training institutions to determine the effectiveness of teacher education programs in preparing teachers of Kiswahili in the teaching of listening skills.
The Influence of Financial Support Services on the Financial Performance of Women-Owned Enterprises in Eldoret, Kenya (Published)
Micro-credit services target low income clients who lack access to banking and related services. The study sought to establish the influence of micro-credit services on financial performance of women-owned enterprises in Eldoret. The financial performance measures were the net profit, current, inventory and times interest earned ratio. Based on the research, this paper discusses the influence of financial support services on the financial performance of women-owned enterprises which are funded through micro-credit. The study targeted a population of 1721 which constituted of women who owned enterprises and were registered with the county government of Uasin Gishu County. Study samples were drawn through purposive random sampling. A sample size of 313 was obtained using the Krejcie and Morgan formula. Questionnaires were used to collect data. Descriptive and inferential statistics were used to present and analyse the data obtained. Data was then presented in form of tables, and explanations provided. There results showed that there was no significant influence of financial support services on financial performance of women-owned enterprise (p=0.00). From the study, it was observed that the financial performance of the women-owned enterprises in Eldoret improved due to the increase in the net profit, current, inventory turnover and times interest earned ratio. The study concluded that multiple loan products and favourable loan terms helps boost the financial performance of women owned enterprise. The study recommended that microfinance institutions should restructure the collateral and interest requirements by the women entrepreneurs by using credit scoring and business history as alternatives to asset-based security. This paper underscores the need to carry out more research on factors affecting women-owned enterprise in other areas of similar socio-economic patterns to ascertain whether or not financial support services have had a positive impact on the financial performance of women-owned enterprises. Moreover, a study should be conducted on the influence of micro-finance lending on financial performance of women-owned enterprises in Eldoret town.
The Influence of Capital Adequacy Ratio on the Financial Performance of Second-Tier Commercial Banks in Kenya (Published)
Performance of most mid-tier commercial banks in Kenya has been fluctuating over the past few years. Meanwhile, some of them continue to post impressive results as majority report losses and others merge in order to remain sustainable. This situation points to financial performance affecting the mid-tier commercial banks in Kenya. The government, through the Central Bank of Kenya, introduced prudential regulations aimed at bringing sanity in the banking industry. This move led to closure of Dubai Bank and Imperial Bank while Chase Bank went under statutory management awaiting new investors. From this, an investigation was done on how Central Bank regulations influenced financial performance of second-tier commercial banks in Kenya. Based on the study, this paper explores how capital adequacy ratio influences financial performance of commercial banks in Kenya. The study was purely quantitative research and, therefore, correlation research design and descriptive research designs were used. The study was conducted in 14 second tier commercial banks in Kenya. It collected financial data from 2013 to 2016, considering that the regulations came into effect in 2013 from CBK and commercial banks websites. The data was sourced from Central Bank of Kenya after getting permission and approval from National Commission for Science, Technology and Innovation (NACOSTI). Data collected was analysed using descriptive and inferential statistics. Multiple Regression Analysis was used to test the study research hypothesis. Findings were presented through tabulations and graphical illustrations. Computed correlation showed that capital adequacy ratio had significant strong positive relationship (p<0.05) with financial performance of mid-tier commercial banks. In conclusion, it was found that capital adequacy ratio is among the main predictors of mid-tier commercial banks’ financial performance. It was therefore recommended that CBK needs to regularly monitor commercial banks by ensuring that they publish their quarterly results to the public. The investment regulators in the country such as the Capital Markets Authority (CMA), Kenya Banker Association (KBA) and Central bank of Kenya can use these study findings to understand the bottom line impact of bank regulatory requirements and in understanding banks decision on to its customers.
The Relationship between Board Members’ Knowledge and Organizational Performance of Private Commercial Banks in Nairobi County, Kenya (Published)
Many organizations are striving to enhance their organization performance by creating and commercializing knowledge in a timely and cost-efficient manner. Given the intensifying competitive environment, the critical determinant of organizational success is the effectiveness of board of directors. The purpose of the study was to establish the relationship between board members’ characteristics and organizational performance, drawing empirical lessons from private commercial banks in Nairobi County, Kenya. Based on the study, this paper examines the relationship between board members’ knowledge and organizational performance. The study employed a correlation research design. It targeted 207 senior management staff drawn from 28 private commercial banks within Nairobi County. Stratified and random sampling technique was used to select a sample of 103 senior management staff, representing 50% of the target population. Primary data was collected using structured questionnaire while secondary data was collected using documentary guided. Content validity index was used to test validity of research instruments whilst Cronbach alpha method was applied to test reliability of the research instruments. Correlation analysis was used to determine the nature of the relationship between variables. The study found no significant correlation between board members’ knowledge and organization performance. The study therefore adds new knowledge to the existing body of literature since the extant literature suggests that board members’ knowledge has a positive influence on organization performance. There is however need for further studies on the same to establish if the study findings hold.
Influence of Organizational Arrangement and System Complexity on Adoption of Integrated Financial Management Information System by Uasin Gishu County Government, Kenya (Published)
Over the past decade, developing many countries has increasingly embarked on efforts to computerize their government operations, beginning especially with the public financial management (PFM). Among the most common systems implemented is the integrated financial management information system (IFMIS). The system computerizes and automates key aspects of budget execution and accounting operations across institutions of government. The study investigated factors affecting the implementation of IFMIS in Uasin Gishu County Government. Based on the study, this paper explores the effect of organizational arrangement and system complexity on successful implementation of IFMIS in Uasin Gishu County. The study employed a correlation research design. Stratified random sampling method was used to select 170 respondents from a target population of 566 County’s employees who used IFMIS. Data was collected by means of a questionnaire and was analysed using descriptive and inferential statistics. The findings of this study revealed that organization arrangement (β=.51, P-.000) had a significant effect on implementation of IFMIS in Uasin Gishu County. However, system complexity (β=.01, P-.000) had no significance effect on implementation of IFMIS. Therefore, the study recommended that the Uasin Gishu County government should embrace change of management since it enhances many positive benefits to an employee’s life, including a better greater job satisfaction, more autonomy, increased energy, creativity, motivation and morale. As work becomes more sophisticated and more technology-dependent, the importance of virtual teams will increase rapidly.
The Effect of Automated Car Park System on Revenue Collection in Busia County Government, Kenya (Published)
In the present-day competitive, fast-paced business landscape, getting the most out of available resources is not an option but a necessity. County governments are taking a highly proactive approach to systems modernization and operations in an effort to increase efficiency and effectiveness in their operations. The study sought to establish the effect of automated financial systems on revenue collection in Busia County Government. Based on the study, this paper examines the effects of automated car park system on revenue collection in Busia County Government. The study used the Meta Theory Model was used as the theoretical framework. The Theory posits that contingency factors, organizational factors and technological factors have an effect on the aspect of task performance. The study adopted ex post facto research design. The study targeted 140 employees who worked at the Busia County Government. The research used random sampling technique to identify respondents who participated in the study. The sample size was 103 respondents. Data was collected using a questionnaire and analysed using descriptive and inferential statistics (ANOVA, regression analysis and correlation). The study found that there was a statistically significant linear relationship between automated car park systems and revenue collection (p=0.000). The research recommended that Busia County should improve on automated financial systems. Automation of the revenue management process should be improved to enhance efficiency.
Relationship between Risk-Taking and Business Performance among Small and Medium Enterprises in Eldoret Town, Kenya (Published)
The measure of entrepreneurial activity in an organization is the level of creativity and innovation across all its operations. How intense the creative and innovative disposition is determined by the success of organizations as reflected in performance outcomes. The purpose of the study was to examine the relationship between entrepreneurial intensity and performance of small and medium enterprises in Eldoret town, Kenya. Informed by the study, this paper explores the influence of risk-taking on the performance of SMEs in Eldoret town. The study adopted an ex-post facto research design. It targeted all the SMEs in Eldoret town. Systematic sampling technique was adopted to select a sample of 100 SME owners/managers to be involved in the study. The collected data was analysed using both descriptive and inferential statistics. Descriptive statistics was presented in form of percentages, frequencies, pie charts and graphs. Pearson correlation was employed to test the hypotheses of the study. The study established that there is a strong positive correlation between risk-taking and business performance of SMEs in Eldoret town. Therefore, committing business resources to venture in uncertain and unfamiliar environments could result in increased returns and market share for the business.
Assessment of Teacher Competence in Pedagogical Knowledge in the Implementation of Secondary School Curriculum in North Rift Region, Kenya (Published)
The purpose of this study was to investigate teachers’ competence in pedagogical knowledge in teaching in secondary schools in the north rift region of Kenya. The study used descriptive survey design and a mixed methods research. Simple random sampling and stratified sampling was used to select the sample. Data instruments were structured and unstructured questionnaires, observation schedule and semi-structured interviews. Data was analyzed using descriptive statistics. The findings of the study revealed that a majority of teachers did not use learner centred methods for example demonstration, enquiry and discussion. It was concluded that a significant number of teachers were not competent in pedagogical knowledge for the implementation of the secondary school curriculum. The study recommended revision of teacher education curriculum and the recruitment of more teachers to relieve on workload to enable them prepare effectively for the implementation of the secondary school curriculum
The Influence of Innovativeness on the Performance of Small and Medium Enterprises in Eldoret Town, Kenya (Published)
The study investigated the influence of entrepreneurial intensity on performance of small and medium enterprises in Eldoret town, Kenya. Based on the study this paper examines how innovativeness influences the performance of SMEs in Eldoret town. The study adopted an ex-post facto research design. It targeted all the SMEs in Eldoret town. Systematic sampling technique was adopted to select a sample of 100 SME owners/managers to be involved in the study. The collected data was analysed using both descriptive and inferential statistics. Descriptive statistics was presented in form of percentages, frequencies, pie charts and graphs. Pearson correlation was employed to test the hypotheses of the study. The findings showed that innovativeness as a dimension of entrepreneurial intensity had strong positive correlation with the performance of SMEs in Eldoret town. Therefore, it was recommended that the government should play a role in offering short courses to induct the business owners and expose them to advanced techniques in innovation.
Electronic Marketing Practices, Competitive Environment and Performance of Telecommunications Companies in Kenya (Published)
The objective of the study was to ascertain the effect of e-marketing practices on the performance of telecommunications companies in Kenya. The population of the study was drawn from all telecommunications companies Kenya. Primary and secondary data were used where a semi-structured questionnaire was used to collect primary data while secondary data was extracted from industry performance reports. Data was analyzed using descriptive statistics, factor analysis and regression analysis. The findings showed statistically significant relationship between e-marketing practices and organizational performance. Results of the moderating effect of competitive environment on the relationship were equally statistically significant. The results imply that organizations that have adopted e-marketing practices have also been able to record better performance. This relationship is however moderated by competitive environment meaning that while e-marketing practices contribute to organizational performance, the competitive environments within which they operate require that they develop mechanisms that enable scanning and adapting to competitive environment for competitiveness and better performance. Failure to adapt to the competitive environment can result into organizational demise despite adopting appropriate marketing strategies including, e-marketing practices.
The Impact of Distribution Channel Differentiation on Organizational Performance: The Case of Sameer Africa Limited in Nairobi, Kenya (Published)
The study investigated the relationship between differentiation strategy and performance of Sameer Africa Ltd located in Nairobi, Kenya. Informed by the study this paper discusses the extent to which channel differentiation strategy adopted by Sameer Africa (K) Limited influenced the company’s performance. The study employed a correlational research design. The study targeted 112 employees of Sameer Africa (K) Limited comprising of senior management, HODs and junior staff and 90 dealers based in Nairobi. A sample of 134 respondents was selected by use of stratified and simple random sampling techniques. Primary data was collected through self-administered questionnaires. The quantitative data was analysed using descriptive statistics in the form of tables and inferential statistics in the form of Pearson correlation and regression analysis with significance level of 0.05 to test the hypothesis. From the findings of the study, majority of the respondents believed that Sameer Africa (K) Ltd could achieve competitive advantage through channel differentiation. This suggest that an increase in channel differentiation strategy such as use of market trends to determine most appropriate channel strategy, use of different channels with the aim of minimizing cost of distribution, selling some of the products and services through intermediary and complementary firms and applying different distribution channels so as to satisfy unique customer needs would result in an increase in performance through market share, revenue, sales and customer satisfaction. The study sought to provide an empirical evaluation of the relationship between differentiation strategy and organizational performance.
Hospitality Industry, which majorly consists of hotels and restaurant chains and related services, is one of the largest service industries in the world. Most countries in Africa have realized that the development of hospitality industries is also important for economic diversification. The study assessed the influence of strategic alliances on growth of hotel industry in Eldoret town, the headquarters of Uasin Gishu County in the North Rift region of Kenya. Based on the study this paper explores the effects of outsourcing on growth of hotel industry. The study adopted a descriptive survey research design with a target population of 220 in the hotel industry in Eldoret town. A sample of 112 respondents was drawn proportionately from four categories of hotels using stratified random sampling technique. A semi-structured questionnaire was administered to collect the required data. Data was analyzed using both descriptive and inferential statistical techniques with the aid of a computer software known as Statistical Package for Social Sciences (SPSS) version 20. Multiple regression analysis was used to analyze the data. The study found that outsourcing had contributed to increased hotel sales, profits, product/service quality and reduction of costs. It was therefore recommended that hotel managers need to understand the benefits as well as the challenges that come with outsourcing. The findings of the study will be of benefit to hotels with limited resources and exposed to growth opportunities as they will be able to appreciate the role of outsourcing in leveraging on large firms’ resources for profitability, growth and expansion.
Assessment of the Factors Influencing Birth Preparedness and Complication Readiness among Pregnant Women: A Case of Selected Health Care Facilities in Eldoret, Kenya (Published)
Evitable mortality and morbidity remains a formidable challenge in many developing countries, Kenya among them. Countering this challenge due to birth complications then becomes a critical area of concern. The principle and practice of Birth Preparedness and Complication Readiness (BP/CR) in resource-poor settings have the potential of reducing maternal and neonatal morbidity and mortality rates. This paper aims to assess the factors that influence BP/CR among pregnant women attending Antenatal care in selected Health Care Facilities in Eldoret, Kenya. The current maternal mortality ratio is 488 maternal deaths per 100,000 live births (KDHS 2008-9). Most of these deaths occur due to the five leading causes: severe bleeding/hemorrhage (25%), infections (13%), unsafe abortions (13%), eclampsia (12%), obstructed labor (8%), other direct causes (8%), and indirect causes (20%). It is important to note that most of these deaths can be prevented by proper ANC attendances and ensuring the presence of a skilled birth attendant during delivery and/or in case of any complications (Omolo & Kizito, 2010). The study used a descriptive cross sectional approach. Pregnant women seeking antenatal services in 3 health care facilities (Eldoret West Health Centre, Huruma and Uasin Gishu District Hospitals) formed the target population from which a sample size of 273 was obtained using fisher’s formula. Data collection was done using questionnaire and analyzed using the SPSS software. Results are presented in tables and narratives. Among the factors established to be the most predictors included maternal education, source of income, pregnancy planning and attendance of Antenatal Care. The study recommends emphasis of Antenatal care education on birth preparedness and complication readiness to improve access to skilled and emergency obstetric care.