The study was conducted from 30th May 2006 - July 3rd 2006 at Kenyatta and Pumwani hospitals in Kenya. The aim was to determine the socio-economic and cultural factors that influence women's reproductive health decision making. It was cross-sectional and descriptive study on a sample size of 384 subjects. A semi structured questionnaire and focus group discussion on 3 groups of eight mothers each was used. The study revealed that age, marital status, level of education and employment status influences women's reproductive health decision making. The main cultural factors found to influence women's reproductive health decision making were; FGM, wife inheritance, sex of baby (preference for boys) and dowry. The conclusions arrived at was that majority of women are participating in their own reproductive health decision making though many need to be given education on different areas of reproductive health to encourage informed decision making. It was recommended that education opportunities for women on reproductive health issues be given more emphasis.
HIV testing in the antenatal clinic is an entry point for interventions to prevent mother to child transmission. It is therefore crucial that all women learn their HIV status during pregnancy. The approach used may influence the uptake of testing. HIV testing at the Kisumu District Hospital was initially offered using and ‘opt-in’ approach whereby in-depth counseling is instituted and women are required to request for the test as a separate component of their care.