Publication:
Utilization of Institutional Delivery Services and its Associated Factors among Chepang Mothers

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dc.contributor.authorBhatta, Bishesh
dc.contributor.authorChaulagain, Alisha
dc.contributor.authorDevkota, Sagar
dc.contributor.authorBartaula, Manita
dc.contributor.authorAdhikari, Hom Prasad
dc.contributor.authorDevkota, Nishchal
dc.date.accessioned2025-07-11T08:53:54Z
dc.date.available2025-07-11T08:53:54Z
dc.date.issued2025
dc.descriptionBishesh Bhatta National Open College, Sanepa Lalitpur, Nepal. Alisha Chaulagain National Open College, Sanepa Lalitpur, Nepal. Sagar Devkota National Open College, Sanepa Lalitpur, Nepal. Manita Bartaula National Open College, Sanepa Lalitpur, Nepal. Hom Prasad Adhikari Suvekchya International Hospital, Sitapaila, Kathmandu, Nepal. Nishchal Devkota National Open College, Sanepa Lalitpur, Nepal
dc.description.abstractBackground: Institutional delivery services play a critical role in reducing maternal and neonatal mortality. Despite this, a significant proportion of deliveries still take place at home, especially within marginalized communities like the Chepang. This study seeks to examine the barriers that Chepang women in Chitwan, Nepal, encounter in accessing institutional delivery services. Methods: A community-based cross-sectional study was conducted from June 20th to July 20th, 2024, involving 174 mothers who had given birth in the last two years. Data were collected via face-to-face interviews using a semi-structured questionnaire, followed by statistical analysis using SPSS. Results: The study found that 73.6% of mothers delivered at home. Major barriers included long distances to health facilities (66.7% reported more than one hour of travel), low education levels (34.5% were illiterate), and economic factors. Analysis revealed significant associations between institutional delivery and factors such as income source, with agricultural workers having lower odds of utilizing institutional services. Additionally, literacy (OR: 2.308, p = 0.034) and complications during pregnancy (OR: 0.147, p < 0.001) were significant predictors of institutional delivery. Conclusions: The findings indicate critical barriers to institutional delivery among Chepang mothers, highlighting the urgent need for targeted interventions to improve healthcare access. Enhancing education and addressing transportation challenges are essential for promoting safer childbirth practices and improving maternal health outcomes in this vulnerable population. Keywords: Barriers, Chepang community, Healthcare access, Institutional delivery, Nepal
dc.identifierhttps://doi.org/10.33314/jnhrc.v23i01.5395
dc.identifier.urihttps://hdl.handle.net/20.500.14572/114
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleUtilization of Institutional Delivery Services and its Associated Factors among Chepang Mothers
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage125
oaire.citation.startPage121

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