Publication:
Factors Affecting the Uptake of Institutional Delivery, Antenatal and Postnatal Care in Nawalparasi District, Nepal

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creativeworkseries.issn1812-2027
dc.contributor.authorPradhan, S
dc.contributor.authorvan Teijlingen, E
dc.contributor.authorSimkhada, PP
dc.contributor.authorDhungel, A
dc.contributor.authorSilwal, RC
dc.contributor.authorFanning, P
dc.contributor.authorWasti, SP
dc.date.accessioned2025-12-01T06:55:23Z
dc.date.available2025-12-01T06:55:23Z
dc.date.issued2019
dc.descriptionPradhan S,1,2van Teijlingen E,2-4Simkhada PP,2-5Dhungel A,1Silwal RC,1Fanning P,6Wasti SP7 1Green Tara Nepal, Kathmandu, Nepal. 2CMMPH, Bournemouth University, Bournemouth, UK. 3Manmohan Memorial Institute of Health Sciences (MMIHS), Kathmandu, Nepal. 4Nobel College, Kathmandu, Nepal. 5School of Human and Health Sciences, University of Huddersfield, Huddersfild, UK. 6Green Tara Trust, London, UK. 7Independent Research Consultant, Kathmandu, Nepal.
dc.description.abstractABSTRACT Background Maternal deaths and complications are highly preventable with good antenatal, postnatal and skilled care during childbirth. Inadequate information on the factors affecting these services could be barrier to a reduction of maternal deaths in low- income countries. Objective To assess the uptake of antenatal, postnatal and skilled care during childbirth. Method A cross-sectional study was conducted in eight villages of Nawalparasi district in southern Nepal. A total of 447 women who had given birth within the preceding 24 months were recruited using multistage random sampling. Data were collected using a pre-tested semi-structured questionnaire. Chi-square tests were used to assess association between variables. Result Over 70% of women had gone for at least four antenatal care check-ups while only 14.3% had at least three postnatal check-ups in their last pregnancies. The proportion of institution delivery was 54%. Women’s literacy was associated with the uptake of antenatal services (p=<0.001), postnatal care (p=0.04) and institutional delivery (p=<0.001). Knowledge of antenatal (p=<0.001) and postnatal care was also associated with uptake of respective services (p=<0.001). Conclusion The uptake and knowledge of antenatal care was much better than of postnatal care. Home delivery rates were still very high. A scaling-up of education and awareness- raising interventions in this community could help improve the uptake of maternal health services. KEY WORDS Childbirth, Maternal health, Pregnancy, Service utilisation, South Asia
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3333
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectChildbirth
dc.subjectMaternal health
dc.subjectPregnancy
dc.subjectService utilisation
dc.subjectSouth Asia
dc.titleFactors Affecting the Uptake of Institutional Delivery, Antenatal and Postnatal Care in Nawalparasi District, Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage211
oaire.citation.startPage206
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relation.isJournalIssueOfPublication.latestForDiscoveryd377df48-7848-4729-ac85-b530933dac8d
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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