Factors associated with place of delivery in rural Nepal

BMC Public Health

Sarswoti Singh²  Bharat Mani Devkota¹  Amod Kumar Poudyal²  Sudesh Raj Sharma³ 

[1] Equal Access International, Pulchowk, Kathmandu, Nepal;Department of Community Medicine and Public Health, Maharajgunj Medical Campus, Tribhuvan University, Kathmandu, Nepal;The University of Sydney, Sydney, Australia

关键词: Adverse pregnancy outcome;    Women’s autonomy;    Wealth quintile;    Institutional delivery;   

Others  :  1131717
DOI  :  10.1186/1471-2458-14-306

 received in 2013-07-17, accepted in 2014-04-02,  发布年份 2014

【 摘 要 】

Background

Promotion of institutional delivery is a key intervention in reducing maternal mortality and improving maternal and neonatal health. This study explored factors associated with institutional delivery in rural Nepal.

Method

A household survey was conducted in three rural Village Development Committees of Kavrepalanchowk district to identify the individual, household and health service factors associated with the institutional delivery. All 240 eligible mothers from the study area were interviewed during the study period. Multiple logistic regression analysis was applied to establish the factor associated with the institutional delivery, the outcome variable.

Results

Antenatal care practice, adverse pregnancy outcome, ethnicity and time taken to reach the health institution were significantly associated with the institutional delivery. Utilization of an antenatal care service had the greatest effect on institutional delivery.

Conclusion

Universal antenatal care service utilization may be a critical intervention for increasing institutional delivery. There is a need to raise awareness in hard-to-reach areas where adverse pregnancy outcomes is not considered a serious event.

【 授权许可】

   
2014 Sharma et al.; licensee BioMed Central Ltd.

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