scholarly journals Factors Affecting Maternal Health Care Services Utilization in Nepal: Insight from the Nepal Demographic Health Survey 2006 and 2011

2017 ◽  
Vol 1 ◽  
pp. 55-72
Author(s):  
Gauri Shrestha
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Maternal Health ◽  
Health Survey ◽  
Goodness Of Fit ◽  
Institutional Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Place Of Delivery

Background: In this study, a maternal health care service is analyzed under the components of place of delivery (POD). POD is highlighted as ‘home delivery’ and ‘institutional delivery’.Objective: The objective of this study is to analyze factors associated with the utilization of health institute as delivery and estimate the probabilities of institutional delivery using some selected independent variables.Materials and Methods: Data used were extracted from individual recode of a data file of Nepal Demography Health Survey (NDHS) 2006 and 2011. The unit of analysis for this study is Ever Married Women (EMW) who had at least one live birth in the five years preceding the survey. Sample of this study consists of 4182 EMW for 2006 NDHS and 4079 EMW for 2011 NDHS. The dependent variable is place of delivery. The independent variables are mixture of categorical and continuous variables. For building of suitable statistical models, various types of models were explored and different measure of models adequacy test were applied. Finally, two logistic regression models were developed separately for 2006 and 2011 NDHS data.Results: Fitted model showed several variables: education level, wealth index, birth order, residence and ANC by provider were highly significant predictors for the selection of place of delivery for 2006 NDHS but in 2011 NDHS age was also highly significant. Goodness of fit tests (Hosmer-Lemeshow chi-square statistic), multicollinearity diagnostics, residual analysis and outliers (leverage value) showed that both models fit well to the proposed logistic regression model.Conclusion: A Comparative assessment of model coefficients between 2006 and 2011 NDHS, it is found that the values are only slightly different for most of the predictors under consideration demonstrating consistency of associations found in the two surveys.Nepalese Journal of Statistics, 2017, Vol. 1, 55-72

scholarly journals Maternal Health Care Service Utilization and Its Role in Postpartum Family Planning Use in Nepal

2015 ◽  
Vol 26 ◽  
pp. 79-91
Author(s):  
Momal Prasad Dulal
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Maternal Health ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Planning Method ◽  
Family Planning Method ◽  
Unintended Birth

Family planning and maternal health care programme has been initiated in an integrated approach for a long time in Nepal. However, the use status of family planning method could not be presented at good instance. The International Conference on Population and Development (ICPD), 1994 and later millennium development goal 2002, both paved the way out for the situation mostly in the developing countries. Nepal also has made some changes in its services aiming to reduce high maternal mortality and promote to use family planning method. Use of family planning method within 12 months after childbirth could be a right solution for many developing countries like Nepal having high unintended birth. Therefore, this paper aims to analyse the role of maternal health care service utilization in initiating use of family planning method after post-partum period. Women’s data file from Nepal Demographic Health Survey, 2011 has been used for the analysis. Bivariate and multivariate analysis result have revealed that the role of delivery care, controlling other variables seems to be much appreciable in getting family planning use within 12 months of delivery. Effects of some study variables besides delivery care remains unchanged in different models. Therefore, embracing family planning programme along with maternity care components would have implications towards - increasing current use of family planning, reducing the chances of unwanted/unintended birth, providing opportunities to control over female own body, contribution in achieving replacement level fertility and maintaining good health for both mother and the baby.

scholarly journals Traditional and Skilled Birth Attendants in Zimbabwe: A Situational Analysis and Some Policy Considerations

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Naume Zorodzai Choguya
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Urban Areas ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Situational Analysis ◽  
Skilled Birth Attendants ◽  
Birth Attendants

The paper focuses on the situational analysis of traditional birth attendants (TBAs) and skilled birth attendants (SBAs) in Zimbabwe. Against a background of a frail health care system, characterised by a shortage in skilled professionals, increased cost of medical care, and geographic and economic inaccessibility of health care centres among others, TBAs have remained a life-line for especially many rural women in maternal health care provision. Moreover, TBAs have also found their way into the urban areas of Zimbabwe. The shift in international policy and health funding toward skilled birth attendants (i.e., an accredited health professional) has materialized into concerted government efforts to increase numbers of both midwifery training institutions and midwives themselves. The call for SBAs, though a worthy ideal, is out of touch with the lived realities of pregnant women in low resource settings such as Zimbabwe. The study is concerned with situational analysis of TBAs and SBAs in maternal health care service provision in Zimbabwe analysing and evaluating policy considerations.

A Study to Evaluate the Efficacy of Different Interventions for Improving Quality of Maternal Health Care Service in China

2020 ◽  
Vol 26 (10) ◽  
pp. 1291-1300
Author(s):  
Chunrong Li ◽  
Li Tang ◽  
Min Yang ◽  
Yonghong Lin ◽  
Chaojie Liu ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Maternal Health Care Service

Contextual Determinants of Maternal Health Care Service Utilization in Nigeria

2013 ◽  
Vol 53 (7) ◽  
pp. 647-668 ◽  
Author(s):  
Dorothy Ngozi Ononokpono ◽  
Clifford Obby Odimegwu ◽  
Eunice Imasiku ◽  
Sunday Adedini
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Service Utilization ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Health Care Service Utilization ◽  
Contextual Determinants ◽  
Maternal Health Care Service

scholarly journals A Study on Utilisation of Maternal Health Care Services in Haryana

2017 ◽  
Vol 4 (01) ◽  
Author(s):  
Sonal Katyal
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Care Service ◽  
Health Care Service ◽  
Wealth Index ◽  
Maternal Health Care ◽  
Demographic And Health Surveys ◽  
Delivery Care ◽  
Care Services

Despite being a relatively smaller state, Haryana’s per capita Gross State Domestic Product (GSDP) is quite high. However, the statistical data on the status of women has a different story to share. This study analyses the maternal healthcare situation in Haryana to examine the differences in utilisation of maternal health care service, i.e. delivery care on the basis of socio-economic and socio-demographic indicators such as women’s age at birth, birth order, education, residence, religion, wealth index and caste. The study uses the third round of the National Family Health Survey (NFHS) data which is similar to the Demographic and Health Surveys (DHS). The findings reveal that women who have taken antenatal care utilise these services much more than women who have not taken antenatal care services. The utilisation pattern is in conjugation with the hypotheses. The results demonstrate that several socio-economic and demographic factors affect the utilisation of delivery care services in Haryana. Efforts need to be taken at community and household level to improve utilisation the utilisation of these services.

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