Maternal Health care in Nepal: Trends and determinants. (Record no. 2759)

MARC details
000 -LEADER
fixed length control field 02553nam a22002537a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20220906184709.0
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060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER
Classification number RES-00942
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Aryal, Krishna kumar.
9 (RLIN) 1147
245 ## - TITLE STATEMENT
Title Maternal Health care in Nepal: Trends and determinants.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. c2019.
300 ## - PHYSICAL DESCRIPTION
Extent xv,43p.
500 ## - GENERAL NOTE
General note Research Report.
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT: Despite the longstanding efforts of the Ministry of Health and Population (MoHP) in Nepal to promote maternal and neonatal health (MNH), progress has been slow for MNH service use. This analysis aimed to identify determinants of maternal health care use: antenatal care (ANC) visits, institutional delivery, and postnatal care (PNC) check-up. We analyzed 2011 and 2016 Nepal Demographic and Health Surveys (NDHS) data to illustrate the trend of these three outcome variables, and 2016 NDHS data alone for determinants of the outcome variables. The number of women included in the analysis was 1,440 for ANC, 1,478 for place of delivery, and 718 for PNC. We used descriptive and inferential statistics and presented the results as proportions and adjusted odds ratios. Since 2011, we observed a substantial increase in the proportion of women with four ANC visits and institutional delivery, but only a small increase in PNC check-up. Lower birth order was associated with the ANC visits. Better education, completion of four ANC visits, and birth preparedness were associated with institutional delivery. Having institutional delivery and receiving advice for PNC check-up was associated with PNC check-up. We found an association of all the outcome variables with wealth quintile and province. These findings suggest that women marginalized by geography, wealth, and education are less likely to access maternal health care. To achieve the goals of increasing the institutional delivery rate to 70%, and of increasing ANC visits and PNC check-up to 90% by 2020, more focused interventions, targeting the underserved and most marginalized population, are required. KEY WORDS: antenatal care; institutional delivery; postnatal care; determinants; Nepal
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Antenatal care.
9 (RLIN) 1463
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Institutional delivery.
9 (RLIN) 2372
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Postnatal care.
9 (RLIN) 2373
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Determinants.
9 (RLIN) 2374
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Nepal.
9 (RLIN) 362
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Sharma, Sharad K.
-- Khanal, Mukti Nath.
-- Bista, Bihungum.
-- Sharma, Shiv Lal.
-- Steffen, Mona Mehta.
9 (RLIN) 2375
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a>
Link text Visit NHRC Library
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme National Library of Medicine
Koha item type Research Report
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    National Library of Medicine     Nepal Health Research Council Nepal Health Research Council 07/24/2019   RES-00942/ARY/2019 RES-00942 07/24/2019 07/24/2019 Research Report

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