Article

Factors contributing to antenatal care and delivery practices in village development committees of ilam district, Nepal.

School of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.
Kathmandu University Medical Journal 09/2014; 11(41):60-5. DOI: 10.3126/kumj.v11i1.11029
Source: PubMed

ABSTRACT Background Proper antenatal care and good delivery practice helps to prevent the complications of childbirth and ensures a wholesome maternal and child health in the future. Almost half of the births in the developing countries take place without a skilled birth attendant. Objectives To assess the antenatal care (ANC) and delivery practices in the Village Development Committees (VDC) of Ilam district, Nepal and to identify the relationship with the socio-demographic factors. Method Cross sectional study of 262 mothers of reproductive age group having at least one child of less than five years of age, selected by simple random sampling, was carried out over different VDCs of Ilam by face to face interview using semi-structured questionnaire. Results Among 262 mothers, 34.7% were married before the age of 18 years. 69.5% of the mothers had attended four antenatal care visits. Nearly 47% of the deliveries were conducted at home out of which only 33.6% were conducted by skilled birth attendant. Number of children and maternal education were found to significantly affect the ANC visit and place of delivery. Age at marriage and age at first pregnancy were significantly associated with the place of delivery. Conclusion Large proportion of mothers still do not have adequate antenatal visits and this is supported by the fact that nearly half of the deliveries were conducted at home. Motivation and incentives are required for pregnant mothers especially in rural areas regarding importance of adequate antenatal visits and delivery in health institutions. Population policies should be aimed at reducing proportion of women marrying and giving birth in their teens.

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    ABSTRACT: Introduction Methodology Results Conclusion References Citation Tables / Figures Citation Subedi S, Kaphle HP, Acharya S, Gupta N, Jain V. Maternal incentive scheme in Nepal – status of knowledge and financial benefits received by mothers on ANC incentive and safe delivery incentive program. Ind J Comm Health. 2014;26(3):273-277. Abstract Background: Antenatal (ANC) and Safe Delivery Incentive Program (SDIP) of Nepal is implemented with the view to increase institutional delivery, thereby improving maternal health. The program has been a public issue regarding its information cum. incentive received by the clients and reimbursement to the health facilities. The study aimed to identify and assess the knowledge with financial benefits received by mothers from 4ANC visits and institutional delivery. Methods: Descriptive study was conducted among six villages of Syangja district, Nepal in December 2013. Data was taken from mothers who had delivered during the last one year of study. Full concern was adapted to consent, anonymity, confidentiality and validity. Epi-data and SPSS were used for analysis and interpretation of data. Results: Among the total 414 mothers, 60.6% and 82.9% were aware on 4ANC incentive and SDIP respectively. Total, consulted, mothers who had delivered in health-facility (n=212) received delivery incentive. Comparing the delivery benefits with ANC (n=212), 65.4% of mothers were deprived from ANC incentive though they practiced scheduled ANC visit. As an interesting fact, some other cases of non-ANC visit (n=3) and less than four/non-scheduled visit (n=8) were benefited from the ANC incentive as opposed to the rule of scheme. Analysis has shown that mothers who were aware on ANC incentive scheme were 5.2 times more likely to receive incentive than those of unaware one. Conclusion: The utilization of ANC incentive is found to be the result of its level of awareness. Government and concerned authority should valuably focus on ANC incentive program to increase its utilization like SDIP.
    Indian Journal of Community Health 07/2014; 26(3):273-277.
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    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Antenatal (ANC) and Safe Delivery Incentive Program (SDIP) of Nepal is implemented with the view to increase institutional delivery, thereby improving maternal health. The program has been a public issue regarding its information cum. incentive received by the clients and reimbursement to the health facilities. The study aimed to identify and assess the knowledge with financial benefits received by mothers from 4ANC visits and institutional delivery. Methods: Descriptive study was conducted among six villages of Syangja district, Nepal in December 2013. Data was taken from mothers who had delivered during the last one year of study. Full concern was adapted to consent, anonymity, confidentiality and validity. Epi-data and SPSS were used for analysis and interpretation of data. Results: Among the total 414 mothers, 60.6% and 82.9% were aware on 4ANC incentive and SDIP respectively. Total, consulted, mothers who had delivered in health-facility (n=212) received delivery incentive. Comparing the delivery benefits with ANC (n=212), 65.4% of mothers were deprived from ANC incentive though they practiced scheduled ANC visit. As an interesting fact, some other cases of non-ANC visit (n=3) and less than four/non-scheduled visit (n=8) were benefited from the ANC incentive as opposed to the rule of scheme. Analysis has shown that mothers who were aware on ANC incentive scheme were 5.2 times more likely to receive incentive than those of unaware one. Conclusion: The utilization of ANC incentive is found to be the result of its level of awareness. Government and concerned authority should valuably focus on ANC incentive program to increase its utilization like SDIP.
    Indian Journal of Community Health 09/2014; 26(03):273-277.

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