Factors Associated with the Utilization of Institutional Delivery Service among Mothers.

Basanta Thapa,Pratima Pathak,Rashmi Devkota,Shovana Shrestha

doi:10.3126/jnhrc.v15i3.18845

Abstract

Assessment of utilization of institutional delivery services is crucial to reduce risk of maternal mortality and morbidity in countries like Nepal. This study was conducted to find out the proportion of utilization of institutional delivery service and associated factors among mothers. Data was collected from the total of 129 mothers of Kathar VDC, Chitwan district who delivered baby within last one year proceeding the period of data collection using census method. Descriptive statistics and binary logistic regression analysis were applied. Out of 129 mothers, 78.3% had their delivery in the health facilities. Binary logistic analysis showed number of factors associated with utilization of institutional delivery service such as ethnicity, respondents educational level, number of pregnancy, number of ANC visit and birth preparedness status. But in the multivariable logistic regression analysis, no. of ANC visit (AOR = 10.03, 95 % CI = 1.02-98.29) was only independent factors affecting institutional delivery service utilization. A number of factors have been shown to affect the utilization of institutional delivery. Therefore, concerned authority should plan and implement awareness programme aiming at increasing antenatal clinic visits and utilization of institutional delivery service.

Highlights

METHODSMaternal mortality is unacceptably high as evidenced by 62% of the total global maternal deaths carries by SubSaharan African region followed by 24% by South Asian region.[1]
An in-depth understanding of the factors associated with the utilization of institutional for delivery services is of paramount importance to unleash the barriers for promoting utilization of institutional delivery among women of Nepal
This study was conducted in Kathar village development committee (VDC) of Chitwan district of Nepal which is considered to be the second most developed district after Kathmandu- the capital city (148 kilometers far from the capital city).A total of 129 mothers who gave birth in last one year preceding the period of data collection were included in the study using census method

Summary

Introduction

METHODSMaternal mortality is unacceptably high as evidenced by 62% of the total global maternal deaths carries by SubSaharan African region followed by 24% by South Asian region.[1]. In Nepal, high proportion of maternal deaths is most likely due to the fact that over 63% of births take place at home.[2] Evidence suggests that appropriate delivery care and skilled attendance at birth ensures safe delivery and helps to identify the onset of complications in time.[3] an in-depth understanding of the factors associated with the utilization of institutional for delivery services is of paramount importance to unleash the barriers for promoting utilization of institutional delivery among women of Nepal. Assessment of utilization of institutional delivery services is crucial to reduce risk of maternal mortality and morbidity in countries like Nepal.This study was conducted to find out the proportion of utilization of institutional delivery service and associated factors among mothers

Results

Discussion

Conclusion