Abstract
By the beginning of 2020, Nepal had reached a tipping point with over 60% of births occurring in a health facility—a three times increase from just 18% in 2006.1 This increase is testament to a range of health policies, including free maternity care, financial incentives for both antenatal care and facility-based births, and the scale-up of rural birthing centres staffed by skilled birth attendants that addressed some of the substantial geographical access constraints in the country.2 Yet, the increase in facility-based births did not generate the expected decrease in maternal mortality, which has stagnated since the beginning of the decade.
Highlights
By the beginning of 2020, Nepal had reached a tipping point with over 60% of births occurring in a health facility—a three times increase from just 18% in 2006.1 This increase is testament to a range of health policies, including free maternity care, financial incentives for both antenatal care and facility-based births, and the scale-up of rural birthing centres staffed by skilled birth attendants that addressed some of the substantial geographical access constraints in the country.[2]
The increase in facility-based births did not generate the expected decrease in maternal mortality, which has stagnated since the beginning of the decade
Challenges persist in providing high quality care in health facilities.[3]
Summary
By the beginning of 2020, Nepal had reached a tipping point with over 60% of births occurring in a health facility—a three times increase from just 18% in 2006.1 This increase is testament to a range of health policies, including free maternity care, financial incentives for both antenatal care and facility-based births, and the scale-up of rural birthing centres staffed by skilled birth attendants that addressed some of the substantial geographical access constraints in the country.[2]. Providing maternal health services during the COVID-19 pandemic in Nepal
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