Abstract
IntroductionMaternal and child health care services is essential component to promote family health. Despite of being provided free of cost, adequate utilization on of services is still the issue affecting health of both mother and child in Nepal.Objective The objective of this study was to assess the utilization of Maternal and child health care services and nutritional status of under five children in Bungmati Village Development Committee Lalitpur, NepalMethodologyDescriptive cross sectional study was conducted in Bungmati VDC of Lalitpur district, Nepal among one hundred and fifty households having either under five children, postnatal mothers or pregnant women which was selected purposively based on the objectives of the study. Data was collected by using interview guidelines and anthropometric measurement of children under five was taken. Collected data were analyzed in SPSS.ResultsRegarding utilization of maternal health care services, 90.9% had done their four-time antenatal checkup, 94.2% had delivered their baby at hospital and 65% married women of reproductive age were using one of the family planning methods. Likewise, immunization of under five children showed 100% BCG coverage, 88% pentavalent DPT and Polio, 77% Measles and low coverage of inject able Polio vaccine. About Nutritional status of under five children, more than half (57%) of the child were underweight, 41% were stunted and 20% of them were wasted.ConclusionUtilization of maternal health care services is good though Coverage of family planning needs to be improved and Immunization program should be strengthened. Awareness program for improvement of nutritional status of the under five children should be planned to address nutritional problem of children.Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, page: 93-97
Highlights
Health and well being of both mother and the children is shaped by kind of health care services that woman receives during pregnancy, childbirth and post-partum period.[1]
Regarding u liza on of maternal health care services, 90.9% had done their four- me antenatal checkup, 94.2% had delivered their baby at hospital and 65% married women of reproduc ve age were using one of the family planning methods
U liza on of maternal health care services is good though coverage of family planning needs to be improved and immuniza on program should be strengthened
Summary
Health and well being of both mother and the children is shaped by kind of health care services that woman receives during pregnancy, childbirth and post-partum period.[1]. Child and maternal mortality and morbidity rates con nue to remain high in Nepal; some improvements are seen in recent years These improvement in maternal health is possible only due to improvement in health care services provided to the women.[1] In Nepal, under five children face mul ple obstacles such as infec ons, malnutri on for survival and development, along with the poor maternal nutri onal status during pregnancy.[6,7] Access to family planning contributes to Maternal and Child Health (MCH) by preven ng unintended pregnancies and poor obstetrical outcomes.[8] Maternal mortality in developing countries could be dropped by more than 20% if the current demand for family planning services were met.[9] U liza on of MCH care services is related to the decision making power and autonomy of the women about her own health problems and spousal communica on.[10] Underu liza on of MCH services is one of the important contribu ng factor to high maternal mortality and child mortality especially in context of developing countries like Nepal where most of the deliveries takes place at home.[11] this study assessed the u liza on of MCH services and nutri onal status of under five children in Bungama VDC, Nepal
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