Trend Analysis of Maternal Health Care Services in Nepal

R. Karki
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Abstract

This study attempts to analyze the trend in maternal health care utilization: antenatal care, delivery care, and postnatal care in Nepal. Maternal health remains a major challenge in developing countries despite improvements in medical technology and several efforts to improve maternal health care services. This study is based on Nepal Demographic and Health Survey data from 2006, 2011, and 2016. It covers 4,066 women in 2006, 4,148 in 2011 and 3,998 in 2016 for antenatal care. In the study, this analysis is confined to women aged (15-49) who had a live birth in the five years preceding the survey. Data on delivery care were obtained for all births that occurred in the five or two years preceding the survey. This study comprises 2030 women in 2011 and 1,978 women in 2016 aged 15–49 years who had a live birth in the two years preceding the survey on childbirth, and postnatal care. Especially, the study deals with antenatal, delivery care, and postnatal care. There is a substantial increase in the utilization of antenatal care (ANC) by skilled health providers from, 44 percent in 2006 to 84 percent in 2016 respectively. Still, six percent percentage do not seek even one-time ANC care and the percentage of women who seek 4 or more ANC care from a skilled service provider is low. Still, two fifth percent of delivery take place at home. postnatal service is still very low in Nepal. This study’s results suggest the need for efforts to be addressed to improve the use of maternal health care services in Nepal. There is a need to increase the use of postnatal checkup as well as delivery assisted by skilled attendants.
尼泊尔孕产妇保健服务趋势分析
本研究试图分析孕产妇保健利用的趋势:产前护理,分娩护理和产后护理在尼泊尔。尽管医疗技术有所改进,并为改善产妇保健服务作出了若干努力,但产妇保健仍然是发展中国家面临的一项重大挑战。本研究基于2006年、2011年和2016年尼泊尔人口与健康调查数据。2006年为4066名妇女提供产前保健,2011年为4148名,2016年为3998名。在这项研究中,这项分析仅限于年龄(15-49岁)在调查前五年内活产的女性。获得了调查前5年或2年内所有分娩的分娩护理数据。这项研究包括2011年的2030名妇女和2016年的1978名15-49岁的妇女,她们在分娩和产后护理调查前两年内活产。特别是,该研究涉及产前、分娩护理和产后护理。熟练卫生服务提供者对产前保健的利用率从2006年的44%大幅增加到2016年的84%。尽管如此,仍有6%的妇女甚至没有寻求一次性的非分娩护理,而从熟练的服务提供者那里寻求四次或更多次非分娩护理的妇女比例很低。尽管如此,仍有2.5%的分娩是在家里进行的。尼泊尔的产后服务仍然很低。这项研究的结果表明,需要努力改善尼泊尔孕产妇保健服务的使用情况。有必要增加使用产后检查以及由熟练助产士协助分娩。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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