ArticleBMC health services research2016
Bypassing birthing centres for child birth: a community-based study in rural Chitwan Nepal.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Pooled it
- Bypassing primary healthcare facilities for maternal and child health services in low- and middle-income countries: a scoping review.Reproductive health · 2026Article
- Does living alone reshape healthcare use? Longitudinal evidence from older adults in China.BMC primary care · 2026Article
- Beyond physical accessibility, bypassing health facilities offering caesarean section: insights from women in Dakar's slums.BMJ open · 2025Article
- Voting with their feet: Primary care provider choice and its implications for public sector primary care services in India.Social science & medicine (1982) · 2024Article
- Factors associated with bypassing primary healthcare facilities for childbirth among women in Devchuli municipality of Nepal.PloS one · 2024Article
- Article
- Self-referral practice and associated factors among women who gave birth in South Gondar zone primary hospitals, Northwest Ethiopia: a cross-sectional study design.Frontiers in public health · 2023Article
- Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review.PLOS global public health · 2023Article
- Capturing What Matters with Patients' Bypass Behavior? Evidence from a Cross-Sectional Study in China.Patient preference and adherence · 2023Article
- Self-referrals and associated factors among laboring mothers at Dilla University Referral Hospital, Dilla, Gedeo Zone, Ethiopia: a cross-sectional study.BMC women's health · 2022Article
- Health care seeking in modern urban LMIC settings: evidence from Lusaka, Zambia.BMC public health · 2022Article
- Article
- An assessment of geographical access and factors influencing travel time to emergency obstetric care in the urban state of Lagos, Nigeria.Health policy and planning · 2021Article
- Equity of geographical access to public health facilities in Nepal.BMJ global health · 2021Article
- Critical comparative analysis of data sources toward understanding referral during pregnancy and childbirth: three perspectives from Nigeria.BMC health services research · 2021Article
- Bypassing primary care facilities: health-seeking behavior of middle age and older adults in China.BMC health services research · 2021Article
- Bypassing primary healthcare facilities for maternal healthcare in North West Ghana: socio-economic correlates and financial implications.BMC health services research · 2021Article
- Bypassing or successful referral? A population-based study of reasons why women travel far for childbirth in Eastern Uganda.BMC pregnancy and childbirth · 2020Article
- Assessment of Bypass of the Nearest Primary Health Care Facility Among Women in Ghana.JAMA network open · 2020Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChild delivery in a health facility is important to reduce maternal mortality. Bypassing nearby birthing facility to deliver at a hospital is common in developing countries including Nepal. Very little is known about the extent and determinants of bypassing the birthing centres in Nepal. This study measures the status of bypassing, characteristics of bypassers and their reasons for bypassing.
methodsA community-based cross-sectional study was carried out in six rural village development committees of Chitwan district of Nepal. Structured interviews were conducted with 263 mothers who had given birth at a health facility and whose nearest facility was a birthing centre. Descriptive statistics, univariate and multivariable logistic regression analysis were performed.
resultsMore than half of the mothers had bypassed the nearer birthing centres to deliver at hospital. Living in plain area [aOR: 2.467; 95 % CI: 1.005-6.058], higher wealth index [aOR: 4.981; 95 % CI: 2.482-9.999], advantaged caste/ethnicity [aOR: 2.172; 95 % CI: 1.153-4.089], older age [aOR: 2.222; 95 % CI: 1.050-4.703] and first birth [aOR: 2.032; 95 % CI: 1.060-3.894] were associated with higher likelihood of bypassing. Among the reasons of bypassing as reported by the bypassers, lack of operation, video x-ray, and blood test facilities were the most common ones, followed by the lack of medicines/drugs and equipment, lack of skilled service provider, and inadequate physical facilities, among others.
conclusionsQuality of service at the birthing centres needs to be given a high consideration to increase their use as well as to ensure an equitable access to the quality care by all.
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