ArticlePloS one2017
Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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27 citing papers in PubMed.
- Determining factors for the prevalence of depressive symptoms among postpartum mothers in lowland region in southern Nepal.PloS one · 2021Trial
- Trial
- Prevalence of and factors influencing early initiation and exclusive breastfeeding for the first two days after birth in the mountainous regions of Karnali, Nepal.International breastfeeding journal · 2026Article
- Socioeconomic and regional determinants of optimal antenatal care utilization among women in South and Central Somalia.Global epidemiology · 2026Article
- Determinants of health-seeking behavior of people on institutional delivery: evidence from qualitative research.BMC pregnancy and childbirth · 2026Article
- Multilevel analysis of quality of intrapartum care and its associated factors: evidence from 35 Sub-Saharan African countries demographic and health survey.Contraception and reproductive medicine · 2025Article
- Spatial profiling of geographical accessibility to maternal healthcare and coverage of maternal health service utilisation in Nepal: a geospatial analysis based on demographic and health survey.BMJ global health · 2025Article
- Article
- The challenges of delivery in pre-hospital emergency medical services ambulances in Iran: a qualitative study.BMC emergency medicine · 2024Article
- Less than one in four mothers get quality intrapartum health care services in Ethiopia.Scientific reports · 2024Article
- Factors associated with bypassing primary healthcare facilities for childbirth among women in Devchuli municipality of Nepal.PloS one · 2024Article
- Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study.PloS one · 2024Article
- Multidomain and multilevel strategies to improve equity in maternal and newborn health services in Nepal: perspectives of health managers and policymakers.International journal for equity in health · 2023Article
- Article
- High coverage but low quality of maternal and newborn health services in the coverage cascade: who is benefitted and left behind in accessing better quality health services in Nepal?Reproductive health · 2022Article
- Respectful Maternity Care in South Asia: What Does the Evidence Say? Experiences of Care and Neglect, Associated Vulnerabilities and Social Complexities.International journal of women's health · 2022Review
- Universal coverage of the first antenatal care visit but poor continuity of care across the maternal and newborn health continuum among Nepalese women: analysis of levels and correlates.Globalization and health · 2021Article
- Predictors of wealth-related inequality in institutional delivery: a decomposition analysis using Nepal multiple Indicator cluster survey (MICS) 2019.BMC public health · 2021Article
- Utilisation of quality antenatal, delivery and postnatal care services in Nepal: An analysis of Service Provision Assessment.Globalization and health · 2021Article
- Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundMaternal mortality and morbidity are public health problems in Nepal. In rural communities, many women give birth at home without the support of a skilled birth attendant, despite the existence of rural birthing centers. The aim of this study was to explore the barriers and provide pragmatic recommendations for better service delivery and use of rural birthing centers.
methodsWe conducted 26 in-depth interviews with service users and providers, and three focus group discussions with community key informants in a rural community of Rukum district. We used the Adithya Cattamanchi logic model as a guiding framework for data analysis.
resultsIrregular and poor quality services, inadequate human and capital resources, and poor governance were health system challenges which prevented service delivery. Contextual barriers including difficult geography, poor birth preparedness practices, harmful culture practices and traditions and low level of trust were also found to contribute to underutilization of the birthing center.
conclusionThe rural birthing center was not providing quality services when women were in need, which meant women did not use the available services properly because of systematic and contextual barriers. Approaches such as awareness-raising activities, local resource mobilization, ensuring access to skilled providers and equipment and other long-term infrastructure development works could improve the quality and utilization of childbirth services in the rural birthing center. This has resonance for other centers in Nepal and similar countries.
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