ArticleGlobal health action2017
Persistent inequity in maternal health care utilization in Nepal despite impressive overall gains.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Inequity in uptake of maternal health care services in developing countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Effect of a scaled-up neonatal resuscitation quality improvement package on intrapartum-related mortality in Nepal: A stepped-wedge cluster randomized controlled trial.PLoS medicine · 2019Trial
- Article
- Similarities in socioeconomic disparities and inequalities in women's nutritional status and health care in Bangladesh, Ethiopia, India, and Nigeria.Global health action · 2024Article
- Insights from obstetric providers and emergency medical technicians on determinants of maternal morbidity and mortality among underserved, rural patients in the United States.SSM. Qualitative research in health · 2023Article
- Decomposing inequality in Maternal and Child Health (MCH) services in Nepal.BMC public health · 2023Article
- Changes in Inequality in Use of Maternal Health Care Services: Evidence from Skilled Birth Attendance in Mauritania for the Period 2007-2015.International journal of environmental research and public health · 2022Article
- Assessment of health system readiness for routine maternal and newborn health services in Nepal: Analysis of a nationally representative health facility survey, 2015.PLOS global public health · 2022Article
- Intersectional (in) equities in contact coverage of maternal and newborn health services in Nepal: insights from a nationwide cross-sectional household survey.BMC public health · 2021Article
- Impact of free newborn care service package on out of pocket expenditure-evidence from a multicentric study in Nepal.BMC health services research · 2021Article
- Policies and actions to reduce maternal mortality in Nepal: perspectives of key informants.Sexual and reproductive health matters · 2021Article
- Effect of the COVID-19 pandemic response on intrapartum care, stillbirth, and neonatal mortality outcomes in Nepal: a prospective observational study.The Lancet. Global health · 2020Observational
- Equity and Coverage in the Continuum of Reproductive, Maternal, Newborn and Child Health Services in Nepal-Projecting the Estimates on Death Averted Using the LiST Tool.Maternal and child health journal · 2020Article
- Epidemiology of neonatal infections in hospitals of Nepal: evidence from a large- scale study.Archives of public health = Archives belges de sante publique · 2020Article
- The comparison of healthcare utilization inequity between URRBMI and NCMS in rural China.International journal for equity in health · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal health care utilization is at the core of global public health provision and an area of focus in the now-concluded Millennium Development Goal agenda.
objectiveThis study aims to examine trends in maternal health care utilization over the last 15 years in Nepal, focusing on coverage and equity.
methodsThis paper used data from the Demographic Health Survey (DHS) 2001, 2006 and 2011 and Multiple Indicator Cluster Survey (MICS), 2014. Coverage rates were calculated and logistic regression models used to examine inequity.
resultsImpressive gains were found in antenatal care (ANC) attendance, which increased from nearly half of women attending (49%) in 2001 to 88% in 2014, and the rate of facility delivery increased from just 7-44%. This development did not, however, influence the equity gap in ANC and skilled attendance at birth, as women from low socioeconomic backgrounds were six times more likely to deliver without skilled assistance than those from high socioeconomic backgrounds (AdjOR 6.38 CI 95% 4.57-8.90) in 2014.
conclusionThese persistent equity gaps call for targeted interventions focusing on the most disadvantaged and vulnerable women in order to achieve the new Sustainable Development Goal of universal health coverage.
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