ArticlePloS one2018
Religio-cultural factors contributing to perinatal mortality and morbidity in mountain villages of Nepal: Implications for future healthcare provision.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Perinatal Mortality in South Asia: Systematic Review of Observational Studies.International journal of environmental research and public health · 2018Pooled it
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- Knowledge, attitude, and practice (KAP) of self-medication and healthcare-seeking behavior among residents in the vicinity of a tertiary healthcare center in Madhesh Province, Nepal.Annals of medicine and surgery (2012) · 2026Article
- Cultural Mechanisms of Leprosy-Related Stigma: A Gendered Analysis Using the What Matters Most Framework in Far-Western Nepal.Qualitative health research · 2026Article
- 'Community people are the most powerful resources': qualitative critical realist analysis and framework to support co-produced responses to zoonotic disease threats with(in) Nepali communities.BMC public health · 2025Article
- Acceptability and operational feasibility of community health worker-led home phototherapy treatment for neonatal hyperbilirubinemia in rural Bangladesh.BMC pediatrics · 2024Article
- Health-seeking experiences of women with obstetric fistula: a qualitative study at two fistula centres in Ghana.BMJ open · 2023Article
- Cultural beliefs and practices on perinatal death: a qualitative study among the Lango community in Northern Uganda.BMC pregnancy and childbirth · 2023Article
- Explanatory models of stillbirth among bereaved parents in Afghanistan: Implications for stillbirth prevention.PLOS global public health · 2023Article
- Comparing two data collection methods to track vital events in maternal and child health via community health workers in rural Nepal.Population health metrics · 2022Article
- Article
- Birth preparedness and related factors: a cross-sectional study in Tanzania City area.BMC health services research · 2021Article
- Why do women attend antenatal care but give birth at home? a qualitative study in a rural Ghanaian District.PloS one · 2021Article
- Article
- A critical account of the policy context shaping perinatal survival in Nepal: policy tension of socio-cultural versus a medical approach.BMC health services research · 2019Article
- Neonatal mortality and child health in a remote rural area in Nepal: a mixed methods study.BMJ paediatrics open · 2019Article
- Health system barriers influencing perinatal survival in mountain villages of Nepal: implications for future policies and practices.Journal of health, population, and nutrition · 2018Article
- A qualitative study about the gendered experiences of motherhood and perinatal mortality in mountain villages of Nepal: implications for improving perinatal survival.BMC pregnancy and childbirth · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objective and the contextThis paper examines the beliefs and experiences of women and their families in remote mountain villages of Nepal about perinatal sickness and death and considers the implications of these beliefs for future healthcare provision.
methodsTwo mountain villages were chosen for this qualitative study to provide diversity of context within a highly disadvantaged region. Individual in-depth interviews were conducted with 42 women of childbearing age and their family members, 15 health service providers, and 5 stakeholders. The data were analysed using a thematic analysis technique with a comprehensive coding process.
findingsThree key themes emerged from the study: (1) 'Everyone has gone through it': perinatal death as a natural occurrence; (2) Dewata (God) as a factor in health and sickness: a cause and means to overcome sickness in mother and baby; and (3) Karma (Past deeds), Bhagya (Fate) or Lekhanta (Destiny): ways of rationalising perinatal deaths.
conclusionReligio-cultural interpretations underlie a fatalistic view among villagers in Nepal's mountain communities about any possibility of preventing perinatal deaths. This perpetuates a silence around the issue, and results in severe under-reporting of ongoing high perinatal death rates and almost no reporting of stillbirths. The study identified a strong belief in religio-cultural determinants of perinatal death, which demonstrates that medical interventions alone are not sufficient to prevent these deaths and that broader social determinants which are highly significant in local life must be considered in policy making and programming.
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