ArticleMaternal and child health journal2020
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.
Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 25 citations in OpenAlex.
- Article
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- Association of early initiation of breastfeeding on postpartum depression-multi-centric longitudinal cohort study in Nepal.Frontiers in global women's health · 2026Article
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- Where to invest in neonatal survival programs in Nepal? A modelling study using Lives Saved Tool through scaling key interventions.PloS one · 2025Article
- Integrated Management of Childhood Illness implementation in Nepal: understanding strategies, context, and outcomes.BMC pediatrics · 2024Article
- Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys.International journal for equity in health · 2023Article
- The contribution of community health systems to resilience: Case study of the response to the 2015 earthquake in Nepal.Journal of global health · 2023Article
- Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia.Global health, science and practice · 2022Article
- Mistreatment during childbirth and postnatal period reported by women in Nepal -a multicentric prevalence study.BMC pregnancy and childbirth · 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
- Empowerment dimensions and their relationship with continuum care for maternal health in Bangladesh.Scientific reports · 2021Article
- Payment mechanism for institutional births in Nepal.Archives of public health = Archives belges de sante publique · 2021Article
- 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
- Learning from Nepal's Progress to Inform the Path to the Sustainable Development Goals for Health, Leaving No-One Behind.Maternal and child health journal · 2020Article
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8 authors at 5 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
introductionThe third Sustainable Development Goal, focused on health, includes two targets related to the reduction in maternal, newborn and under-five childhood mortality. We found it imperative to examine the equity and coverage of reproductive, maternal, newborn and child health (RMNCH) interventions from 2001 to 2016 in Nepal; and the death aversion that will take place during the SDG period.
methodsWe used the datasets from the Nepal Demographic Health Surveys (NDHS) 2001, 2006, 2011 and 2016. We calculated the coverage and equity for RMNCH interventions and the composite coverage index (CCI). Based on the Annualized Rate of Change (ARC) in the coverage for selected RMNCH indicators, we projected the trend for the RMNCH interventions by 2030. We used the Lives Saved Tools (LiST) tool to estimate the maternal, newborn, under-five childhood deaths and stillbirths averted. We categorised the interventions into four different patterns based on coverage and inequity gap.
resultsBetween 2001 and 2016, a significant improvement is seen in the overall RMNCH intervention coverage-CCI increasing from 46 to 75%. The ARC was highest for skilled attendance at birth (11.7%) followed by care seeking for pneumonia (8.2%) between the same period. In 2016, the highest inequity existed for utilization of the skilled birth attendance services (51%), followed by antenatal care (18%). The inequity gap for basic immunization services reduced significantly from 27.4% in 2001 to 5% in 2016. If the current ARC continues, then an additional 3783 maternal deaths, 36,443 neonatal deaths, 66,883 under-five childhood deaths and 24,024 stillbirths is expected to be averted by the year 2030.
conclusionNepal has experienced an improvement in the coverage and equity in RMNCH interventions. Reducing inequities will improve coverage for skilled birth attendants and antenatal care. The current annual rate of change in RMNCH coverage will further reduce the maternal, neonatal, under-five childhood deaths and stillbirths.
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