ArticleSexual and reproductive health matters2021
Policies and actions to reduce maternal mortality in Nepal: perspectives of key informants.
Article in Sexual and reproductive health matters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
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- A setback for Sustainable Development Goal 3.1: Documenting the coronavirus disease 2019 pandemic's impact on maternal mortality through a National Confidential Enquiry in South Africa.African journal of primary health care & family medicine · 2026Article
- From Village to Clinic: Structural Barriers and Intersecting Challenges in Maternal Healthcare Access in Rural Nepal.International journal of environmental research and public health · 2026Article
- The implementation realities of a digital antenatal care improvement intervention: Insights from ethnographic work in primary health facilities in Nepal.PLOS digital health · 2026Article
- Kerala's Aardram Mission and universal health coverage: integrated time series evidence on mortality reduction and assessment of financial protection and equity gaps.Frontiers in public health · 2026Article
- Global, regional, and national levels of maternal mortality, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021.BMC pregnancy and childbirth · 2025Article
- Implementation status of the free newborn care program in Gandaki Province, Nepal.BMC health services research · 2025Article
- Transforming health in Nepal: a historical and contemporary review on disease burden, health system challenges, and innovations.Health research policy and systems · 2025Review
- Burden of Maternal and Neonatal Disorser in Nepal from 1990 to 2019; Analysis of Data from Global Burden of Disease Study: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- 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
- Impact of scaling up health intervention coverage on reducing maternal mortality in 26 low- and middle-income countries: A modelling study.Journal of global health · 2024Article
- Article
- Increased utilisation and quality: a focus on inequality and a learning health system approach-explaining Nepal's success in reducing maternal and newborn mortality 2000-2020.BMJ global health · 2024Article
- Pregnancy outcomes before and during COVID-19 pandemic in Tamale Metropolis, Ghana: A retrospective cohort study.PloS one · 2024Article
- Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province.Nursing reports (Pavia, Italy) · 2023Article
- 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
- Stakeholders' perceptions of continuing professional development among Nepalese nurses: A focus group study.Nursing open · 2023Article
- Why mothers die: Analysis of verbal autopsy data from Kersa Health and Demographic Surveillance System, Eastern Ethiopia.Journal of global health · 2022Article
- Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample.Cureus · 2021Article
- Utilisation of quality antenatal, delivery and postnatal care services in Nepal: An analysis of Service Provision Assessment.Globalization and health · 2021Article
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6 authors.
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Abstract
Nepal made impressive progress in reducing maternal mortality until 2015. Since then, progress has stagnated, coinciding with Nepal's transition to a federation with significant devolution in health management. In this context, we conducted key informant interviews (KII) to solicit perspectives on policies responsible for the reduction in maternal mortality, reasons for the stagnation in maternal mortality, and interventions needed for a faster decline in maternal mortality. We conducted 36 KIIs and analysed transcripts using standard framework analysis methods. The key informants identified three policies as the most important for maternal mortality reduction in Nepal: the Safe Motherhood Policy, Skilled Birth Attendant Policy, and Safe Abortion Policy. They opined that policies were adequate, but implementation was weak and ineffective, and strategies needed to be tailored to the local context. A range of health system factors, including poor quality of care, were identified by key informants as underlying the stagnation in Nepal's maternal mortality ratio, as well as a few demand-side aspects. According to key informants, to reduce maternal deaths further Nepal needs to ensure that the current family planning, birth preparedness, financial incentives, free delivery services, abortion care, and community post-partum care programmes reach marginalised and vulnerable communities. Facilities offering comprehensive emergency obstetric care need to be accessible, and in hill and mountain areas, access could be supported by establishing maternity waiting homes. Social accountability can be strengthened through social audits, role models, and empowerment of health and management committees.
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