ArticleBMJ open2021
Difference in factors associated with continuum of care completion rate from pregnancy to postpartum period in rural Nepal: a community-based, cross-sectional study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The continuum of care for maternal health in Africa: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Prevalence of completion of maternity continuum of care and its associated factors in Ethiopia: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- 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
- Assessment of maternal healthcare services among the women of reproductive age in the rural municipality of Nepal: a cross-sectional study.BMJ public health · 2025Article
- Article
- Leveraging machine learning to identify determinants of zero utilization of maternal continuum of care in Ethiopia: Insights from SHAP analysis and the 2019 mini DHS.PLOS global public health · 2025Article
- Socioeconomic inequalities in the continuum of care across women's reproductive life cycle in Bangladesh.Scientific reports · 2022Article
- Completion of the maternal continuity of care and associated factors among women who gave birth in the last 6 months in Kena District, southern Ethiopia: A community-based cross-sectional study, 2023.Women's health (London, England)Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to investigate the continuum of care (CoC) completion rate in maternal, neonatal and child health and its associated factors among mothers in two ecological regions in Nepal.
designThis was a community-based, cross-sectional study, for which data were collected through face-to-face interviews using a structured questionnaire. Multiple logistic regression analyses were conducted to determine the associated factors.
settingThis was carried out in two rural districts of Nepal, in different regions: one in the hills (Dhading) and another in the flatlands called Terai (Nawalparasi). The data were collected between July and December 2016.
participantsMothers who gave birth within a year before this study were included as participants. In total, there were 1803 participants. AN OUTCOME MEASURE: The outcome of this study was measured by the CoC completion rate when a mother completes four antenatal check-ups, deliver at a health facility and receives postnatal care within 24 hours of delivery.
resultsThe CoC completion rates were 41% in Dhading and 28% in Nawalparasi. In Dhading, shorter travel time to a health facility and higher wealth quintiles were associated with a better CoC completion rate. In Nawalparasi, the CoC completion rate was affected by parity and decision-making for pregnancy care.
conclusionsThe CoC completion rate was low in both districts in Nepal. However, factors associated with the CoC completion rate varied by district. Differences in these factors might be reflected by geographical and socioeconomic conditions and the characteristics of household decision making in these districts.
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