ArticleGlobalization and health2021
Utilisation of quality antenatal, delivery and postnatal care services in Nepal: An analysis of Service Provision Assessment.
Article in Globalization and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Strengthening midwifery and nursing interventions to reduce child mortality in South Asia: a policy and practice review.Journal of global health · 2025Review
- Antenatal care quality and pregnancy outcomes in the northern region of Ghana: a mixed-methods analysis.BMC pregnancy and childbirth · 2025Article
- Adherence to Complete Postnatal Care Visits among Mothers in Gandaki Province, Nepal.Rwanda journal of medicine and health sciences · 2025Article
- Quality of postnatal care for mothers and neonates in Mexico: Insights from the maternal eCohort study.PloS one · 2025Article
- Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Validation of maternal recall of number of antenatal care visits attended in rural Southern Nepal: a longitudinal cohort study.BMJ open · 2023Article
- Key factors associated with quality of postnatal care: a pooled analysis of 23 countries.EClinicalMedicine · 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
- Evaluation of the National Health Insurance Program of Nepal: are political promises translated into actions?Health research policy and systems · 2023Review
- Article
- Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence.BMC pregnancy and childbirth · 2022Article
- High coverage but low quality of maternal and newborn health services in the coverage cascade: who is benefitted and left behind in accessing better quality health services in Nepal?Reproductive health · 2022Article
- Investigation of technical quality of antenatal and perinatal services in a nationally representative sample of health facilities in Nepal.Archives of public health = Archives belges de sante publique · 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
- Knowledge and practices of modern contraceptives among religious minority (Muslim) women: A cross-sectional study from Southern Nepal.PloS one · 2022Article
- Universal coverage of the first antenatal care visit but poor continuity of care across the maternal and newborn health continuum among Nepalese women: analysis of levels and correlates.Globalization and health · 2021Article
- Article
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3 authors.
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Abstract
backgroundNepal has improved access and utilisation of routine maternal and newborn health (MNH) services. Despite improved access to routine MNH services such as antenatal care (ANC), and delivery and postnatal care (PNC) services, the burden of maternal and neonatal deaths in Nepal remains high. Most of those deaths could be prevented by improving utilisation of evidence-informed clinical MNH interventions. However, little is known on determinants of utilisation of such clinical MNH interventions in health facilities (HFs). This study investigated the determinants of utilisation of technical quality MNH services in Nepal.
methodsThis study used data from the 2015 Nepal Services Provision Assessment. A total of 523 pregnant and 309 postpartum women were included for the analysis of utilisation of technical quality of ANC, and delivery and PNC services, respectively. Outcome variables were utilisation of better quality i) ANC services, and ii) delivery and PNC services while independent variables included features of HFs and health workers, and demographic characteristics of pregnant and postpartum women. Binomial logistic regression was conducted to identify the determinants associated with utilisation of quality MNH services. The odds ratio with 95% confidence interval (CIs) were reported at the significance level of p < 0.05 (two-tailed).
resultsWomen utilised quality ANC services if they attended facilities with better HF capacity (aOR = 2.12;95% CI: 1.03, 4.35). Women utilised better quality delivery and PNC services from private HFs compared to public HFs (aOR = 2.63; 95% CI: 1.14, 6.08). Women utilised better technical quality ANC provided by nursing staff compared to physicians (adjusted odds ratio (aOR) =2.89; 95% CI: 1.33, 6.29), and from staff supervised by a higher authority compared to those not supervised (aOR = 1.71; 95% CI: 1.01, 2.92). However, compared to province one, women utilised poor quality delivery and PNC services from HFs in province two (aOR = 0.15; 95% CI: 0.03, 0.63).
conclusionsWomen utilised quality MNH services at facilities with better HF capacity, service provided by nursing staff, and attended at supervised HFs/health workers. Provincial and municipal governments require strengthening HF capacities (e.g., supply equipment, medicines, supplies), recruiting trained nurse-midwives, and supervising health workers.
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