ArticleReproductive health2022
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?
Article in Reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 34 citations in OpenAlex.
- Contextual factors affecting the implementation of an anemia focused virtual counseling intervention for pregnant women in plains Nepal: a mixed methods process evaluation.BMC public health · 2023Trial
- Factors associated with utilisation of antenatal care visit services in Nepal: evidence from Demographic and Health Survey 2016-2022.BMJ open · 2026Article
- Effects of support from spouse on child birth among rural Indian women.Bioinformation · 2026Article
- Evaluating the implementation of intermittent versus continuous fetal heart rate monitoring on intrapartum care and early neonatal outcomes using causal mediational modeling.Frontiers in drug safety and regulation · 2026Article
- Article
- Implementation status of the free newborn care program in Gandaki Province, Nepal.BMC health services research · 2025Article
- Inequalities in effective coverage of the maternal healthcare continuum in Cameroon: a cascade analysis from service contact to input-adjusted coverage.BMC health services research · 2025Article
- Inequalities and Determinants of Quality Antenatal Care Coverage Among Women of Reproductive Age (15-49) in Tanzania: A Cross-Sectional Analysis of National Data.Health science reports · 2025Article
- Dominant predictors of postnatal care utilization among ever-married mothers of reproductive age in Bangladesh.BMC pregnancy and childbirth · 2025Article
- Article
- Incomplete antenatal care despite high coverage: geographic and sociocultural barriers in Lao PDR.Frontiers in public health · 2025Article
- Bottleneck Analysis of Maternal, Newborn and Child Health Services in Underserved Areas of Kwale County, Kenya.Health services insights · 2025Article
- Continuum of care for maternal and newborn health services in Nepal: An analysis from demographic and health survey 2022.PloS one · 2025Article
- Effective coverage of maternal and neonatal healthcare services in low-and middle-income countries: a scoping review.BMC health services research · 2024Article
- Poor coverage of quality-adjusted antenatal care services: a population-level assessment by visit and source of antenatal care services in Bihar state of India.The Lancet regional health. Southeast Asia · 2024Article
- Enhancing Health and Empowerment: Assessing the Satisfaction of Underprivileged Rural Women Participating in a Functional Literacy Education Program in Kailali District, Nepal.Healthcare (Basel, Switzerland) · 2024Article
- Continuity and care coordination of primary health care: a scoping review.BMC health services research · 2023Article
- Digital Health Technologies for Maternal and Child Health in Africa and Other Low- and Middle-Income Countries: Cross-disciplinary Scoping Review With Stakeholder Consultation.Journal of medical Internet research · 2023Article
- Investigating Health Inequality Using Trend, Decomposition and Spatial Analyses: A Study of Maternal Health Service Use in Nepal.International journal of public health · 2023Article
- Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntenatal care (ANC) visits, institutional delivery, and postnatal care (PNC) visits are vital to improve the health of mothers and newborns. Despite improved access to these routine maternal and newborn health (MNH) services in Nepal, little is known about the cascade of health service coverage, particularly contact coverage, intervention-specific coverage, and quality-adjusted coverage of MNH services. This study examined the cascade of MNH services coverage, as well as social determinants associated with uptake of quality MNH services in Nepal.
methodsWe conducted a secondary analysis of data derived from the Nepal Demographic and Health Survey (NDHS) 2016, taking 1978 women aged 15-49 years who had a live birth in the 2 years preceding the survey. Three outcome variables were (i) four or more (4
resultsContact coverage was higher than intervention-specific coverage and quality-adjusted coverage across all MNH services. Women with advantaged ethnicities or who had access to bank accounts had higher odds of receiving optimal quality MNH services, while women who speak the Maithili language and who had high birth order (≥ 4) had lower odds of receiving optimal quality ANC services. Women who received better quality ANC services had higher odds of receiving optimal quality institutional delivery. Women received poor quality PNC services if they were from remote provinces, had higher birth order and perceived problems when not having access to female providers.
conclusionsWomen experiencing ethnic and social disadvantages, and from remote provinces received poor quality MNH services. The quality-adjusted coverage can be estimated using household survey data, such as demographic and health surveys, especially in countries with limited routine data. Policies and programs should focus on increasing quality of MNH services and targeting disadvantaged populations and those living in remote areas. Ensuring access to female health providers and improving the quality of earlier maternity visits could improve the quality of health care during the pregnancy-delivery-postnatal period.
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