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    Need Factors for Utilisation of Institutional Delivery Services in Nepal: an analysis from Nepal Demographic and Health Survey, 2011

    199246_117027_Need_factors_for_utiisation.pdf (724.2Kb)
    Access Status
    Open access
    Authors
    Karkee, R.
    Lee, Andy
    Khanal, Vishnu
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Karkee, R. and Lee, A. and Khanal, V. 2014. Need Factors for Utilisation of Institutional Delivery Services in Nepal: an analysis from Nepal Demographic and Health Survey, 2011. BMJ Open. 4 (3): Article ID e004372.
    Source Title
    BMJ Open
    DOI
    10.1136/bmjopen-2013-004372
    ISSN
    2044-6055
    Remarks

    This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by-nc/3.0/ Please refer to the licence to obtain terms for any further reuse or distribution of this work.

    URI
    http://hdl.handle.net/20.500.11937/44150
    Collection
    • Curtin Research Publications
    Abstract

    Objective: This study aims to assess the role of need factors with respect to the utilisation of institutional delivery services in Nepal. Design: An analytic study was conducted using a subset of 4079 ever married women from the 2011 Nepal Demographic and Health Survey, which utilised two-stage cluster sampling. Logistic regression with complex sample analysis was performed to evaluate the effects of antenatal care visits and birth preparedness activities on facility delivery. Outcome measures: Facility delivery. Results: Overall facility delivery rate was low at 36.9% (95% CI 33.5% to 40.2%, SE 1.69). Only half (50.1%) of the women made four or more antenatal care visits while 62.9% (95% CI 59.9% to 65.8%, SE 1.51) did not indicate any of the four birth preparation activities. After adjusting for external, predisposing and enabling factors, women who made more than four antenatal care visits were five times more likely to deliver at a health facility when compared to those who paid no visit (adjusted OR 4.94, 95% CI 3.14 to 7.76). Similarly, the likelihood for facility delivery increased by 3.4-fold among women who prepared for at least two of the four activities compared to their counterparts who made no preparation (adjusted OR 3.41, 95% CI 2.01 to 5.58).Conclusions: The perceived need, as expressed by the frequency of antenatal care visits and birth preparedness activities, plays an important role in institutional delivery service utilisation for Nepali women. These findings have implications for behavioural interventions to change their intention to deliver at a health facility.

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