Lama S, Krishna A K I
School of Public Health SRM University SRM Nagar, Kattankulathur-603203 Kancheepuram, Tamilnadu, India.
Kathmandu Univ Med J (KUMJ). 2014 Oct-Dec;12(48):253-8. doi: 10.3126/kumj.v12i4.13730.
Nepal is promoting safe motherhood through maternity incentives schemes. Still about two-thirds of births take place at home. Inadequate access to health care and under utilization of services is the major reasons for poor health of women and children.
The study aim to explore the barriers in utilization of maternal health care services in eastern Nepal specifically to explore the reasons for not availing the services and to assess the indigenous practices regarding maternal health.
An exploratory study design was adopted to elicit the information from the selected respondents from different villages. Focus group discussions and in-depth interviews were conducted. Data was transcribed and analyzed manually to identify themes.
The barriers to maternal health care service utilization were identified as social factors like family pressure, superstition, shyness, misconception, negligence, illiteracy, alcoholism. Likewise, large family size, jobless, unnecessary expenditure on health services was identified as economic barrier. Some cultural practices were also found as barrier for not availing the health services.
The study explored factors that are contributing in not availing the maternal health care services. The elimination of these barriers will facilitate quality of care and health outcomes. Therefore, the interventions should be developed and implemented to improve the health status of women and children. The result of this study can be utilized to draw the attention of local government, in strategic planning related to maternal health interventions.
尼泊尔正在通过孕产妇激励计划促进安全孕产。然而，仍有大约三分之二的分娩在家中进行。获得医疗保健的机会不足以及服务利用不足是妇女和儿童健康状况不佳的主要原因。
本研究旨在探讨尼泊尔东部孕产妇保健服务利用方面的障碍，具体而言，是为了探究不利用这些服务的原因，并评估有关孕产妇健康的本土做法。
采用探索性研究设计，从不同村庄的选定受访者那里获取信息。进行了焦点小组讨论和深入访谈。对数据进行转录并手动分析以确定主题。
孕产妇保健服务利用的障碍被确定为社会因素，如家庭压力、迷信、羞怯、误解、疏忽、文盲、酗酒。同样，家庭规模大、失业、在医疗服务上的不必要支出被确定为经济障碍。一些文化习俗也被发现是不利用医疗服务的障碍。
本研究探讨了导致不利用孕产妇保健服务的因素。消除这些障碍将有助于提高护理质量和健康结果。因此，应制定并实施干预措施以改善妇女和儿童的健康状况。本研究结果可用于引起地方政府对孕产妇健康干预战略规划的关注。
