Shrestha Shreemaya, Shrestha Dev Kumari
Yeti Health Science Academy, Kanti Marga, Maharajgunj, Kathmandu, Nepal.
Department of Maternal Health Nursing, BPKIHS, Dharan, Sunsari, Nepal.
J Nepal Health Res Counc. 2019 Aug 4;17(2):193-199. doi: 10.33314/jnhrc.v0i0.1797.
Appropriate utilization of maternal health care services is very important tool to reduce the maternal and child morbidity and mortality rate. This study was conducted to assess the utilization of maternal health care services by the women for their last pregnancy in one year period and to find out it's association with selected variables.
Descriptive cross sectional study was conducted for one year by using semi-structured questionnaire among 285 mothers residing at slums area of Dharan sub-metropolitan city after taking written consent from them. Ethical clearance was obtained from Institutional Review Committee, BPKIHS and Dharan Sub-metropolitan city office. Simple random sampling followed by snowball sampling method was used to collect the data by interview method.
Majority (95.1%) had one Antenatal visit, 60.4% had initiated antenatal visit at first trimester and 78.99% had completed 4 or more antenatal visits. Only 35.8% had taken complete dose of iron and calcium. Majority 262 (91.92%) respondents have taken Tetanus Toxoid immunization and among them only 74.42% had taken 2 dose of TT injection. Women who delivered in health facility accounted for 70.9% but only 28.8% went for postnatal visit. Majority (65.3%) received health advice during postnatal period. Nearly 40% respondents used family planning after post partum period .There was significant association between utilization of antenatal and delivery services with Educational status of respondents and their husbands and number of pregnancy and between utilization of postnatal services with occupation of husband.
Utilization of maternal health care services, antenatal services utilization were satisfactory whereas postnatal services and family planning services utilization were very poor. Utilization of maternal health services should be encouraged by conducting public awareness programmes.
合理利用孕产妇保健服务是降低孕产妇和儿童发病率及死亡率的重要手段。本研究旨在评估女性在过去一年孕期对孕产妇保健服务的利用情况，并找出其与选定变量之间的关联。
在获得285名居住在达兰次大城市贫民窟地区母亲的书面同意后，使用半结构化问卷进行了为期一年的描述性横断面研究。获得了BPKIHS机构审查委员会和达兰次大城市办公室的伦理批准。采用简单随机抽样后接雪球抽样的方法，通过访谈收集数据。
大多数（95.1%）进行了一次产前检查，60.4%在孕早期开始进行产前检查，78.99%完成了4次或更多次产前检查。只有35.8%服用了完整剂量的铁剂和钙剂。大多数262名（91.92%）受访者接受了破伤风类毒素免疫接种，其中只有74.42%接种了2剂破伤风疫苗。在医疗机构分娩的妇女占70.9%，但只有28.8%进行了产后检查。大多数（65.3%）在产后接受了健康建议。近40%的受访者在产后使用了计划生育措施。产前和分娩服务的利用与受访者及其丈夫的教育程度、怀孕次数之间存在显著关联，产后服务的利用与丈夫的职业之间存在显著关联。
孕产妇保健服务的利用情况中，产前服务的利用情况令人满意，而产后服务和计划生育服务的利用情况非常差。应通过开展公众意识项目来鼓励孕产妇保健服务的利用。
