Department of Community Medicine, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2023 Apr-Jun;21(82):180-184.
Background Maternal Health is a priority program of Nepal. The low utilization of maternal health services is one of the major contributing factors for high maternal morbidity and mortality in developing countries like Nepal. Objective To explore various maternal health services utilized by women and identify various factors affecting the utilization of maternal health services in Panchkhal Municipality. Method A descriptive cross-sectional study was conducted among 355 reproductive-age women who have given birth in the last 2 years in Panchkhal Municipality. The data collection period was from May to July 2020. A convenient sampling method was used to select the study population. The data analysis was done by using Statistical Package for Social Sciences (version 20.0). Variables were defined by the frequency in numbers and percentages. Result The findings from the study showed that the coverage of the antenatal care (ANC) visit was 77% and among them, 25.6% visited at least 4 antenatal care visits as recommended by the government of Nepal. Out of 355 respondents, 52.4% were delivered in the health institution, and only 20% visited postnatal care after the delivery. Among various factors, lack of treatment facilities and health facilities at a far distance were the most common factors for the underutilization of maternal health services. Conclusion The coverage of maternal health services is still low despite free maternal health services with an incentive scheme. A further detailed investigation is required to find the real scenario of the Panchkhal municipality to under-utilization of maternal health services.
背景
孕产妇健康是尼泊尔的重点项目。在尼泊尔等发展中国家,孕产妇发病率和死亡率居高不下的主要原因之一是孕产妇卫生服务利用率低。
目的
探讨妇女利用的各种孕产妇保健服务,并确定影响潘奇哈尔市孕产妇保健服务利用的各种因素。
方法
在潘奇哈尔市最近 2 年内分娩的 355 名育龄妇女中进行了一项描述性横断面研究。数据收集期为 2020 年 5 月至 7 月。采用便利抽样法选择研究人群。使用社会科学统计软件包(版本 20.0)进行数据分析。通过频数和百分比来定义变量。
结果
研究结果表明,产前护理(ANC)的覆盖率为 77%,其中 25.6%按照尼泊尔政府的建议至少进行了 4 次产前护理访问。在 355 名受访者中,有 52.4%在卫生机构分娩,只有 20%在分娩后接受产后护理。在各种因素中,缺乏治疗设施和距离远的卫生设施是孕产妇卫生服务利用不足的最常见原因。
结论
尽管有免费的孕产妇保健服务和奖励计划,但孕产妇保健服务的覆盖率仍然很低。需要进一步详细调查,以了解潘奇哈尔市孕产妇保健服务利用不足的真实情况。