Utilization of maternal health services an evaluation of safe motherhood program in Nepal

Name: Sharad Kumar Sharma

LCSH: Maternal health services -- Utilization -- Nepal

LCSH: Maternal mortality -- Nepal

Abstract: With the objective of reducing maternal and neonatal mortality and morbidity, the Safe Motherhood Program was started in Nepal in 1993. It was launched as a priority program during the ninth five-year plan period, 1997-2002. Various program interventions were implemented in order to increase the utilization of maternal health services during the plan period. This study evaluated the impact of program intervention on prenatal, delivery and postnatal services using pooled cross sectional design with the help of data obtained by the Nepal Family Health Survey of 1996 and Nepal Demographic and Health Survey of 2001. Statistical analysis involved seven variables. There were three dependent variables: prenatal care, delivery assistance, and postnatal care by trained personnel. In addition four program variables were used: women visited by health workers, women being heard radio programs on maternal health, women having heard maternal health information on mass media, and the women’s employment status. All variables were dichotomized and bivariate and multivariate analyses were performed from samples of 7881 for prenatal care, 7879 for delivery assistance, and 7464 for postnatal care utilization. Bivariate analysis with chi-square statistics was used to examine the gross effect, while multivariate logistic regression analysis was used to assess the trend of the utilization of services and the net effect of each program variable on the utilization by controlling socio-economic and demographic variables in the model. The impact of the program was estimated by simulating the predicted probabilities of using maternal health services. It was found that the utilization of all three maternal heath services increased over the five years period and the program showed positive correlation with the utilization of maternal health services. But after controlling for socio-economic and demographic variables, the hypothesis of the positive correlation between some program variables and maternal health utilization were no longer supported. The results indicated that visited by a health worker and employment status effected more on maternal health services utilization, while radio program and mass media information had less effect. Socio-economic and demographic variables showed greater correlation than program variables with the increase of maternal health utilization during the period. I recommended conducting a separate study including qualitative and quantitative methods in order to know the impact of safe motherhood program in detail.

Mahidol University

Address: NAKHON PATHOM

Email: liwww@mahidol.ac.th

Name: Buppha Sirirassamee

Role: Thesis Advisors

Created: 2003

Modified: 2020-04-20

Issued: 2009-12-25

วิทยานิพนธ์/Thesis

application/pdf

ISBN: 9740437524

CallNumber: TH S431u 2003

eng

Spatial: Nepal

DegreeName: Master of Arts

Level: Master's Degree

Descipline: Population and Reproductive Health Research

Grantor: Mahidol University

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