Goal, Strategies and Programme of Safe Motherhood in Nepal

Baral, Om Prasad; Vashisth, Kamla

doi:10.3126/av.v3i1.9981

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such efforts are aimed at reducing barriers on the demand side as well as on the supply side to ensure proper service provision, delivery and utilization. The National Safe Motherhood Program in 1997 [ 4 ], the National Safe Motherhood Plan 2002–2017 [ 5 ], the SBA policy in 2006 [ 6 ], the National Neonatal Health Strategy 2004 [ 7 ], and the Community Based Newborn Care Program in 2007 are some of the major programs, plans and policies to be highlighted. Notwithstanding these improvements, equity gaps in maternal and neonatal service utilization across geography, ethnicity and economic status have always been existing and is clearly evident from the findings of the Nepal Demographic Health Surveys of 2006, 2011 and 2016 [ 8 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Investment case approach for equitable access to maternal neonatal and child health services: Stakeholders’ perspective in Nepal

Thapa¹,

Stöckl

Sangroula³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

Background Investment Case is a participatory approach that has been used over the years for better strategic actions and planning in the health sector. Based on this approach, a District Investment Case (DIC) program was launched to improve maternal, neonatal and child health services in partnership with government, non-government sectors and UNICEF Nepal. In the meantime, this study aimed to explore perceptions and experiences of local stakeholders regarding health planning and budgeting and explore the role of the DIC program in ensuring equity in access to maternal and child health services. Methods This study adopted an exploratory phenomenography design with a purposive sampling technique for data collection. Three DIC implemented districts and three comparison districts were selected and total 30 key informant interviews with district level stakeholders and six focus groups with community stakeholders were carried out. A deductive approach was used to explore the perception of local stakeholders of health planning and budgeting of the health care expenses on the local level. Results Investment Case approach helped stakeholders in planning systematically based on evidence through collaborative and participatory approach while in comparison areas previous year plan was mainly primarily considered as reference. Resource constraints and geographical difficulty were key barriers in executing the desired plan in both intervention and comparison districts. Positive changes were observed in coverage of maternal and child health services in both groups. A few participants reported no difference due to the DIC program. The participants specified the improvement in access to information, access and utilization of health services by women. This has influenced the positive health care seeking behavior. Conclusions The decentralized planning and management approach at the district level helps to ensure equity in access to maternal, newborn and child health care. However, quality evidence, inclusiveness, functional feedback and support system and local resource utilization should be the key consideration.

show abstract

Section: Introductionmentioning

confidence: 99%

Investment case approach for equitable access to maternal neonatal and child health services: Stakeholders’ perspective in Nepal

Thapa¹,

Stöckl

Sangroula³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Increased access to antenatal care, provision of skilled birth attendants and pregnancy care awareness programs at local level contributes to safer pregnancies and childbirth [11]. Previous studies have concluded that delivery in a health care facility offers much needed emotional support to pregnant women [47].…”

Section: Discussionmentioning

confidence: 99%

“…Antenatal care uptake in rural settings is dependent on social and cultural factors [10]. Increased access to antenatal care, provision of skilled birth attendants and pregnancy care awareness programs at the local level contribute to safer pregnancies and childbirth [11]. In rural families, money, food and other logistics have all been seen to have an important influence on maternal health outcomes [12].…”

Section: Introductionmentioning

confidence: 99%

Systematic review of community participation interventions to improve maternal health outcomes in rural South Asia

Sharma

Jones

Loxton

et al. 2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundThis is a systematic review on the effectiveness of community interventions in improving maternal health care outcomes in South Asia.MethodsWe searched electronic databases to June 2017. Randomised or cluster randomised studies in communities within rural/remote areas of Nepal, Bangladesh, India and Pakistan were included. Data were analysed as risk ratios (RR) or odds ratios (OR), and effects were adjusted for clustering. Meta-analyses were performed using random-effects and evidence quality was assessed.ResultsEleven randomised trials were included from 5440 citations. Meta-analysis of all community interventions combined compared with control showed a small improvement in the number of women attending at least one antenatal care visit (RR 1.19, 95% CI 1.06 to 1.33). Two community mobilisation sub groups: home care using both male and female mobilisers, and education by community mobilisers, improved the number of women attending at least one antenatal visit. There was no difference in the number of women attending at least one antenatal visit for any other subgroup. There was no difference in the number of women attending 3 or more antenatal visits for all community interventions combined, or any community subgroup. Likewise, there was no difference in attendance at birth between all community interventions combined and control. Health care facility births were modestly increased in women’s education groups (adjusted RR (1.15, 95% CI 1.11 to 1.20; 2 studies)). Risk of maternal deaths after 2 years (RR 0.63, 95% CI 0.24 to 1.64; 5 studies), and 3 years (RR 1.11, 95% CI 0.52 to 2.36; 2 studies), were no different between women’s education groups and control. Community level mobilisation rather than health care messages at district level improved the numbers of women giving birth at health care facilities (RR1.09 (95%CI 1.06 to 1.13; 1 study)). Maternal health care knowledge scores improved in two community-based interventions, one involving education of male community members.ConclusionWomen’s education interventions may improve the number of women seeking birth at a health care facility, but the evidence is of low quality. No impact on maternal mortality was observed Future research should explore the effectiveness of including male mobilisers.Trial registrationThis systematic review is registered with PROSPERO CRD42016033201.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-1964-1) contains supplementary material, which is available to authorized users.

show abstract

Social Determinants of Anemia and Overweight/Obesity among Pregnant Women in Nepal

Kawata

Oda

Iwakuni

et al. 2021

Nippon Eiseigaku Zasshi (Japanese Journal of Hygiene)

View full text Add to dashboard Cite

Goal, Strategies and Programme of Safe Motherhood in Nepal

Cited by 3 publications

References 0 publications

Investment case approach for equitable access to maternal neonatal and child health services: Stakeholders’ perspective in Nepal

Investment case approach for equitable access to maternal neonatal and child health services: Stakeholders’ perspective in Nepal

Systematic review of community participation interventions to improve maternal health outcomes in rural South Asia

Social Determinants of Anemia and Overweight/Obesity among Pregnant Women in Nepal

Contact Info

Product

Resources

About