Maternal Mortality in Nepal: Unraveling the Complexity

Suwal, Juhee V.

doi:10.25336/p6ww4j

Cited by 15 publications

(18 citation statements)

References 20 publications

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“…Mothers that are too young are not physically ready yet to conceive and give birth. 7,8 Comparing the two highrisk age groups, more maternal deaths came from the young age mothers. 8 Mothers with a history of diseases had 19.828 times larger risk compared to those without any history.…”

Section: Discussionmentioning

confidence: 99%

Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013

Astuti¹,

Aziz²,

Arya³

2017

IJIHS

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Objective: To discover the factors affecting the occurrence of maternal deaths. The high maternal mortality rate (MMR) in Indonesia is still a common problem which needs urgent solution.Methods: This is an analytic observational, cross-sectional study using a case control approach Fifty two cases were selected as cases, another 52 were selected as control. The sampling was performed by simple random sampling. The instruments used in this study were the medical records of mothers who gave birth in Dr. Hasan Sadikin General Hospital Bandung from 1 January 2009-31 December 2013. Data analysis was performed using chi-square test. Results:In this study, the results showed that the risk factors contributing to maternal deaths were pregnancy complication (p<0.001), delivery complication (p<0.001), puerpural complication (p=0.022), age (p=0.030), parity (p=0.427), prior medical history (p<0.001), antenatal care (p=0.007), maternal education (p=0.527), and area of residence (p=0.049). Conclusions:The risk factors that contribute to maternal deaths include pregnancy complication, delivery complication, puerpural complication, maternal age, prior medical history, antenatal care, and area of residence.

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Section: Discussionmentioning

confidence: 99%

Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013

Astuti¹,

Aziz²,

Arya³

2017

IJIHS

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“…Out of nine, only three are organizational heads. As most of the respondents initially went to their local 23 South East Asia Journal of Public Health 2018;8(1): [22][23][24][25][26][27][28][29][30][31] Banik & Sumon  Barriers to access maternal health services doctors, who were basically drug peddlers and had minimum level of medical training, for treatment, this fact stimulated us for interviewing them.…”

Section: Development Of Research Instrumentmentioning

confidence: 99%

“…[5][6][7][8][9] One of the main reasons, as indicated by anecdotal evidence, for worse situation in maternal health (MH) is that women, particularly poor, have less access to healthcare services. In addition, a lot of research [10][11][12][13][14][15][16][17][18][19][20][21][22] found class and region-based inequity in access to primary, particularly maternal, healthcare services and broadly classified all access barriers into four sections; socio-cultural, financial, physical and organizational/ institutional. This research therefore intended to deal with the issue of maternal health care (MHC) services, provided by different organizations in Rajshahi City.…”

Section: Introductionmentioning

confidence: 99%

Barriers to access maternal health services among urban poor women in Bangladesh: A Case of Rajshahi City

Banik

Sumon

2019

SE Asia J. Pub. Health

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Bangladesh has made tremendous achievements in the health sector over the last few decades, albeit worse in maternal health (MH) compared to other South Asian countries. The fact that women, particularly poor, have less access to maternal health care (MHC) services is one of the prime reasons. The main objective of this study was to explore what types of barriers poor mothers faced during the service use. A triangulation of method (interviews of service recipients through interview schedule and service providers through checklist, focus group discussion and observation) was used for the collection of primary data (sample 200) from two slum areas in Rajshahi City between March and April, 2013. The study found socio-cultural and organizational barriers to access to MHC services more acute than physical and financial barriers. As suggested, building awareness of bad consequences of early marriage on MH, ensuring a strong coordination among service providing organizations in dispensing free drugs and posting female doctors in study areas are urgently needed for further improvement of MH.MHC services and affordability to pay the service charges and receive good quality of service? These questions demand investigation. Broadly speaking, the main aim of the study was therefore to examine different barriers that discouraged women from going for MHC services.The next section highlights research techniques adopted in this study which is followed by the discussion of results of the study. The penultimate section highlights main findings of the study while conclusion and recommendations are made in final section.

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“…With respect to the Millennium Development Goals 4 and 5, Nepal has been lauded as a country that has had remarkable success. In the 20 years between 1996 and 2006, the MMR has been reduced from 539 per 100,000 to 281 per 100,000; under-5 child mortality has seen similar advances, from 118 per 1000 live births in 1996 to 54 per 1000 live births in 2011 [12,14]. 3 Programs such as the Aama Initiative, begun in 2007, have helped to subsidize (and, in some senses, incentivize) the cost of institutional deliveries.…”

mentioning

confidence: 98%

It Takes More than a Village: Building a Network of Safety in Nepal’s Mountain Communities

Adams

Craig

Samen³

et al. 2016

Matern Child Health J

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Purpose This report from the field details the ways that one small maternal child health NGO, which began its work in Tibet and now works in the mountain communities of Nepal, has established a model for integrated healthcare delivery and support it calls the "network of safety." Description It discusses some of the challenges faced both by the NGO and by the rural mountain communities with whom it partners, as well as with the government of Nepal. Conclusion This report describes and analyzes successful efforts to reduce maternal and infant mortality in a culturally astute, durable, and integrated way, as well as examples of innovation and success experienced by enacting the network of safety model.

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Maternal Mortality in Nepal: Unraveling the Complexity

Cited by 15 publications

References 20 publications

Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013

Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013

Barriers to access maternal health services among urban poor women in Bangladesh: A Case of Rajshahi City

It Takes More than a Village: Building a Network of Safety in Nepal’s Mountain Communities

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