Utilization of maternal health services in rural Thawang, Rolpa district of Nepal: a community-based cross-sectional study
Issued Date
2022-01-13
Resource Type
ISSN
08574421
eISSN
2586940X
Scopus ID
2-s2.0-85115790505
Journal Title
Journal of Health Research
Volume
36
Issue
1
Start Page
140
End Page
149
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Health Research Vol.36 No.1 (2022) , 140-149
Suggested Citation
Hushen J. Utilization of maternal health services in rural Thawang, Rolpa district of Nepal: a community-based cross-sectional study. Journal of Health Research Vol.36 No.1 (2022) , 140-149. 149. doi:10.1108/JHR-03-2020-0069 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86202
Title
Utilization of maternal health services in rural Thawang, Rolpa district of Nepal: a community-based cross-sectional study
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Purpose: This study aimed to identify the proportion and factors influencing the use of maternal health services (MHS) in rural Thawang, Rolpa, Nepal. Design/methodology/approach: This was a community-based cross-sectional study conducted among 417 mothers who had given birth in the previous two years. Bivariate and multivariate logistic regression was applied to identify associations and predictors. Findings: The results showed that the use of maternal health services was 50.8%. Adjusting for all other factors in the final model, age group 25–30 years (AOR: 2.30; 95% CI: 1.199–4.422), spouse communication (AOR: 7.31; 95% CI: 2.574–20.791), high accessibility (AOR: 2.552, 95% CI: 1.402–4.643) and high affordability (AOR: 10.89; 95% CI: 4.66–25.445) were significant predictors. Research limitations/implications: This is a community-based cross-sectional study, and hence cannot establish causal relationships. The research was conducted in a limited rural area mid-Western Nepal, and this may limit the generalization of results to other settings of the country. Practical implications: This research supports to local level government and district health authority to develop and implement need based action to increase maternal health service in the local context. Originality/value: Underutilization of maternal health services is the result of socioeconomic dynamics, poor access to health services and other physical developments. To increase utilization of maternal health services in rural areas, there is a need to tackle the root cause of health inequality such as reducing poverty, increasing female education, involving women in employment and increasing access to health as a priority development agenda by government authorities. This research supports local level government and district health authorities to develop and implement needs-based action to increase MHS in the local context.