WHO South-East Asia Journal of Public Health
  • 880
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
REVIEW
Year : 2013  |  Volume : 2  |  Issue : 3  |  Page : 135-141

Why women do not utilize maternity services in Nepal: a literature review


1 School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal; School of Public Health, Curtin University, Perth, WA, Australia
2 School of Public Health, Curtin University, Perth, WA, Australia

Correspondence Address:
Rajendra Karkee
School of Public Health, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia

Login to access the Email id


DOI: 10.4103/2224-3151.206759

PMID: 28615588

Rights and Permissions

The structure and provision mechanism of maternity services in Nepal appears to be good, with adequate coverage and availability. Utilization of maternity services has also improved in the past decade. However, this progress may not be adequate to achieve the Millennium Development Goal to improve maternal health (MDG 5) in Nepal. This paper reviews the factors that impede women from utilizing maternity services and those that encourage such use. Twenty-one articles were examined in-depth with results presented under four headings: (i) sociocultural factors; (ii) perceived need/benefit of skilled attendance; (iii) physical accessibility; and (iv) economic accessibility. The majority of the studies on determinants of service use were cross-sectional focusing on sociocultural, economic and physical accessibility factors. In general, the education of couples, their economic status and antenatal check-ups appeared to have positive influences. On the other hand, traditional beliefs and customs, low status of women, long distance to facilities, low level of health awareness and women’s occupation tended to impact negatively on service uptake. More analytical studies are needed to assess the effectiveness of the Safer Mother Programme, expansion of rural birth centres and birth-preparedness packages on delivery-service use. Moreover, it is important to investigate women’s awareness of the need of facility delivery and their perception of the quality of health facilities in relation to actual usage.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1978    
    Printed10    
    Emailed0    
    PDF Downloaded289    
    Comments [Add]    
    Cited by others 8    

Recommend this journal