Study of Different Factors Associated with Completion of Continuum of Care for Maternal Health Services in Kaski District, Nepal

Main Article Content

Urmila Koirala
Hari Prasad Kaphle
Rajesh Kumar Yadav

Abstract

Background: The continuum of care for maternal, newborn, and child health usually refers to the continuity of care throughout the pregnancy, childbirth and post-delivery period. It is an essential strategy to prevent maternal and neonatal deaths. The objective of this study was to identify the status and factors associated with completion of the continuum of care for maternal health services.

Materials and Methods: A community-based cross-sectional study was conducted among 372 women who had a child within one year. The data were collected through a face-to-face interview using pretested and structured Questionnaire. Univariate, bivariate, and multiple logistic analysis were carried out being based on the objectives of the study.

Results: The study found that about 75% of women completed the continuum of care for maternal health services. In multiple logistic regression analysis, women who had four or more antenatal visits (AOR: 18.00, 95% CI: 7.38-43.93) and advised for Postnatal care checkup (AOR=3.07, 95%CI: 1.49-6.32) were found statistically significant with the completion of continuum of care for maternal health services after adjustment of all variables.

Conclusion: It is concluded that the majority of the participants had completion of the continuum of care for maternal health services. Increment in the antenatal care visits and seeking of advice regarding postnatal checkup during pregnancy have positive influence in increasing the continuum of care completion rate. This has also been considered helpful in the achievement of the targets of all three components of maternal health services.

Keywords:
Continuum of care, utilization, maternal health services, Nepal.

Article Details

How to Cite
Koirala, U., Kaphle, H. P., & Yadav, R. K. (2020). Study of Different Factors Associated with Completion of Continuum of Care for Maternal Health Services in Kaski District, Nepal. Asian Research Journal of Gynaecology and Obstetrics, 4(4), 13-22. Retrieved from https://journalarjgo.com/index.php/ARJGO/article/view/30144
Section
Original Research Article

References

Gill K, Pande R, Malhotra A. Women deliver for development. The Lancet. 2007; 370(9595):1347–1357.

Kerber KJ, de Graft-Johnson JE, Bhutta ZA, Okong P, Starrs A, Lawn JE. Continuum of care for maternal, newborn, and child health: From slogan to service delivery. The Lancet. 2007;370(9595): 1358–1369.

Singh K, Story WT, Moran AC. Assessing the continuum of care pathway for maternal health in South Asia and sub-Saharan Africa. Maternal and Child Health Journal. 2016;20(2):281–289.

Aryal KK, Bista, Bihungum, Kafle, Shambhu, Steffen, Mona Mehta, Sharma, Shiv Lal, Sharma, Sharad K, et al. Maternal Health Care in Nepal: Trends and Determinants. . Rockville, Maryland, USA: ICF. Jan. Report No.: 118; 2019.

Wang W, Hong R. Levels and determinants of continuum of care for maternal and newborn health in Cambodia-evidence from a population-based survey. BMC Pregnancy and Childbirth [Internet]; 2015. [Cited 2020 Aug 22]; 15(1). Available:http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0497-0

Iqbal S, Maqsood S, Zakar R, Zakar MZ, Fischer F. Continuum of care in maternal, newborn and child health in Pakistan: analysis of trends and determinants from 2006 to 2012. BMC Health Services Research. 2017;17(1):189.

Chaka EE, Parsaeian M, Majdzadeh R. Factors associated with the completion of the continuum of care for maternal, newborn, and child health services in Ethiopia. Multilevel model analysis. International Journal of Preventive Medicine. 2019;10.

Emiru AA, Alene GD, Debelew GT. Women’s retention on the continuum of maternal care pathway in west Gojjam zone, Ethiopia: multilevel analysis. BMC Pregnancy and Childbirth [Internet]. 2020; 20(1). [Cited 2020 Aug 22] Available:https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-020-02953-5

Haile D, Kondale M, Andarge E, Tunje A, Fikadu T, Boti N. Level of completion along continuum of care for maternal and child health services and factors associated with it among women in Arba Minch Zuria Woreda, Gamo Zone, Southern Ethiopia: a community based cross-sectional study [Internet]. Scientific Communication and Education; 2019. [Cited 2020 Aug 22] Available:http://biorxiv.org/lookup/doi/10.1101/735456

Hamed A, Mohamed E, Sabry M. Egyptian status of continuum of care for maternal, newborn, and child health: Sohag Governorate as an example. International Journal of Medical Science and Public Health. 2018;1.

Islam RM. Utilization of maternal health care services among indigenous women in Bangladesh: A study on the Mru tribe. Women & Health. 2017;57(1):108–118.

Yeji F, Shibanuma A, Oduro A, Debpuur C, Kikuchi K, Owusu-Agei S, et al. Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors. Vermund SH, editor. PLOS ONE. 2015; 10(12):e0142849.

Mohan D, LeFevre AE, George A, Mpembeni R, Bazant E, Rusibamayila N, et al. Analysis of dropout across the continuum of maternal health care in Tanzania: findings from a cross-sectional household survey. Health Policy and Planning. 2017;32(6):791–9.

Shitie A, Assefa N, Dhressa M, Dilnessa T. Completion and Factors Associated with Maternity Continuum of Care among Mothers Who Gave Birth in the Last One Year in Enemay District, Northwest Ethiopia. Journal of Pregnancy. 2020; 2020:1–9.

Sakuma S, Yasuoka J, Phongluxa K, Jimba M. Determinants of continuum of care for maternal, newborn, and child health services in rural Khammouane, Lao PDR. Oh J, editor. PLOS ONE. 2019; 14(4):e0215635.

Chalise M, Bista B, Pandey AR, Thapa S. Correlates of continuum of maternal health services among Nepalese women: Evidence from Nepal Multiple Indicator Cluster Survey; 2019.

Singh K, Story WT, Moran AC. Assessing the Continuum of Care Pathway for Maternal Health in South Asia and Sub-Saharan Africa. Maternal and Child Health Journal. 2016;20(2):281–9.

Tamang TM. Factors associated with completion of continuum of Care for Maternal Health in Nepal. In: proceedings of the IUSSP XXVIII International Population Conference, Cape Town, South Africa; 2017.

Ministry of health, New ERA, Nepal demography and health survey, 2016 [Internet]. Kathmandu, Nepal: Ministry of health, Nepal; 2017. Available:https://www.dhsprogram.com/pubs/pdf/fr336/fr336.pdf

Rutaremwa G, Wandera SO, Jhamba T, Akiror E, Kiconco A. Determinants of maternal health services utilization in Uganda. BMC Health Services Research [Internet]. 2015;15(1). [Cited2020aug23] Available:https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0943-8

Adhikari R. Effect of Women’s autonomy on maternal health service utilization in Nepal: a cross sectional study. BMC Women’s Health [Internet]. 2016;16(1). [Cited 2020 Aug 26] Available:http://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-016-0305-7.