Browsing by Subject "Maternity care"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Influence of education on maternity care in the selected district of Nepal(School of Education Kathmandu University, 2010-10) Dhakal, Megha RajThe primary objective of the study was to assess the current status of the use of maternity care services by women aged 15-49 years in the five selected districts of Nepal. Both the quantitative and qualitative mixed research methods were used to collect and process data. Quantitative data were used for testing hypothesis formulated in this study while qualitative pieces of information were used to supplement information to highlight some of the underlying factors associated with the utilization of maternal and child health care (MCH) services. Moreover, psychometric test, inter disciplinary approach and the use of both quantitative and qualitative pieces of information were used to explore the level of attitude and perception of the pregnant women towards household head and service providers. In addition to these factors, 14 new variables were constructed under the headings of empowerment, equity, satisfaction, plan for maternity care and responsibility of mother through factors analysis. A cross- sectional research design was adopted to carry out the study to examine linkages between formal and non-formal /informal education and utilization of maternity care services. A sample of 384 women aged 15-49 years who had at least one live birth in the last three years from Sindhupalchok, Syangja, Kathmandu, Banke and Kailali districts was randomly selected. A structured questionnaire was used to interview women in the sample. In-depth interviews were conducted with 10 eligible women from within the sample utilizing interview guidelines. Besides descriptive analysis, bivariate analysis, factor analysis and logistic regression analysis were used to interpret the data to draw conclusions and recommendations. ii The findings of the study revealed that the place of residence, mother’s education, recreational programs, level of income, the visit to a health facility for other medical problems, the age of mother at child birth, the number of children, awareness about the use of family planning method as well as cost coping strategy of the pregnant women have strong association with maternity care services. Education has a strong association with all seven variables and very strong net association with the use of antenatal care visits during pregnancy, the use of ANC package and the use of postnatal care services. Parenting skills transferred to the pregnant women by service providers, life-style adopted by the pregnant women, household environment properly managed by household head, satisfaction of pregnant women on pregnancy care preparation, care givers behaviors towards pregnant women, household head’s willingness to monitor pregnancy status were associated with MCH services. The study concluded that mother’s education is necessary but not a sufficient condition for maternity care. Therefore, the integration of individual, household and community level efforts should be promoted to increase the use of MCH services. The study has a clear indication that program targeted to improve the education of women, income generating activities, as well as support of other family members on pregnancy and delivery care management, nearest distance of a health facility, placement of medical doctors especially outside Kathmandu Valley help to improve the use of maternity care services. The study also has recommended that a follow-up study designed to use the path analysis for analyzing effects of the distance and the intermediate factors used in the conceptual framework would be useful. The study provides a new knowledge about how formal and non- formal/informal education has influenced the utilization of maternity care services, the changes in reproductive behaviour and the increase in the access to and utilization of available health care services.Item Maternity Care Practice: A Comparative Study amongDalit and Non-dalit Women Aged 15-49 Years (A Case Study of Hetauda Municipality Ward No. 11)(Department of Population Studies, 2007) Bidari, GitaThis study has been organized to find out the level of maternity care practices among ever married dalit and non dalit women of reproductive age group (15-49).Only selected components of maternity care have been taken into account because of interest and limitations. This is comparative study examining the differences of maternity care practices between dalit and non dalit women. The study is based on the primary data obtained from 100 respondents, 50 from each dalits and non dalits. Over all median age group of the respondents for both castes is 32 years.Hindu is the major religion for both castes. Nuclear family percentage is higher innon-dalit community as compared to dalits. Non-dalit respondents are more litratethen dalits. Agricultural is the major occupation for non-dalit where as dalits are engaged more in daily wages. Non-dalit respondents had got sufficient food compared to dalits. More than 50 percent non-dalit respondents have concrete house where as most of the dalit respondents have bamboo joint houses. Open toilet is the main toiletfacility for both castes. Comparatively non-dalit respondents have more electric facilities like electricity supply, radio and television. Kerosene and fire wood is themain source of fuel for non-dalit respondents and only fire wood is the main source offuel for dalit respondents. Early marriage is more pronounced in dalits as compared to non-dalits. Higherpercentage of mothers had given three birth in both castes. Knowledge of maternity care is more pronounced in non-dalit community than dalits. Radio is the most common source of information for both non-dalit and dalit respondents. Nearly three fourth of the total respondents from both castes have knowledge about TT and irontablets. Less than 50 percent respondents for both castes have the knowledge about Anemia. Comparatively non-dalit respondents have visited ANC more times than dalits. Younger and more educated respondents of both castes have knowledge about safe delivery kits and prefere to deliver in hospitals. Sixty percent non-dalit women delivered in hospital as compared to dalit (30.0%). At the time of child birth, excessive bleeding and after child birth rational placenta (prolapse) is the main problem for both castes. Over 80 percent mother received PNC service in both the castes.Comparatively more non-dalit mothers reported that they have provided immunization services for their children at the period of PNC. In both the castes younger mothers are more likely to visit ANC than orders. The proportion ofreceiving PNC services is higher in educated respondents of both castes. The study deals with the variation among both castes respondents in terms ofage and education. From the study, it is observed that the level of knowledge and practice of maternity care among non dalit respondent is quite satisfactory as compared to dalit respondent. Maternity care services is affordable for both castes but due to lack of awareness and poor socio-economic condition dalit respondents are far way from it. Comparatively postnatal Visit is lower in both castes as compared to Antenatal visit. Key words-Maternity care, respondents, antenatal care, delivery care,postnatal care.