Knowledge and Practice of Delivery Care

Abstract

This study entitled “Knowledge and Practice of Delivery Care (A Case Study of Brahman and Limbu Communities of Solma VDC of Terhathum)” is conducted quantitatively with formulating main objective as to find out the knowledge and practice of delivery care of Brahman and Limbu community comparatively. The study has been conducted as descriptive research design (survey design) under quantitative research method. In this study the population of the study is married couple of reproductive aged who had at least one child in Solma VDC of Terhathum. In this study 60/60 married women of reproductive age and having at least one child from Brahman and Limbu community. Purposive sampling method under non probability sampling method was used in this study. Questionnaire was made the major tool for data collection and it was implemented as interview schedule method to the respondents. In this study, middle aged (30-34) women were in higher number than others. Out of total respondents 8.30 percent were of age 15-19 years which is not legal for reproduction. The overall data shows that the majority (51.70%) of the respondents have joint family. Majority (96.70%) of Brahman respondents were literate but only 42.90 percent of Limbu respondents had only lower secondary education. Out of 60 Brahman respondents 51.70 percent and out of 60 Limbu respondents more than half (55%) had taken agriculture as the main occupation. Out of 60 Brahman respondents half (50%) of them were of aged 20-24 years during first delivery whereas out of 60 Limbu respondents half (50%) of them were of age 15-19 years during first delivery. Most of the respondents (60.80%) told that the meaning of delivery is "Giving birth to the child". Among them 65 percent were Brahman and 56.70 percent were Limbu respondents. Out of 58 literate Brahman respondents majority (93.10%) had knowledge about delivery care. Out of 42 literate Limbu respondents 95.2 percent had knowledge about delivery care. Out of 60 Brahman respondents 76.7 percent had knowledge about T.T. vaccine. Out of 60 Limbu respondents 45 percent had such knowledge out of 60 Brahman respondents majority (60%) viewed that they had knowledge about eating meat/fish during and after delivery In case of Limbu respondents 55.55 percent had knowledge on eating meat/fish during delivery period. This data says that majority (57.50%) of the total respondents has knowledge on consuming meat/fish during and after delivery. Out of 60 Brahman respondents more (33.33%) viewed about the first helper of delivery mother as health worker. Similarly in Limbu respondents 45 percent out of total viewed the helper was oldest mothers as delivery helper. Out of 60 Brahman respondents more than 33 percent of them expressed about the knowledge of delivery complication by bleeding and vaginal pain whereas out of 60 Limbu respondents more than 40 percent of them expressed such knowledge. Out of total respondents' majority (70%) of them had knowledge about sanitation during delivery. Out of 60 Brahman respondents 30 percent of them used to go to health centre for delivery whereas only 25 percent Limbu respondents used to go to hospital for delivery. The statistics shows that 31.14 percent of the total respondents used to go to the health institutions at the last stage of delivery complications. Out of 60 Brahman respondents approximately half of them used to eat meat/fish after delivery as additional food and 55 percent in Limbu. Out of 60 Brahman respondents 35 percent of them were in normal personal hygiene condition and only 26.66 percent Limbu respondents were practicing normal personal hygiene. Out of 60 Brahman respondents 35 percent of them checked their health once after the delivery and 30 percent Limbu respondents checked their health to the health personnel once. Based on the above findings and conclusions, it is recommended that different programs related to health should be conducted. Social taboos, myths, superstitions and gender discrimination in the perspective of delivery care and especially on the use of balanced diet and sanitation are highly rooted in the study area so as in the Nepalese society which should be eradicated and further research should be conducted on the same topic.