Utilization of institutional delivery service in rural area of Ilam: A case study of Ilam Municipality-2, Sumbek, Ilam

Abstract

This thesis entitled "Utilization of Institutional Delivery Services in Rural Area of of Ilam(A case study of Ilam municipality-2,Sumbek,Ilam) has been prepared for the fulfillment of Maser Degree in Rural Development from the Mahendra Ratna Multiple Campus, Ilam . Health is the basic thing of human life. In health sector maternal health is also most important matter for the concern of community and society. Maternal health condition of any society shows the development condition of that society . Maternal health is the condition of the health of mother mainly during pregnancy, in child birth and in postnatal period .To make the health condition of mother good one of the most important thing is utilization of health facility should be regular. Maternal mortality and neonatal mortality is high in developing country like Nepal .This maternal and neonatal mortality and morbidity is high in rural area than urban area. To reduce maternal and neonatal mortality and morbidity the utilization of health facility is the main aspect. By utilization of health institution more life of mother and child can be saved. This study try to find out the condition of utilization of institutional delivery service and barrier in utilization of service in rural area of Ilam. In the study descriptive research design is applied. The raw data are collected from respondent by field survey and other different necessary information are collect from key informant like HA ,SAHW,ANM ,FCHV and other senior people of study area. By analyzing the collected raw data and information taken from findings are disseminated. The ANC visit is satisfactory and most of the respondent have knowledge about the ANC visit . Among respondents 78.26% of respondents delivered their baby at health facility which is greater than national status. Similarly 71.19% of respondents were interested to deliver their baby in health facility. Among respondents 47.46 % were Aadibasi/Janjati and 15.25% Dalit and 37.25% were Brahman/Chhetri. The big part of the population is sum of Dalit and janjati. In this scenario also the service utilization trend is some satisfactory. The trend of ANC visit and baby delivered place is hopeful .But it is not time for well satisfy. Some woman have now also not good concept about ANC visit and need to delivery baby at health facility .They have now also traditional concept .In the study area woman having no any ANC visit and baby delivered at home also found .Which shows still awareness about maternal health is necessary in remote rural area . There are different barrier for utilization institutional delivery services and ANC visit. The key finding of the study shows that parity, maternal education, economic status of family, distance of health facility, interest of mother etc. were significant predictor of woman's place of delivery and ANC visit. High maternal and neonatal mortality rate is our national problem. One main intervention to reduce the rate is to increase the utilization of heath facility in concern of maternal health. This study gives the status of utilization of heath facility in rural area of Ilam municipality .Perhaps it helps other scholar, policy maker and concerned sector.