Perceptions of users and providers on barriers to utilizing skilled birth care in mid- and far-western Nepal: a qualitative study

Onta, Sharad; Choulagai, Bishnu; Shrestha, Bikash Lal; Subedi, Narayan; Bhandari, Gajananda Prakash; Krettek, Alexandra

doi:10.3402/gha.v7.24580

Cited by 54 publications

(89 citation statements)

References 29 publications

(40 reference statements)

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“…Lack of consent from the husband and lack of privacy in the health facility were found to be the major causes of home deliveries in the rural study group. This is in contrast to some studies in rural populations where distance to health facility and the non-friendly attitude of care givers were the major reasons given for opting for home delivery with a traditional birth attendant or a relative (Some et al, 2011;Onta et al, 2014). Another major finding in the rural community was the absence of delivery rooms or suites within the health care facility making it impracticable for any woman to desire to have a delivery there.…”

Section: Discussionmentioning

confidence: 62%

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Shehu¹,

Ibrahim²,

Oche³

et al. 2016

J. Public Health Epidemiol.

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Child-birth is a risk producing event that requires timely and adequate medical intervention for women who experience obstetric complications. The provision of a health worker with midwifery skills at every birth, plus access to emergency hospital obstetric care, is the option to mitigate this risk. However, in sub Saharan Africa, most births take place outside health facilities and without skilled attendants. This study aimed to determine and compare the factors which influence the choice of place of delivery among women in an urban and a rural community in Sokoto. It was a cross-sectional comparative study of 600 randomly selected women of reproductive age, in Sokoto South and Gwadabawa Local Government Areas of Sokoto State, Nigeria using semi-structured interviewer administered questionnaires. The proportion of women who delivered in health facilities was 65.0 and 4.7% in the urban and rural groups, respectively; whereas the proportion that had skilled attendants at delivery was 70 and 4.3% in the urban and rural groups, respectively. Lack of consent from husband, no privacy in health facilities, distance to the health facility and non-availability of delivery wards were the reasons for home deliveries in the rural study group, while the emergency nature of labour was the reason in the urban group. Women residing in rural areas need health promotion interventions in order to meet the International Conference on Population and Development + target of achieving 90% births attended by skilled attendants by 2015.

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Section: Discussionmentioning

confidence: 62%

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Shehu¹,

Ibrahim²,

Oche³

et al. 2016

J. Public Health Epidemiol.

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“…Women who were able to recognise the warning signs of pregnancy complications were more likely to utilise skilled birth attendants (SBA) during deliveries [56]. Increasing awareness among women appeared to increase the uptake of SBA services [57]. …”

Section: Resultsmentioning

confidence: 99%

The potential of health literacy to address the health related UN sustainable development goal 3 (SDG3) in Nepal: a rapid review

Budhathoki

Pokharel

Good

et al. 2017

BMC Health Serv Res

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BackgroundHealth literacy has been linked to health outcomes across population groups around the world. Nepal, a low income country, experiences the double burden of highly prevalent communicable as well as non-communicable diseases. The World Health Organization (WHO) has positioned health literacy as a key mechanism to meet the health-related Sustainable Development Goal (SDG3). However, there is little known about the status of health literacy in developing countries such as Nepal. This paper aims to review the potential of health literacy to address SDG3 in Nepal.MethodsA rapid review was conducted using the knowledge to action evidence summary approach. Articles included in the review were those reporting on barriers to health care engagements in Nepal published in English language between January 2000 and December 2015.ResultsBarriers for healthcare engagement included knowledge and education as strong factors, followed by culture, gender roles, quality of service and cost of services. These barriers influence the Nepalese community to access and engage with services, and make and enact healthcare decisions, not only at the individual level but at the family level. These factors are directly linked to health literacy. Health literacy is a pivotal determinant of understanding, accessing and using health information and health services, it is important that the health literacy needs of the people be addressed.ConclusionLocally identified and developed health literacy interventions may provide opportunities for systematic improvements in health to address impediments to healthcare in Nepal. Further research on health literacy and implementation of health literacy interventions may help reduce inequalities and increase the responsiveness of health systems which could potentially facilitate Nepal to meet the sustainable development goals. While there is currently little in place for health literacy to impact on the SDG3, this paper generates insights into health literacy’s potential role.

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“…Roads in these rural areas are also mainly in a deplorable state [33, 34]. As such, women who could not afford the cost of transportation which is expensive due to the bad nature of the road [35] had no option but to deliver at home as realised in previous studies [36]. …”

Section: Discussionmentioning

confidence: 99%

What Influences Where They Give Birth? Determinants of Place of Delivery among Women in Rural Ghana

Dickson

Amu

2016

International Journal of Reproductive Medicine

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Background. There is a paucity of empirical literature in Ghana on rural areas and their utilisation of health facilities. The study examined the effects of the sociodemographics of rural women on place of delivery in the country. Methods. The paper made use of data from the 2014 Ghana Demographic and Health Survey. Women from rural areas who had given birth within five years prior to the survey were included in the analysis. Descriptive analyses and binary logistic regression were used to analyse the data. Results. Wealth, maternal education, ecological zone, getting money for treatment, ethnicity, partner's education, parity, and distance to a health facility were found as the determinants of place of delivery among women in rural Ghana. Women in the richest wealth quintile were three times (OR = 3.04, 95% CI = 0.35–26.4) more likely to deliver at a health facility than the poorest women. Conclusions. It behoves the relevant stakeholders including the Ghana Health Service and the Ministry of Health to pay attention to the wealth status, maternal education, ecological zone, ethnicity, partner's education, parity, and distance in their planning regarding delivery care in rural Ghana.

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Perceptions of users and providers on barriers to utilizing skilled birth care in mid- and far-western Nepal: a qualitative study

Cited by 54 publications

References 29 publications

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

The potential of health literacy to address the health related UN sustainable development goal 3 (SDG3) in Nepal: a rapid review

What Influences Where They Give Birth? Determinants of Place of Delivery among Women in Rural Ghana

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