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Ecological and socio-demographic differences in maternal care services in Nepal.

Tripathi V, Singh R - PeerJ (2015)

Bottom Line: Woman's education, husband's education and wealth quintile are significant factors in ensuring ANC and safe delivery services.Further, the analyses show that Budh/Muslim/Kirat/Christians are at a significant disadvantage in ensuring safe delivery (OR, 0.8; 95% CI [0.7-0.9]) as compared with Hindus.Recommendation.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Faculty of Science and Technology, The University of the West Indies, St Augustine Campus , Trinidad & Tobago , West Indies.

ABSTRACT
Background. Nepal is set to achieve MDG-5 goals by end of 2015. However, maternal health parameters will remain way below those of developed countries. This study was conducted to assess the factors contributing to utilization of ANC and safe delivery services with the aim of furthering overall maternal health parameters in Nepal. Material and Methods. Using survey data from the Nepal Demographic and Health Survey 2011, socio-economic and demographic factors associated with the utilization of ANC and safe delivery services among women aged 15-49 years who gave births during the last three years preceding the survey are examined. Data was segregated into three ecological zones: Mountain, Hill and Terai zones for univariate analyses. Data from all three zones was then pooled for univariate and multivariate logistic regression analyses of Antenatal Care and Safe Delivery services in Nepal. Results and Conclusion. The analyses show that rural place of residence is at a disadvantage in receiving ANC (OR, 0.8; 95% CI [0.7-0.9]) and ensuring safe delivery (OR, 0.6; 95% CI [0.5-0.7]). Woman's education, husband's education and wealth quintile are significant factors in ensuring ANC and safe delivery services. Further, the analyses show that Budh/Muslim/Kirat/Christians are at a significant disadvantage in ensuring safe delivery (OR, 0.8; 95% CI [0.7-0.9]) as compared with Hindus. Though ecological zones lost their significance in receiving ANC, women in the Terai region are at a significant advantage in ensuring safe delivery (OR, 1.7; 95% CI [1.2-2.1]). Recommendation. Segregated targets should be set for the different ecological zones for further improvement in maternal mortality rates in Nepal.

No MeSH data available.


Related in: MedlinePlus

Receiver operating characteristic (ROC) curve for predicting utilization of ANC services.Area under the curve (ROC) = 0.82, 95% CI [0.81–0.83].
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fig-1: Receiver operating characteristic (ROC) curve for predicting utilization of ANC services.Area under the curve (ROC) = 0.82, 95% CI [0.81–0.83].

Mentions: The AUROC (Fig. 1) shows that the model for utilization of ANC services is able to discriminate between women who received ANC and those who did not with 82% accuracy (95% CI [0.81–0.83]). The AUROC (Fig. 2) shows that the predicted model for safe delivery services is able to discriminate between women who have safe delivery and those who do not with 75% accuracy (95% CI [0.74–0.76]). These values indicate that the developed models are fair enough for appropriate prediction of ANC and safe delivery services.


Ecological and socio-demographic differences in maternal care services in Nepal.

Tripathi V, Singh R - PeerJ (2015)

Receiver operating characteristic (ROC) curve for predicting utilization of ANC services.Area under the curve (ROC) = 0.82, 95% CI [0.81–0.83].
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4562239&req=5

fig-1: Receiver operating characteristic (ROC) curve for predicting utilization of ANC services.Area under the curve (ROC) = 0.82, 95% CI [0.81–0.83].
Mentions: The AUROC (Fig. 1) shows that the model for utilization of ANC services is able to discriminate between women who received ANC and those who did not with 82% accuracy (95% CI [0.81–0.83]). The AUROC (Fig. 2) shows that the predicted model for safe delivery services is able to discriminate between women who have safe delivery and those who do not with 75% accuracy (95% CI [0.74–0.76]). These values indicate that the developed models are fair enough for appropriate prediction of ANC and safe delivery services.

Bottom Line: Woman's education, husband's education and wealth quintile are significant factors in ensuring ANC and safe delivery services.Further, the analyses show that Budh/Muslim/Kirat/Christians are at a significant disadvantage in ensuring safe delivery (OR, 0.8; 95% CI [0.7-0.9]) as compared with Hindus.Recommendation.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Faculty of Science and Technology, The University of the West Indies, St Augustine Campus , Trinidad & Tobago , West Indies.

ABSTRACT
Background. Nepal is set to achieve MDG-5 goals by end of 2015. However, maternal health parameters will remain way below those of developed countries. This study was conducted to assess the factors contributing to utilization of ANC and safe delivery services with the aim of furthering overall maternal health parameters in Nepal. Material and Methods. Using survey data from the Nepal Demographic and Health Survey 2011, socio-economic and demographic factors associated with the utilization of ANC and safe delivery services among women aged 15-49 years who gave births during the last three years preceding the survey are examined. Data was segregated into three ecological zones: Mountain, Hill and Terai zones for univariate analyses. Data from all three zones was then pooled for univariate and multivariate logistic regression analyses of Antenatal Care and Safe Delivery services in Nepal. Results and Conclusion. The analyses show that rural place of residence is at a disadvantage in receiving ANC (OR, 0.8; 95% CI [0.7-0.9]) and ensuring safe delivery (OR, 0.6; 95% CI [0.5-0.7]). Woman's education, husband's education and wealth quintile are significant factors in ensuring ANC and safe delivery services. Further, the analyses show that Budh/Muslim/Kirat/Christians are at a significant disadvantage in ensuring safe delivery (OR, 0.8; 95% CI [0.7-0.9]) as compared with Hindus. Though ecological zones lost their significance in receiving ANC, women in the Terai region are at a significant advantage in ensuring safe delivery (OR, 1.7; 95% CI [1.2-2.1]). Recommendation. Segregated targets should be set for the different ecological zones for further improvement in maternal mortality rates in Nepal.

No MeSH data available.


Related in: MedlinePlus