Urban-Rural Inequities in use of Maternal Health Services in Nepal, 1991-2010
Abstract
Maternal health services are vital for the survival and well-being of both mother and child. It is important to monitor urban-rural inequities in use of maternal health services to measure progress and address health... [ view full abstract ]
Maternal health services are vital for the survival and well-being of both mother and child. It is important to monitor urban-rural inequities in use of maternal health services to measure progress and address health inequities.
The study is to determine the inequities in use of maternal health services between urban and rural women in Nepal in the period of 1991 to 2010. The analysis is based on the data from four Nepal Demographic and Health Survey published in the years 1996, 2001, 2006 and 2011. The urban: rural ratio and urban: rural differences were calculated to analyse the trends and inequities in use of maternal health services among urban and rural women in Nepal.
There are significant inequities in use of maternal health services between urban and rural women in Nepal but it is reducing over time. Between 1991-1995 and 2006-2010, the urban: rural ratio reduced from 3.2 to 1.6 for antenatal care from skilled birth attendants, from 4.1 to 1.5 for 4+antenatal care, from 1.5 to 1.2 for women receiving two or more tetanus toxoid, from 7.3 to 2.3 for delivery by skilled birth attendants, from 8.6 to 2.3 for institutional delivery and from 0.7 to 1.7 for postnatal care. In terms of urban: rural differences, there is equity gain for antenatal care by skilled birth attendants, 4+antenatal care and women receiving tetanus toxoid but not for skilled birth attendant delivery, institutional delivery and postnatal care.
Equity in use of all types of antenatal care is improving but it is widening for using delivery and postnatal care between urban and rural women in Nepal. It is recommended to strengthen the ongoing health and non-health maternal health interventions to address the equity gap between urban and rural women.
Keywords: Inequity, maternal health, Nepal
Authors
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Milima Singh Dangol
(Thammasat University)
Topic Areas
V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He , II. Urban Health at the intersection of urban environment, social determinants and places
Session
PS-3 » POSTER SESSION 3 (12:15 - Sunday, 3rd April, TBA)
Paper
Urban_Rural_Inequities_Maternal_health_Milima_Singh_Dangol.docx
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