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An analysis of factors linked to the decline in maternal mortality in Nepal


, : An analysis of factors linked to the decline in maternal mortality in Nepal. Plos One 9(4): E93029-E93029

Nepal experienced a steep decline in maternal mortality between 1996 and 2006, which had again dropped by 2010. The aim of this study was to investigate any trends in factors that may be responsible for this decline. The study was based on a secondary data analysis of maternity care services and socio-demographic variables extracted from the Nepal Demographic Health Surveys (1996, 2001, 2006 and 2011). Complex sample analysis was performed to determine the trends in these variables across the four surveys. Univariate logistic regression was performed for selected maternity care service variables to calculate the average change in odds ratio for each survey. Multivariate logistic regression was performed to determine the trends in the health service uptake adjusting for socio-demographic variables. There were major demographic and socio-economic changes observed between 1996 and 2011: notably fewer women delivering at 'high risk' ages, decreased fertility, higher education levels and migration to urban areas. Significant trends were observed for improved uptake of all maternity care services. The largest increase was observed in health facility delivery (odds ratio = 2.21; 95% confidence interval = 1.92, 2.34) and women making four or more antenatal visits (odds ratio = 2.24; 95% confidence interval = 2.03, 2.47). After adjusting for all socio-demographic factors, the trends were still significant but disparities become more pronounced at the extremes of the socio-economic spectrum. The odds ratios for each maternity care service examined decreased slightly after adjusting for education, indicating that improved levels of education could partly explain these trends. The improved utilisation of maternity care services seems essential to the decline in maternal mortality in Nepal. These findings have implications for policy planning in terms of government resources for maternity care services and the education sector.

US$19.90

PMID: 24705366

DOI: 10.1371/journal.pone.0093029


Other references

Trivedi R.; Khare A.; Khare M.P., 1988: A pregnane ester tetraglycoside from oxystelma esculentum. A new pregnane ester tetraglycoside designated as oxystine has been isolated from the dried roots of Oxystelma esculentum. Chemical and spectroscopic evidence is consistent with the structure 12-O-cinnamoyl desacylmetaplexigenin-3-O-.beta.-D-cymar...

Tan, I., 1994: Easier fibreoptic intubation. Anaesthesia 49(9): 830-831

Perlman, D.C.; Schoeb, V.; Nugent, A.; Horn, L.; Friedmann, P.; Des Jarlais, D.C., 2002: Incentives improve adherence to referral for chest X-ray among IDUs being screened for tuberculosis at a syringe exchange program. Drug & Alcohol Dependence 66(Supplement 1): S137, 1 May

Anonymous, 2016: Cimex lectularius ("Bed Bugs"): Recognition, Management, and Eradication. Pediatric Emergency Care 32(11): 805-806

Qian, S.Y.e; Buettner, G.R., 1999: Iron and dioxygen chemistry is an important route to initiation of biological free radical oxidations: An electron paramagnetic resonance spin trapping study. Iron can be a detrimental catalyst in biological free radical oxidations. Because of the high physiological ratio of [O2]/[H2O2] (> or = 10(3)), we hypothesize that the Fenton reaction with pre-existing H2O2 is only a minor initiator of free ra...

Gutierrez, M.; Lopez, A.; Gonzalez, R., 1974: Appraisal of the immune response of delayed hypersensitivity in haematosarcomas and other haematological diseases. Sangre 19(1): 41-48

McKeehan, W.L.; Kan, M., 1994: Heparan sulfate fibroblast growth factor receptor complex: structure-function relationships. Splice variations in genes coding for the transmembrane FGF receptor (FGFR) result in isoforms that vary in the ectodomain, intracellular juxtamembrane domain, and the intracellular kinase domain. An analysis of biochemical functions of distinct r...

Makarska, E., 1995: Effect of selected herbicides on the content of protein fractions in spring wheat grain. In field trials in 1983-84, applying Avenge (difenzoquat), Illoxan (diclofop-methyl) or Suffix BW (flamprop-isopropyl) tended to increase total and true protein contents in the grain of spring wheat cv. William. Avenge had the greatest effect. Cha...

Klasse, P.J.; Moore, J.P., 1992: Kinetics of the HIV-CD4 interactions and virus-cell fusion. Aids 6(3): 325-327

Jerva, M.J.; Randolph, R., 1975: Non-invasive diagnosis of brain tumors. Proceedings of the Institute of Medicine of Chicago 30(9): 280-281