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Feasibility Study on Establishing Maternity Waiting Homes in Remote Areas of Nepal
Oleh:
Shrestha S.D.
;
Rajendra P.K.
;
Shrestha N.
Jenis:
Article from Bulletin/Magazine
Dalam koleksi:
Regional Health Forum vol. 11 no. 02 (2007)
,
page 33.
Topik:
maternity waiting home
;
maternal/perinatal mortality
Ketersediaan
Perpustakaan FK
Nomor Panggil:
R01.K.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
The lack of access to obstetric services is one of the main causes of the high incidence of maternal and newborn deaths in Nepal. In Zambia and Zimbabwe better maternal and newborn outcomes were found among women who stayed in Maternity Waiting Homes (MWHs) during delivery. However, in Nepal, out of the 27 available MWHs not a single one has been utilized by pregnant women. To operationalize these MWHs a survey was conducted by the family Health Devision, Department of Health Services. The objectiveof the study was to ascertain the views of expectant mothers, communities, service providers and managers on the concept of MWHs and its applicability in Nepal. This cross sectional study was conducted in two lowland districts. A total of 18 expectant women and 14 hospital support committee (HSC) members were interviewed. A total of 28 focus group discussions were conducted- 14 comminity members and 14 with peripheral helath workers and chairpersons good management committees of health institutions. Both communities and health workers were aware of the direct and conxeptual pregnancy and childbirth-related problems but were ignorant about the avaibility of MWHs. To promote utilization of the MWHs, decision markers in the family should be motivated to accompany pregnant women to MWHs; stay at MWHs shouls be cost free; the homes should be equipped with the basic minimum facilities; and good quality health services should be ensured. Establishing MWHs in remote district hoapitals in collaboration with comminities could be a viable option for creating a continuum of obstetric care for rural Nepali women.
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