IEASEA, XI SEA Regional Scientific Meeting of the International Epidemiological Association, Pokhara, Nepal.

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Postnatal Care Utilization among mothers in Eastern Nepal
Rajan Bikram Rayamajhi, Ishwari Sharma Paudel, Sailesh Bhattarai, Surya Bahadur Parajuli, Paras Kumar Pokharel

Last modified: 2013-09-09

Abstract


Background: Postnatal care services available in Nepal are less utilized by Nepalese people. In areas where the service is found is of poor standard. Optimum utilization of postnatal care is very important for underdeveloped country like Nepal where satisfactory maternal and neonatal mortality is yet to be achieved.

Methods: A descriptive cross sectional study was carried out in three VDCs of Ilam district, eastern Nepal using random sampling. 235 married women of reproductive age group, who had delivered in the previous 24 months, were asked to participate in the study using semi structured questionnaire.

Objective: The objective of the study was to assess the proportion of postnatal care among the mothers with child less than 24 months of age in eastern Nepal.

Results: Among the respondents, 98.0% received postnatal care services and 89.7% of them received it within 24 hours of delivery. It was also found that, 94.9% received the care from a female skilled worker. White coat bearers were the main source of awareness regarding the utilization of postnatal care services.

Conclusion: Nepal, having a patriarchal society; men are reluctant to have their wives being examined by a male worker which influenced the postnatal care utilization. Availability of female skilled worker in the study area and it being the economical hub with  access to road, health facility and influence from cross border culture has helped for better uptake of postnatal care service among them. Government should promote white coat bearers to provide promotive and preventive care along with curative care.

This is important finding for health policy makers’ which highlights the fact that pregnant women should be made aware about the necessity of postnatal care by health provider themselves as they have a deep trust upon them.