Rajendra Karkee|Colin Binns|Andy H. Lee
Determinants of facility delivery after implementation of safer mother programme in Nepal: a prospective cohort study
B.P. Koirala Institute of Health Sciences|Curtin University|Curtin University
several barriers pregnant women deliver health care facility prospective cohort study investigated factors affecting facility delivery reasons unplanned place delivery implementation safer mother programme nepalbaseline interviews using validated questionnaire conducted sample 700 pregnant women representative kaski district central nepal followup interviews cohort conducted within 45 days postpartum stepwise logistic regression analysis performed determine factors associated facility delivery outcomeof 644 pregnant women whose delivery location identified 547 85 gave birth health care facility women likely deliver health facility educated especially higher secondary qualification adjusted odds ratio 1239 95 confidence interval ci 509 3017 attended 4 antenatal care visits 215 95 ci 125 369 lived within 30 minutes facility 1161 95 ci 577 2404 97 women delivered home 72 742 unplanned mainly due quick precipitation labour making impossible reach health facilityit appeared facility delivery occurs frequent among educated women live nearby even though maternity services freely available nepal difficult terrain transportation problem rural areas interventions make maternity service physically accessible antenatal period needed increase utilisation health facility child birth