STATUS AND DETERMINANTS OF MATERNAL, NEONATAL AND INFANT DEATHS AND KNOWLEDGE, PRACTICE AND UTILIZATION OF MATERNAL HEALTH SERVICES IN BAGLUNG AND DOLPA DISTRICTS OF NEPAL
MITRA Samaj conducted ‘Status and Determinants of Maternal, Neonatal and Infant Deaths and Knowledge, Practice and Utilization of Maternal Health Services in Baglung and Dolpa districts of Nepal’, an endline study commissioned by One Heart Worldwide. The study was conducted to analyse the results of interventions of OHW at population level of Baglung and Dolpa districts.
The general objective of the study was to estimate maternal mortality ratio, neonatal mortality rate and institutional delivery in the districts. The specific objectives of the study were:
- To estimate maternal mortality ratio in last three years
- To estimate neonatal mortality rate in last three years
- To assess utilization of maternal and neonatal health services in the project districts
- To assess the level of knowledge about danger signs during pregnancy, child birth and post-partum period among recently delivered women
- To assess the practice and knowledge regarding birth preparedness and complication readiness among recently delivered women
This study contains two major tasks: One is estimating number of maternal deaths, neonatal deaths and infant deaths, and the other is assess knowledge, attitude and utilization of maternal and neonatal health services among recently delivered women in Baglung and Dolpa districts.
For objectives (1) and (2) the team visited all the health facility in municipality or rural municipality. The data for recently delivered women was collected in the health facilities. Lists of recently delivered women were recorded for the sampled 36 wards and numbers were noted for rest of the health facility. This information was collected to estimate maternal deaths and neonatal deaths and infant deaths.
Random sampling method was adopted to collect information for objectives (3), (4) and (5). Two wards were randomly selected from each municipality and rural municipality (Baglung: 10 and Dolpa: 8). The 36 wards, thus calculated, were regarded as the primary sampling unit. In each of the ward, 15 Recently Delivered Women (RDW) were randomly chosen from the list of RDW. In total, 540 RDWs were sampled for this study.