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Volume 04
Journal of Neonatal & Pediatric Medicine
Neonatal Nursing Congress 2018
May 14-15, 2018
May 14-15, 2018 Singapore
30
th
Global Experts Meeting on
Neonatal Nursing &
Maternal Healthcare
Institutional delivery and its associated factors: A cross sectional community based study in Kavre
district, Nepal
Sushila Shrestha
Kathmandu University School of Medical Sciences, Nepal
H
ealth facility delivery is considered a critical strategy to improve maternal health. The objective of this study was to identify
utilization of institutional delivery and its associated factors. A descriptive cross-sectional study was carried out among
the mothers of fewer than five children in Dhungkharka, Kavre District, Nepal. Pre-tested questionnaire was administered to
170 mothers between 15-45 years of age group. Household survey was done by using purposive sampling technique and face
to face interview technique was used to collect the data from 1st July to 30th December 2014. Data was analyzed using simple
descriptive statistic with SPSS version 16. Association with institutional delivery was assessed by using chi-square test. Among
the total participants, 90.0% of them had institutional delivery. The higher proportions of institutional delivery were found in
both literate mothers (p=0.001) and literate husband (p=0.023). The proportion of institutional delivery among the mothers
decided by their relatives (husband, father/mother-in-laws and other family members) for institutional delivery had higher
portion (p=0.048) of institutional delivery than participants who decide themselves. But the study was not able to find out
the significant association between institutional delivery and age of mothers, husband’s occupation and number of children,
number of ANC visits and distance to nearest health facility for delivery. Utilization of institutional delivery was much higher
than national figure. Institutional delivery was associated with both educational status of mothers and their husband. Decision
made by husband, mother in-law, father in-law and other family members were also associated with institutional delivery. So,
to increase institutional delivery, family members need to be encouraged for safe motherhood program.
sushshrestha@yahoo.comNeonat Pediatr Med 2018, Volume 4
DOI: 10.4172/2572-4983-C1-003