The role of obstetric knowledge in utilization of delivery service in Nepal.

@article{Karkee2014TheRO,
  title={The role of obstetric knowledge in utilization of delivery service in Nepal.},
  author={Rajendra Karkee and Om Bahadur Baral and Vishnu Khanal and Andy Hung-Yi Lee},
  journal={Health education research},
  year={2014},
  volume={29 6},
  pages={
          1041-8
        }
}
Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge could make a difference in maternal delivery behaviour. The results suggested that BP/CR program was effective in raising women's obstetric knowledge… 

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References

SHOWING 1-10 OF 50 REFERENCES
Determinants of facility delivery after implementation of safer mother programme in Nepal: a prospective cohort study
TLDR
It appeared that facility delivery occurs more frequent among educated women and those who live nearby, even though maternity services are now freely available in Nepal.
Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda
TLDR
The prevalence of recently delivered women who had knowledge of key danger signs or those who were birth prepared was very low and young age and high levels of education had synergistic effect on the relationship between knowledge and birth preparedness.
Are Birth-preparedness Programmes Effective? Results From a Field Trial in Siraha District, Nepal
TLDR
The BPP can be implemented by government health services with minimal outside assistance but should be comprehensively integrated into the safe motherhood programme rather than implemented as a separate intervention.
Knowledge of Danger Signs for Major Obstetric Complications Among Pregnant KwaZulu-Natal Women
TLDR
Low level of knowledge on “danger signs” of pregnancy and their HIV status are observed among pregnant women in South Africa and warrants an urgent attempt to introduce health education strategies to rural population of South Africa.
Rural Tanzanian women's awareness of danger signs of obstetric complications
TLDR
The following are recommended in order to increase awareness of danger signs of obstetrical complications: to improve quality of counseling and involving other family members in antenatal and postnatal care, to use radio messages and educational sessions targeting the whole community and to intensify provision of formal education.
Influence of Women's Knowledge on Maternal Health Care Utilization in Southern Laos
TLDR
It was found that the women with strong superstitious belief were less likely to utilize all three types of MHC than the others, and accessibility to health care facilities strongly affected ANC and attendance delivery.
Still too far to walk: Literature review of the determinants of delivery service use
TLDR
Studies of the determinants of skilled attendance concentrate on sociocultural and economic accessibility variables and neglect variables of perceived benefit/need and physical accessibility, enabling researchers to explore the influences of distance and service quality.
Barriers to the utilization of maternal health care in rural Mali.
  • A. Gage
  • Medicine, Political Science
    Social science & medicine
  • 2007
...
...