Determinants of Institutional Delivery Among Women in Madhesh Province, Nepal

Abstract

Maternal health continues to be a very significant public health concern in Nepal, especially in Madhesh province, where the rate of institutional delivery facility is significantly lesser than the national average. Institutional delivery basically means a delivery that takes place inside healthcare facilities where healthcare professionals are available to reduce maternal mortality and assess neonatal health. This study is a close observation of socio-economic and infrastructural factors that influence the real determinants of facility delivery services in Madhesh. The variables associated with having and not having facility delivery was broken down using the 2022 Nepal Demographic and Health Survey (NDHS) data through cross-sectional research design. The logit regression models for determinants of maternal education, household economic status, healthcare access, and socio-cultural beliefs regarding the type of delivery method have the highest coefficients. The prediction is the greater the maternal education, economic power, and frequency at which they receive so-called intuitional delivery, the more likely they will favor facility-based delivery. One thing is important to note that the less cited as opposite is the fact that certain preventive weights fall so fairly on some ethnic groups with high birth orders, based in the rural area, as well as those who research the custom of home birth as a must in terms of choosing the more alacritous institutional service. This study categorizes focused on intervention for change through community sensitization programs and accessible healthcare services. Cultural practices are strengthened by ensuring the availability of services, while strengthening healthcare access and partly multi-means will build institutional delivery rates in Madhesh along matching national and international objectives to maternal health.