Publication:

Utilization of maternal health services among mothers with children under two years in Arjundhara municipality, Jhapa, Nepal

Background The government of Nepal has prioritized the National Safe Motherhood Program to improve maternal and neonatal health. Pregnant women who access quality maternal health services, such as focused prenatal care, delivery care, and early postpartum support, can prevent most maternal deaths and complications. This study aimed to evaluate the use of maternal health services among mothers with children under two years in Arjundhara Municipality, Jhapa, Nepal.

Methods An analytical cross-sectional study was conducted among mothers of children below two years using systematic random sampling. Verbal informed consent was obtained, and the Little Buddha College of Health Science granted ethical approval. Data analysis included bivariate analysis to identify factors associated with maternal health service utilization.

Results Most women (87.8%) received antenatal care (ANC) services according to protocol, but less than a quarter (21.5%) received postnatal care (PNC) checkups as recommended. The findings showed positive links between PNC and certain socio-demographic factors. Similarly, mothers who were employed or involved in business were more likely to receive PNC than housewives. Additionally, families with a monthly income between NPR 50,000 and 150,000 were more likely to follow the recommended PNC practices compared to those earning less than NPR 50,000.

Conclusions Findings showed that while ANC services were well-utilized, PNC services were underutilized. The cost was identified as a barrier, and suggestions were made to improve service availability and incentivize utilization. Overall, respondents expressed high satisfaction with the services received, despite facing challenges such as inadequate facilities and transportation.