Factors Associated With Utilization of Institutional Delivery Service during Covid-19 Pandemic

  • Radha Devi Dhakal Shree Medical and Technical College, Bharatpur
  • Shobhana Nepal Shree Medical and Technical College, Bharatpur
  • Namuna Thapa Shree Medical and Technical College, Bharatpur
  • Sushma Sapkota Shree Medical and Technical College, Bharatpur
  • Sita KC College of Medical Sciences, Bharatpur, Chitwan, Nepal
  • Prativa Adhikari Narayani Public Institute, Bharatpur, Chitwan, Nepal
DOI: https://doi.org/10.33314/jnhrc.v20i01.3733

Abstract

Background: The utilization of institutional delivery services is pivotal to improve maternal health and reducing maternal mortality amid childbirth. But COVID-19 pandemic is posturing considerable challenges to maintain essential maternal and newborn health services. So study aims to assess the factors associated with the utilization of institutional delivery during the COVID -19 pandemic.
Methods: Data was collected from the 116 mothers of Kalika Municipality, Chitwan. The total enumerative sampling technique was used to include mothers who delivered a baby during lockdown (March 21 to August 21, 2020). Collected data were analysed by using descriptive and inferential statistics like chi-square test, logistic regression analysis.
Results: Out of 116 mothers, 76.6% had their delivery in the health facilities. Logistic regression analysis showed several factors associated with utilization of institutional delivery such as ethnicity, respondents education status, distance to the nearest health facility, fear of traveling, fear to visit health facility (AOR= 4.923; 95% CI =1.475-16.432, p=0.001),perception on the risk of covid-19 to mother, and intrauterine transmission of COVID-19 (AOR= 19 5.472;95% CI 1.35-22.175;p= 0.017) was found to be statistically significant with the utilization of institutional delivery during COVID-19 pandemic.
Conclusions: Several factors have been associated with the utilization of institutional delivery during pandemic. Women preferred not to seek healthcare due to the fear of being infected, lack of awareness, and misperception about COVID-19 and pregnancy. Therefore, the concerned authority should need to deliver a separate message to the pregnant women for a regular check-up and deliver a baby at a hospital.
Keywords: COVID-19 pandemic; institutional delivery; and utilization

Published
2022-06-02
How to Cite
DhakalR. D., NepalS., ThapaN., SapkotaS., KCS., & AdhikariP. (2022). Factors Associated With Utilization of Institutional Delivery Service during Covid-19 Pandemic . Journal of Nepal Health Research Council, 20(01), 33-40. https://doi.org/10.33314/jnhrc.v20i01.3733
Issue
Vol. 20 No. 01 (2022): Issue 54 Jan-March, 2022
Section
Original Article

Copyright (c) 2022 Radha Devi Dhakal, Shobhana Nepal, Namuna Thapa, Sushma Sapkota, Sita KC, Prativa Adhikari

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