Modification of Delivery Practice in Rajbanshi Mothers of Nepal

Dr. Nawa Raj 2015-05-28

Nawa Raj Subba, Shishir Subba.

To cite the article: Nawa Raj Subba, Shishir Subba. (2014) Modification of Delivery Practice in Rajbanshi Mothers of Nepal. Journal of Nobel Medical College. Vol. 3, No.1 Issue 5, pp10-15.

Corresponding Author: Nawa Raj Subba, Email Id: [email protected]

Abstract

Introduction: This is a cross-sectional study with the objective of identifying modification in delivery practice in Rajbanshi mothers of Nepal.

Methodology: Both qualitative and quantitative tools were used. Semi-structured questionnaires covering 375 samples of its resident districts Morang, Jhapa, and Sunsari districts and checklists for in-depth interviews were used in the study.

Results: People were adopting both traditional and modern care practices concurrently. Among 375 households; 40% adopted local clinic/ hospital/ traditional healer concurrently. Similarly 31.20% adopted local clinic/ traditional healer/ hospital, 10.67% adopted hospital/traditional healer. There were 11.47% (urban 0.54% and rural 10.93%) respondents were having a traditional care system as a first choice. During the first delivery among 375 mothers, 265 (70.67%) had traditional home delivery and 110 (29.33%) had hospital delivery. During the last delivery, this was 115 (30.67%) in traditional home delivery and 260 (69.33%) in-hospital delivery. Therefore the trend of hospital delivery was increasing whereas the trend of traditional home delivery was decreasing. It was statistically highly significant (p=<0.0001). There was also a remarkably increased in using trained Health Worker/Nurse/Doctor at hospitals is 66.4% during the last delivery which was only 6.13%
during the first delivery. It is statistically highly significant (p= <.0001).

Conclusion: The trend of hospital delivery was increasing (from 30.67% to 69.33%) and the trend of
home delivery was decreasing (from 69.33% to 29.23%) in between first and last child delivery. There was a remarkably increased in using trained HW/Nurse/Doctor at hospitals is 66.4% during the last delivery which was only 6.13% during the first delivery. Traditional care was more practiced in rural than in the urban population.

Keywords: Traditional home delivery, Modern hospital delivery, Rajbansi, Nepal
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Last updated on 2020-09-29

Dr. Nawa Raj

Dr. Nawa Raj Subba is a public health specialist who has more than three and a half decades of experience working in public healthcare management at the Ministry of Health and Population in Nepal. In the spirit of public-private partnerships to expand access to health care in rural communities in Eastern Nepal, he played a vital role in leading operational research. He has also independently researched public health and intercultural psychology in Nepal. He published his works in books and journals. Nepali literature, culture, and music recognized him as an author. He has written artistic and cultural texts and CDs. His work has been acknowledged and appreciated by civil society, the government of Nepal, and abroad. He is now involved in Public Health and Intercultural Psychology studies in Nepal.

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