Utilization of institutional delivery has an important implication for maternal and child health in India in terms of both morbidity and mortality. The utilization rates for institutional delivery are very low in large north Indian States. Reasons for such low institutionalized delivery care are mainly the low utilization rates of Ante Natal Care services. Safe motherhood intervention Scheme or...

BACKGROUND Promotion of institutional delivery is a key intervention in reducing maternal mortality and improving maternal and neonatal health. This study explored factors associated with institutional delivery in rural Nepal. METHOD A household survey was conducted in three rural Village Development Committees of Kavrepalanchowk district to identify the individual, household and health servi...

INTRODUCTION Globally, health facility delivery is encouraged as a single most important strategy in preventing maternal and neonatal morbidity and mortality. However, access to facility-based delivery care remains low in many less developed countries. This study assesses facilitators and barriers to institutional delivery in three districts of Tanzania. METHODS Data come from a cross-section...

JVlANY GRADUATE PROGRAMS in hospital administration do not have courses in multi-institutional structure, but refer only tangentially to this expanding segment of our healthcare delivery system. The administrative residency offers an excellent opportunity to study multi-institutional systems from within. This article shall define a prototype for the residency experience within a particular type...

Introduction In spite of emphasis on institutional delivery, a considerable number of births are being conducted at home and by traditional birth attendant (TBA). Institutional delivery is hypothesised to improve health seeking behaviour and health care practices related to infant and child care. In this paper we report that in a poorly performing district institutional delivery does not seem t...

BACKGROUND A number of studies have assessed the effectiveness of antenatal care (ANC) on uptake of institutional delivery care. However, none address the issue of association between the different components of ANC i.e. ANC component which is independent of health care delivery systems (timing and number of ANC visits), ANC components which depends on health care delivery systems (specific ANC...

BACKGROUND Health facility delivery is considered a critical strategy to improve maternal health. The Government of Nepal is promoting institutional delivery through different incentive programmes and the establishment of birthing centres. This study aimed to identify the socio-demographic, socio-cultural, and health service-related factors influencing institutional delivery uptake in rural are...

INTRODUCTION Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality. However, about 85% of mothers in Ethiopia deliver at home. OBJECTIVE To assess factors associated with institutional delivery service utilization among women who gave birth within one year prior to the study in Dangila district. METHODS A cross-sectional study...

BACKGROUND Caesarean delivery rates continue to increase worldwide. Our aim was to assess the association between caesarean delivery and pregnancy outcome at the institutional level, adjusting for the pregnant population and institutional characteristics. METHODS For the 2005 WHO global survey on maternal and perinatal health, we assessed a multistage stratified sample, comprising 24 geograph...

BACKGROUND Delivery at health institutions under the care of trained health-care providers and utilization of postnatal cares services plays vital roles in promoting child survival and reducing the risk of maternal mortality. More than 80 % of maternal deaths can be prevented if pregnant women access to essential maternity cares like antenatal care, institutional delivery and postnatal care ser...