Utilization status of Safe Motherhood Program: a study from Jumla district, Nepal


  • Shubhadra Shahi Central Department of Public Health (CDPH), Institute of Medicine, Nepal
  • Dinesh Raj Neupane Central Department of Public Health (CDPH), Institute of Medicine, Nepal
  • Kamal Ranabhat Central Department of Public Health (CDPH), Institute of Medicine, Nepal
  • Subash Wagle Central Department of Public Health (CDPH), Institute of Medicine, Nepal
  • Manish Rajbanshi Central Department of Public Health (CDPH), Institute of Medicine, Nepal
  • Anita Adhikari Central Department of Public Health (CDPH), Institute of Medicine, Nepal
  • Sandhya Niroula Central Department of Public Health (CDPH), Institute of Medicine, Nepal
  • Hari Prasad Kafle Department of Public Health School of Health and Allied Sciences Pokhara University, Kaski, Nepal




Utilization status of Safe Motherhood Program, Delivery pattern, Maternal healthcare, Jumla district


Background: Safe Motherhood Program is a national priority programme that aims to reduce maternal and neonatal mortality and morbidity through demand and supply side incentives and free delivery care. The study investigates Safe Motherhood Program’s utilization, changes post-implementation, and associated factors in Jumla district to enhance maternal health care access and reduce preventable maternal deaths.

Methods: A community based cross sectional study using quantitative approach was conducted where the women of reproductive age group having at least one child of 3-15 months of age were interviewed using the semi structured interview schedule (n=228). Chi square test was used to show the association with independent and depended variables. All the test was carried out at the statistically significant of p value <0.05.

Results: The study revealed significant associations between utilization of maternal health care services and various factors: respondent's education level (p=0.034, OR=1.834, CI=1.043-3.223), husband's education level (p=0.007, OR=2.300, CI=1.252-4.228), respondent's employment status (p=0.003, OR=7.155, CI=1.650-31.029), husband's employment status (p=0.001, OR=2.778, CI=1.526-5.055), monthly income (OR=5.556, CI=2.005-15.393), and involvement in social groups (p=0.009, OR=2.312, CI=1.217-4.390).

Conclusions: Despite strong awareness of delivery incentives, the program success was restricted by poor knowledge of checkup incentives. The study identified the sociodemographic factors influencing the appropriate use of Jumla’s Safe Motherhood Program scheme. Pregnancy was highly registered, however less than two thirds of women had the necessary number of examinations performed. Institutional deliveries increased but there was disparity during the service delivery.


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How to Cite

Shahi, S., Neupane, D. R., Ranabhat, K., Wagle, S., Rajbanshi, M., Adhikari, A., Niroula, S., & Kafle, H. P. (2024). Utilization status of Safe Motherhood Program: a study from Jumla district, Nepal. International Journal Of Community Medicine And Public Health, 11(6), 2216–2224. https://doi.org/10.18203/2394-6040.ijcmph20241479



Original Research Articles