Published: 2021-10-27

Factors affecting utilization and satisfaction of maternal health care services among mothers of neonates in Paropakar maternity and women’s hospital

Shristi Neupane, Janak Thapa, Narayan Bahadur Mahotra, Lok Raj Bhandari


Background: Knowledge and use of maternal health service is an effectual way to reduce the risk of maternal morbidity and mortality which can be influenced by multiple factors. Maternal service utilization thus plays an important role during pregnancy, childbirth, and the postpartum period. The aim of the study was to analyse antenatal services as proxy indicator for study purpose.

Methods: A descriptive cross-sectional study was conducted in post-natal ward of Paropakar maternity and women’s hospital after ethical approval from the Ethical Review Board of the Nepal Health Research Council and Institutional Review Committee of Paropakar maternity and women's hospital and 210 samples were collected by a simple random sampling method. Statistical analysis was done using SPSS 16.0.

Results: Out of 210 participants, only 100 (47.6%) had antenatal care as per protocol. The median age of the women delivering in hospital was 25 years. Women having household income more than 10,000 (OR=2.125, 95% CI=1.065-4.241, p=0.032), impact of mass media for utilization of antenatal care service (OR=14.261, 95% CI=4.881-41.670, p value<0.001), and women’s taking an hour or less to reach health facility (OR=2.763, 95% CI=1.293-5.903, p value=0.009) were found to be statistically significant.

Conclusions: Majority of women in the study didn’t utilized full antenatal care service as per protocol. There is a need for different community based maternal and child health programs targeting the reproductive aged women and adolescent groups.



Antenatal care, Maternal health, Paropakar maternity and women’s hospital, Protocol

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WHO. Maternal health, 2020. Available at: Accessed on 01 September 2021.

WHO. What is the efficacy/effectiveness of antenatal care and the financial and organizational implications?, 2020. Available at: Accessed on 01 September 2021.

WHO. Newborns: reducing mortality, 2019. Available at: Accessed on 01 September 2021.

Ministry of Health. 4. Nepal Demographic and Health Survey 2016, 2017. Available at: Accessed on 01 September 2021.

Bhusal CK, Bhattara S, Bhaskar R. Maternal health in Nepal: progress, Challenges and opportunities. Int J Med Heal Res. 2015;1:68-73.

Deo KK, Paudel YR, Khatri RB, Bhaskar RK, Paudel R, Mehata S, Wagle RR. Barriers to Utilization of Antenatal Care Services in Eastern Nepal. Front Public Health. 2015;3:197.

Acharya SK. Demographic and Socio-economic Factors Affecting Antenatal Care Services Utilization in Nepal. J Devpt Admin Stud. 2018;24(1):71-87.

Birmeta K, Dibaba Y, Woldeyohannes D. Determinants of maternal health care utilization in Holeta town, central Ethiopia. BMC Health Serv Res. 2013;13(1).

Shrestha B, Prasad PD, Shrestha N, Dhimal B. Client’s Satisfaction on Maternity Services at Paropakar Maternity and Women’s Hospital, Kathmandu. J Health Allied Sci. 2010;1(1):56-9.

Bhandari B, Pokhrel B, Bhatta B, Karn R, Pokhrel A, Jha N. Utilization of maternal health care services in Belbari VDC of Eastern Region of Nepal. J Nobel Med Coll. 2012;1(1):53-8.

Habte F, Demissie M. Magnitude and factors associated with institutional delivery service utilization among childbearing mothers in Cheha district, Gurage zone, SNNPR, Ethiopia: a community based cross sectional study. BMC Preg Childbirth. 2015;15(1):299.

Amentie M, Abera M, Abdulahi M. Utilization of Antenatal Care Services and Influencing Factors among Women of Child Bearing Age in Assosa District, Benishangul Gumuz Regional State, West Ethiopia. Global J Med Res. 2015;15(2):9-17.

Dulla D, Daka D, Wakgari N. Antenatal Care Utilization and Its Associated Factors among Pregnant Women in Boricha District, Southern Ethiopia. Diver Equality in Health Care. 2017;14(2):76-84.

Pal R, Das P, Basu M, Tikadar T, Biswas G, Mridha P. Client satisfaction on maternal and child health services in rural Bengal. Indian J Community Med. 2010;35(4):478.

Panth A, Kafle P. Maternal Satisfaction on Delivery Service among Postnatal Mothers in a Government Hospital, Mid-Western Nepal. Obstetr Gynecol Int. 2018;2018:1-11.

Taghavi S, Ghojazadeh M, Aghdash SA, Alikhah H, Bakhtiarzadeh K, Azami A, et al. Assessment of mothers’ satisfaction with the care of maternal care in Specialized Educational-Medical Centers in obstetrics and gynecological disease in Northwest, Iran. J Anal Res Clin Med. 2015;3(2):77-86.