Report 2019

Annual analysis of the equity gaps in health service utilization for selected services and who are being Left Behind

There has been steady progress in improving use of maternal health services in Nepal but inequalities among population groups still persist. Inequitable access to and utilisation of services is a result of a combination of financial, sociocultural, and geographical barriers. Geographical access is problematic owing to the predominantly hilly and mountainous terrain in parts of Nepal. Geographical barriers to obstetric care facilities have a significant influence on women’s uptake of institutional delivery.
This study assesses the effect of distance to birthing facilities on utilisation of delivery services in Nepal and provides recommendations on how equitable utilisation of institutional delivery service can be improved.

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